The Bulletin: Beyond the Exam Room - 2026 Q1

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In this issue

SCCMA is a professional association representing over 4,500 physicians in all specialties, practice types, and stages of their careers. We support physicians like you through a variety of practice management resources, coding and reimbursement help, training, and up to the minute news that could affect your practice. The Bulletin is our quarterly publication.

Santa Clara County Medical Association

SCCMA OFFICERS

President | Santosh Pandipati, MD

President-elect | Christine Doyle, MD

Secretary | Veena Vanchinathan, MD

Treasurer | Shahram Gholami, MD

Immediate Past President | Fahd Rahman Khan, MD

VP-Advocacy & Policy | David Li, MD

VP-Membership | Paul Wang, MD

VP-Professional Conduct | Lewis Osofsky, MD

VP- Community Health | Annie Chang, MD

SCCMA STAFF

CEO/Executive Director | Marc E. Chow, MS

Director of Operations | Angelica Cereno

Director of Governance & Advocacy | Emily Coren

Facilities Manager | Andie Campanilla

Member & Program Manager | Rashida Mirza

SCCMA COUNCILORS

El Camino Hospital of Los Gatos | Jaideep Iyengar, MD

El Camino Hospital – Mountain View | Carol A. Somersille, MD

Good Samaritan Hospital | Judong Pan, MD

Kaiser Foundation Hospital - San Jose | Haritha Reddy Rachamallu, MD

Kaiser Permanente Hospital - Santa Clara | John Truong, MD

O’Connor Hospital | David Cahn, MD

Regional Medical Center | Open

Saint Louise Regional Hospital | Open Santa Clara Valley Medical Center | Open Stanford Health Care/Children’s Health | Karen Kim, MD

Managing Editor | Emily Coren

Production Editor | prime42 – Design | Market | Host

Opinions expressed by authors are their own, and not necessarily those of The Bulletin or SCCMA. The Bulletin reserves the right to edit all contributions for clarity and length, as well as to reject any material submitted in whole or in part. Acceptance of advertising in The Bulletin in no way constitutes approval or endorsement by SCCMA of products or services advertised. The Bulletin and SCCMA reserve the right to reject any advertising.

Address all editorial communication, reprint requests, and advertising to:

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A Message from the President

Santosh Pandipati, MD

SCCMA President

Dear SCCMA Members,

I want to begin by thanking everyone who attended our January 2026 Annual Awards Gala. We celebrated a record turnout and were honored by the fantastic participation of local, state, and Congressional representatives. Your presence and support made the evening truly memorable as we recognized the outstanding contributions of our colleagues to medicine and public health.

In this issue of the SCCMA Bulletin, we confront critical public health challenges that demand our attention as physicians and advocates for our communities. From airborne toxins poisoning children near our airports to nuclear weapons policies threatening global health, to the epidemic of sleep deprivation among our youth—these issues underscore medicine’s essential role beyond the clinic walls.

Dr. Bruce Lanphear examines a shocking environmental injustice: leaded aviation fuel. While we eliminated lead from automobile gasoline decades ago, small aircraft continue to spew over 400 tons of airborne lead annually across the United States. Right here in Santa Clara County, we witnessed the power of local action when the Board of Supervisors voted to close Reid-Hillview Airport after research showed elevated blood-lead levels in nearby children. Yet thousands of communities nationwide still live under this invisible threat.

Dr. Robert Gould turns our attention to the nuclear weapons era and its ongoing health consequences. Eighty years after Hiroshima and Nagasaki, communities continue to bear the burden of nuclear weapons development. Meanwhile, our nation spends nearly $95 billion annually on nuclear weapons modernization—funds that could transform healthcare and environmental protection. As physicians committed to preventing harm, we must amplify the voices calling for nuclear disarmament.

Dr. Nina Helmer and colleagues examine youth sleep health through groundbreaking local research conducted right here in the Bay Area. The findings are sobering: our young people are chronically sleep-deprived, with median sleep duration of just 7 hours (recommended is 8-10

hours). Academic pressure emerged as the leading culprit. While 92% of youth recognize sleep’s importance, only 40% know where to find help—a knowledge gap that presents a clear opportunity for physician-led intervention.

These articles share a common thread: the need for physicians to advocate for systemic change. This is precisely where the SCCMA Foundation plays a vital role. As our philanthropic arm, the Foundation empowers the future of medicine through education, advocacy, and compassion. Through our Community Health & Connection Initiative, we support grassroots public health outreach, fund culturally responsive health education programs, and build partnerships that reduce health disparities. Whether addressing environmental toxins, supporting physician wellness, or promoting health equity, the Foundation creates lasting impact where it matters most: where people live, learn, work, and heal.

I encourage you to learn more about the Foundation’s work and consider how you might contribute—whether through financial support, participation in our initiatives, or applying for community grants that advance our shared mission.

Looking ahead, SCCMA will be focusing on health misinformation as a key priority for 2026. In an era where false and misleading health information spreads rapidly, physicians must lead efforts to restore trust in science and medicine. We will be developing resources, advocacy strategies, and educational programs to combat misinformation and ensure our communities have access to accurate, evidence-based health information. I look forward to your engagement in this critical work.

In your service,

Santosh Pandipati, MD President, Santa Clara County Medical Association

What’s New, What’s the Same, and Why it Matters

DR. SARAH RUDMAN, MD, MPH Public Health Officer and Director and DR. MONIKA ROY, MD, MS Deputy Health Officer Infectious Disease and Response Branch Director

California follows evidence-based vaccine recommendations

The County of Santa Clara Public Health Department is committed to equipping healthcare providers with the latest and most accurate information to protect the health of all County residents. In California, the recommended immunizations schedules for children and adolescents remain the same despite changes at the federal level. Public Health strongly supports the evidence-based immunizations schedules recommended by the American Academy of Pediatrics1 (AAP) and the American Academy of Family Physicians (AAFP).2 Two recommendations from these professional medical bodies are also endorsed by the California Department of Public Health (CDPH) and the West Coast Health Alliance. Immunization entry requirements for school and childcare remain unchanged.

The problem with the federal vaccine changes

The federal government skipped important steps in the scientific process when they announced their vaccine changes such as making changes without new evidence and without convening their expert panel. Additionally, much of the safety and efficacy concerns cited by the federal government are based on false equivalencies or incomplete data. The wave of federal vaccine recommendations in this past year has led to increased confusion amongst providers and patients. Parents, in particular, may experience challenges discerning evidence-based recommendations from vaccine misinformation about childhood vaccines. The Public Health Department is committed to helping all county residents navigate vaccine misinformation and access, and supporting healthcare providers in making a strong recommendation for vaccination to all patients.

Healthcare providers are trusted vaccine advocates

A poll from the Kaiser Family Foundation3 indicates that healthcare providers are the most trusted source of health information. This poll found that 85% of parents trust their child’s pediatrician to provide reliable vaccine information. Healthcare providers are well positioned to continue to serve as trusted vaccine advocates. To assist with vaccine education, healthcare providers can use vaccines schedules and health education materials published by the AAP and AAFP. For addressing vaccine hesitancy with patients and parents, consider using strategies such as motivational interviewing techniques and presumptive recommendations. Presumptive recommendations are direct statements that imply acceptance of the vaccine recommendation such as, “your child is scheduled for this vaccine, what questions do you have?”. Initiating a dialogue about vaccine hesitancy with patients and parents is the first step in overcoming vaccine hesitancy and ensuring our community stays protected. Healthcare providers can visit Public Health’s “Immunization” webpage for vaccine-related resources at sccphd.org/IZprovider.

Vaccine access remains protected… for now

The federal government indicated that vaccines provided through federal programs such as Vaccines for Children (VFC) and federal health insurance plans will still be available. In California, Assembly Bill 144 requires state-regulated health plans to cover all immunizations recommended by CDPH. This bill also protects providers against liability from rare adverse reactions when physicians follow state immunization guidelines. While vaccine access is not currently an issue, there remains uncertainty if that will change.

The bottom line about vaccinations

There are no changes to immunization schedules or vaccine availability in Santa Clara County. The County’s vaccine recommendations are aligned with the immunization recommendations put forth by the AAP and AAFP. Healthcare providers are trusted vaccine advocates who can help ensure that patients and children are vaccinated and protected. Here are three things you can do right now to help ensure your patients choose to get vaccinated:

1. As trusted providers, continue recommending vaccines included in the AAP (children) and AAFP (adults) schedules.

2. Continue to stock vaccines in your clinic so that patients do not need to go elsewhere to receive vaccines.

3. Proactively address patient questions

a. There are no new data to suggest that the AAP or AAFP immunization schedules are unsafe or ineffective.

b. The infectious diseases that these vaccines protect against continue to circulate and pose a risk to health.

c. All vaccines recommended remain available and covered by public and private insurers in California.

The Public Health Department will continue to promote evidence-based vaccine recommendations. Visit sccphd. org/IZprovider to access the latest updates and resources.

References:

1. AAP Immunization Schedule. Accessed February 26, 2026. https://publications.aap.org/redbook/resources/15585/AAP-Immunization-Schedule

2. Immunization Schedules | AAFP. Accessed February 26, 2026. https://www.aafp.org/family-physician/ patient-care/prevention-wellness/immunizations-vaccines/immunization-schedules.html

3. Kearney A, Valdes I, Schumacher S, Mulugeta M, Kirzinger A, Hamel L. KFF Tracking Poll on Health Information and Trust: Trust in the CDC and Views of Federal Childhood Vaccine Schedule Changes | KFF. KFF. Published February 6, 2026. https://www.kff. org/health-information-trust/trust-in-cdc-and-viewsof-federal-childhood-vaccine-schedule-changes/

Over the past year, the Santa Clara County Medical Association (SCCMA) leadership and staff came together for a strategic planning process to reflect on the evolving needs of physicians and the communities we serve. As healthcare continues to transform—shaped by technological innovation, policy changes, workforce pressures, and shifting patient expectations—it is more important than ever for physician organizations to remain focused, adaptive, and mission-driven.

Through thoughtful discussion and collaboration, SCCMA leaders identified four strategic pillars that will guide the As-

sociation’s priorities and initiatives in the years ahead. These pillars represent SCCMA’s shared purpose and commitment to supporting physicians while strengthening the health of our community. Together, they form the foundation for how SCCMA will continue to serve its members and advocate for the future of medicine in Santa Clara County.

These strategic pillars serve as a guiding framework for SCCMA’s work moving forward. Whether through programs that support physician wellness, initiatives that strengthen member engagement, educational opportunities that promote lifelong learning, or advocacy efforts that elevate the physician voice, SCCMA remains committed to serving both

its members and the broader community. As the healthcare landscape continues to evolve, these pillars will help ensure that SCCMA remains a trusted leader, a supportive professional home for physicians, and a strong advocate for the health of Santa Clara County.

Physician & Community Wellness

At the heart of SCCMA’s mission is the well-being of both physicians and the communities they serve. Increasingly, physicians face challenges related to burnout, administrative burdens, and the emotional demands of patient care. Supporting physician wellness is essential not only for the health of the profession, but also for maintaining high-quality care for patients. SCCMA is committed to advancing a culture of wellness that supports the physical, mental, emotional, social, and financial health of our members. By promoting physician well-being and strengthening community health initiatives, SCCMA aims to ensure a sustainable and compassionate healthcare environment for all.

Member Engagement

Physicians at every stage of their careers benefit from strong professional networks and opportunities for connection. SCCMA is dedicated to building meaningful, long-lasting relationships with physicians across Santa Clara County by fostering an inclusive and engaged professional community. Through networking events, leadership opportunities, educational programming, and collaborative initiatives, SCCMA strives to create a space where physicians can connect, share

ideas, and support one another throughout their professional journeys.

Education

Continuous learning is essential in a rapidly evolving healthcare landscape. SCCMA remains committed to empowering physicians and the communities they serve through innovation, collaboration, leadership, and lifelong learning. Through continuing medical education programs, educational forums, and partnerships with healthcare leaders and experts, SCCMA helps physicians stay informed about emerging clinical developments, healthcare policy changes, and advancements in medical technology. By supporting education for both physicians and the public, SCCMA contributes to stronger healthcare outcomes throughout the region.

Advocacy

Advocacy has long been a central role of medical associations. SCCMA works to ensure that physicians have a strong voice in shaping healthcare policy and addressing the issues that impact both the profession and patient care. Through collaboration with local leaders, policymakers, healthcare organizations, and community partners, SCCMA advocates for policies that support physicians, protect patient access to care, and strengthen the healthcare system.

By empowering physicians to engage in advocacy efforts, SCCMA helps ensure that the perspectives of frontline healthcare professionals remain central in conversations about the future of healthcare.

SCCMA Strategic Pillars

Engagement

A New Chapter for Community Impact: Introducing the SCCMA Alliance Foundation

The Santa Clara County Medical Association (SCCMA) has long been dedicated to advancing the practice of medicine and supporting physicians throughout Santa Clara County. Now, that commitment to service is expanding through the renewed activity of the SCCMA Alliance Foundation, the Association’s charitable arm focused on strengthening community health, supporting physician well-being, and fostering innovation in healthcare.

As a 501(c)(3) nonprofit organization, the SCCMA Alliance Foundation exists to help facilitate SCCMA’s engagement in meaningful community initiatives. Through philanthropic partnerships, educational programming, and grantmaking, the Foundation provides a platform for physicians and community leaders to collaborate on solutions to some of healthcare’s most pressing challenges.

With a vision rooted in physician leadership, compassion, and community partnership, the Foundation represents an important step forward in SCCMA’s ongoing commitment to improving health outcomes both locally and beyond.

A Vision for the Future of Medicine

The SCCMA Alliance Foundation was established with a clear vision: to champion physician leadership, strengthen community health, and address the evolving challenges facing healthcare today. As the philanthropic extension of the Santa Clara County Medical Association, the Foundation works to empower the future of medicine through education, advocacy, and service.

Its mission is straightforward yet impactful: To advance the health and well-being of our community, physicians, and healthcare workers by supporting medical education, promoting health equity, and fostering physician-led innovation. By connecting resources, people, and purpose, the Foundation aims to create lasting impact across Santa Clara County—bringing together physicians, nonprofit organizations, community leaders,

and healthcare advocates in pursuit of healthier communities.

Caring for the Caregivers: Physician Wellness

Few understand the demands of healthcare better than physicians themselves. Long hours, increasing administrative burdens, and the emotional toll of patient care can create significant pressures for healthcare professionals. Recognizing these realities, one of the Foundation’s core priorities is Physician Wellness.

Through its Physician Wellness Initiative, the SCCMA Alliance Foundation seeks to support programs that help physicians and healthcare workers maintain their own mental, emotional, and physical well-being.

The initiative supports efforts to:

• Address physician burnout, moral injury, and mental health stigma

• Provide leadership development and resilience-building workshops

• Create protected spaces for reflection, rest, and recovery By prioritizing physician well-being, the Foundation recognizes an essential truth: healthier physicians lead to healthier communities. Supporting those who care for others is fundamental to maintaining a strong and compassionate healthcare system.

Bridging Medicine and Community

The Foundation also recognizes that health is shaped by far more than clinical care alone. Through its Community Health and Medical Education Initiative, the SCCMA Alliance Foundation supports programs that strengthen connections between healthcare providers and the communities they serve.

Health outcomes are influenced by education, access to resources, social determinants, and trust within communities. The Foundation’s efforts aim to support programs that address these broader factors.

Key goals of this initiative include:

• Supporting grassroots public health outreach in under-

• Funding culturally responsive health education and prevention programs

• Building partnerships with schools, nonprofits, and local community leaders

• Promoting initiatives that reduce health disparities and improve health equity

By working collaboratively with local organizations, physicians, and community advocates, the Foundation seeks to create sustainable improvements in health where they matter most— where people live, learn, work, and heal.

Leadership and Governance

The SCCMA Alliance Foundation is guided by a Board of Directors composed of the Executive Committee and Vice Presidents of the Santa Clara County Medical Association. This structure ensures close alignment between the Foundation’s philanthropic initiatives and SCCMA’s broader mission of supporting physicians and advancing healthcare in Santa Clara County. Through physician leadership and collaboration with community partners, the Foundation seeks to ensure that its programs remain responsive to the real needs of both the medical profession and the communities it serves.

Supporting Innovation Through Community Grants

A key component of the SCCMA Alliance Foundation’s work is its community grant program, which provides funding to organizations and initiatives aligned with its mission. The Foundation is proud to offer grants that support projects advancing physician wellness, promoting health equity, and encouraging innovative approaches to healthcare delivery in Santa Clara County.

Organizations and initiatives may apply for funding at the following levels:

• Up to $1,000

• Up to $2,500

• Up to $5,000

These grants are available to local nonprofits, community groups, healthcare organizations, and physician-led initiatives working within Santa Clara County.

By supporting grassroots programs and innovative ideas, the Foundation hopes to empower individuals and organizations that are making meaningful contributions to community health.

In this issue of The Bulletin, readers will also learn about one of the Foundation’s first funded grant—the Youth Sleep Initiative, whose work addresses an increasingly important aspect of adolescent health.

To learn more about grants, please visit https://www.sccma. org/foundation/grant-applications.aspx

Support the Mission

The SCCMA Alliance Foundation’s work is made possible through the generosity and engagement of the physician community and its partners. Donations to the Foundation help expand programs that support physician wellness, strengthen community health education, and fund innovative initiatives addressing healthcare challenges across the region.

Physicians, healthcare professionals, and community members who wish to support these efforts are invited to contribute to the Foundation’s mission. Every contribution—large or small—helps advance programs that support physicians, improve health equity, and strengthen our healthcare community.

Readers interested in supporting the SCCMA Alliance Foundation can learn more visiting https://www.sccma. org/foundation/donate.aspx to make a donation or QR code provided alongside this article.

Together, through collaboration and generosity, the Foundation aims to build a healthier future for both physicians and the communities they serve.

In the following article, we highlight one of the SCCMA Alliance Foundation’s first grant recipients, the Youth Sleep Initiative, and the important work they are doing to improve adolescent health and sleep education in our community.

Sleep Duration, Quality, and Factors Affecting Sleep Health Among Young People in the California Bay Area: A Cross-Sectional Study

ETHAN Y. PAN

Youth Sleep Initiative, Saratoga, CA

Department of Radiology and Biomedical Imaging, University of California San Francisco

SOPHIA LI

Youth Sleep Initiative, Saratoga, CA

SELINA LI

Youth Sleep Initiative, Saratoga, CA

JASMINE YE

Youth Sleep Initiative, Saratoga, CA

BENJAMIN LI

Youth Sleep Initiative, Saratoga, CA

Abstract

Adequate sleep is critical for young people’s physical, mental, and emotional well-being, yet many adolescents and young adults do not get enough sleep. We conducted a cross-sectional survey of 1,189 youth aged 10–24 in California’s San Francisco Bay Area to assess sleep duration, sleep quality, contributing factors, attitudes toward sleep, and awareness of resources. The median sleep duration was 7 hours per night (mean = 6.68),

AUSTIN LI

Youth Sleep Initiative, Saratoga, CA

CHRISTIANE K. HELMER

Department of Pediatrics, University of California San Francisco

JOSHUA YE

Department of Computer Science, School of Engineering, Vanderbilt University

NINA W. HELMER

Department of Psychiatry, Greater Southern Alameda Area Kaiser Permanente

Corresponding author

well below recommended levels. Our study showed that sleep deprivation was highly prevalent, with 560 (71.0%) of youth aged 10-18 sleeping less than the recommended 8-10 hours, and 362 (90.5%) of young adults aged 18-24 sleeping less than the recommended 7-9 hours. Most participants reported frequent sleep disturbances and identified academic workload, electronic device use, extracurricular commitments, and stress as major contributors to insufficient sleep. Youth sleeping fewer than 8

hours were nearly twice as likely to report emotional or behavioral challenges. Although most participants believed sleep is important, fewer than 40% were aware of sleep health resources. These findings highlight widespread sleep deprivation and underscore the need for school- and community-based strategies to improve sleep habits and access to support.

Introduction

Sleep plays an essential role in growth, brain development, learning, and emotional regulation during adolescence and young adulthood. Professional guidelines recommend 8-10 hours of sleep for teenagers and 7-9 hours for young adults. Adequate sleep supports memory consolidation, attention, mood stability, and physical health, while chronic sleep loss is associated with poorer academic performance, mental health problems, and increased risks of obesity and other health conditions.

Despite these well-known benefits of sleep, youth sleep deprivation remains a serious public health concern. The few available national surveys show that only a minority of U.S. adolescents meet recommended sleep durations, and sleep has declined over the past decade. However, there is a lack of studies exploring not only how long youth sleep, but also the factors that disrupt sleep, their perceptions of sleep, and their awareness of resources that could help.

This study addresses these gaps by examining sleep duration, sleep quality, contributing factors, and attitudes toward sleep among young people in the California Bay Area. We aimed to identify common barriers to healthy sleep and understand how insufficient sleep relates to academic and emotional outcomes. By clarifying these issues, we hope to inform practical interventions and policies that better support youth sleep health.

Results

Sociodemographics: The study included 1,189 participants aged 10-24 years (mean 17.6) from the California Bay Area. The sample was 54.4% female and 43.1% male. Most participants were Asian (62.0%), followed by White (16.4%), multiracial (7.7%) and other racial groups. The majority attended public schools (92.5%) and were in high school (52.2%) or college (42.6%). All resided across 24 Bay Area zip codes, particularly the South Bay. Sleep duration and quality: Median school-night sleep was 7 hours (mean 6.68), with a wide range from under 3 hours to 10 hours (Figure 1). Middle school students averaged 8.3 hours, while high school, college, and post-college groups averaged about 6.5-6.7 hours. Many students regularly slept under 8 hours: 35.3% on all five weekdays and 23.1% on four days. Sleep disturbances were common: 34.5% experienced them 2-3 nights weekly, 22.0% 4-6 nights, and 6.1% nightly.

Factors affecting sleep: Academic workload was the most reported barrier (81.8%), followed by device use (59.7%), time management (55.5%), extracurriculars (54.4%), irregular schedules (46.4%), and stress/anxiety (42.5%). About one-third used devices over 4 hours daily. Academic workload was frequently rated as having a strong negative impact, with over 60% scoring it 4-5/5. Extracurriculars were usually perceived as having only slight effects.

Sleep and functioning: Most students reported that sleep affected academic performance, with 54.5% rating the impact as 4-5/5. Emotional or behavioral challenges affecting sleep were reported by 23.4%; those sleeping under 8 hours were 1.8 times

more likely to report such issues (95% CI, 1.33-2.44, p < 0.05). Additionally, 32.2% had driven while drowsy, representing over half of student drivers.

Perception and awareness: Most participants recognized the importance of sleep, with 58.9% identifying 8+ hours as ideal and 91.9% rating sleep as important (Figure 2). However, only 39.8% were aware of strategies or resources to improve sleep.

Discussion

Our findings show that most young people in this sample are not getting enough sleep. The average sleep duration was well below recommended levels, and sleep time decreased with age, with college students sleeping the least. Many participants also reported trouble falling or staying asleep, indicating that both sleep quantity and quality are concerns.

Academic pressure emerged as the leading factor limiting sleep, followed by screen use, time management challenges, extracurricular activities, and stress. In high-achieving communities, students may prioritize homework and commitments over rest, often staying up late on devices that further disrupt natural sleep rhythms. While these pressures are common, some behaviors, such as reducing nighttime screen time and improving schedules, may be modifiable targets for intervention.

Although nearly all participants recognized that sleep is important and identified an ideal sleep duration close to recommendations, their actual sleep fell short. Limited awareness of sleep-related resources suggests that students may lack practical guidance on how to improve their sleep habits. This gap presents an opportunity for schools, families, and community organizations to provide education and support.

Importantly, insufficient sleep was associated with negative consequences. Students who slept less were more likely to report emotional or behavioral challenges, difficulty concentrating, memory problems, and poorer academic performance. Reports of drowsy driving also raise safety concerns. Together, these findings reinforce the broad impact of sleep on both well-being and daily functioning.

Although the study relied on self-reported data and a regional sample, the results align with national trends and emphasize the need for action. Multifaceted strategies combining education, healthier routines, and increased resource awareness may help young people achieve adequate sleep and improve overall health and performance.

Conclusion

This study shows that many young people do not get enough sleep and often have trouble falling or staying asleep. As a result, their focus, memory, school performance, and emotional health can suffer. Even though most students know sleep is important, most lack access to effective sleep health resources. Like national reports, our findings show that sleep deprivation is common among American teens. Heavy schoolwork, busy social lives, and pressure to succeed, especially in high-achieving communities, make it harder to get enough rest. Screen time from phones and computers also disrupts sleep. Poor time management is another key issue that students may be able to improve. Overall, addressing these manageable factors could help teens sleep better and protect their learning and mental well-being.

ROBERT M. GOULD, MD

Let’s Bring the Nuclear Weapons Era to a Close

Over 80 years ago our Atomic Age commenced with the July 1945 Trinity Test in New Mexico that soon fueled the nuclear obliteration of Hiroshima and Nagasaki. By the end of 1945 approximately 200,000 human beings had perished from the effects of firestorms, blast and radiation. Many of those fortunate to survive – the Japanese Hibakusha, 1 or imprisoned slave laborers such as those from Korea also exposed to the atomic blasts– suffered from the ravages of radiation-induced cancers, other chronic diseases, genetic damage, developmental disorders, mental health consequences, and persistent and profound social consequences though the decades.

Since that time, the continued development, production and testing of nuclear weapons has resulted in extensive contamination of the air, water, and soil in numerous communities, with consequent human illness and ecosystem damage. Global atmospheric testing of over 2000 nuclear weapons released significant radioactive material into the atmosphere, and by the end of our current century, an estimated 430,000 additional cancer deaths worldwide could be attributed to this testing alone.2

“Downwinder” communities exposed for decades to the hazards of the nuclear era have historically been ignored, and denied compensation or fundamental healthcare for their burden of disease. To address this gap, there arose a powerful grassroots movement to push our Congress to enact the Radiation

Compensation Exposure Act (RECA), which passed the Senate in 2024. However, the bill was subsequently blocked for further House consideration by Speaker Johnson. In 2025 RECA was amended before being passed as part of the “Big Beautiful Budget Bill” that would decimate many key health and environmental protections. Unfortunately, the compensation and promised health care remains limited, and excludes a number of impacted populations in Arizona, Colorado, Montana, Nevada and Guam.3 For many people fortunate to be included, the benefits are likely outweighed by the slashing of Medicare, Medicaid and other fundamental healthcare programs in the current budget package.

Such egregious and cruel denial of compensation and care is in stark contrast to the continued profligate spending on nuclear weapons and our military forces. Nuclear weapons continue to represent to our leaders the potential upper hand for “escalation dominance” in any conceivable geopolitical conflict, and this planetary obliteration “option” has been a cornerstone of U.S. foreign and military policy since the end of World War II.4

According to the Congressional Budget Office, plans by the Departments of Energy and Defense to “operate, sustain, and modernize current nuclear forces and purchase new forces would cost a total of $946 billion over the 2025–2034 period,” coming to an average expenditure approximating $95 billion a year.5 Largely hidden from the average taxpayer at a time when fundamental health, environmental and social programs have been devastated, it is striking to note that in 2025, the average cost of nuclear weapons development to every person in the United States was $324.43.6

threaten to unleash an uncontrolled “vertical” proliferation of more deadly nuclear arsenals among already nuclear-capable states. As well, it could encourage the “horizontal” proliferation of nuclear weapons among other nations, 12 especially at a time when global promotion of nuclear power plants can provide the materials, methods and technical capability necessary for viable nuclear weapons programs.

There is an alternative path. In our country, the grassroots Back from the Brink (BftB) campaign continues to grow, voicing eloquent opposition to our government’s plan to modernize and increase the lethality of our nuclear arsenal that provides a constant goad to reciprocal global nuclear weapons programs.13 The five major planks of BftB were embraced by the American Public Health Association in its Toward a World Free of Nuclear Weapons policy adopted in 2020, which also called for all nuclear weapons states to join the majority of the world’s nations in supporting the Treaty on the Prohibition of Nuclear Weapons 14,15 Such vital nuclear disarmament steps are also supported by the U.S. Conference of Mayors, and many U.S. municipalities.16

BftB is currently focusing on gaining support for Congressional legislation to “halt and reverse the nuclear arms race” (S. Res 323 in the Senate, and H. Res. 317 in the House which mirrors the planks of the campaign, with 8 Senate, and over 50 House co-sponsors already attained.17 BftB, in partnership with ReThink Media has also recently initiated a supplemental effort to oppose restarting nuclear testing, offering a digital action to garner Congressional support as well.18

Largely hidden from the average taxpayer at a time when fundamental health, environmental and social programs have been devastated, it is striking to note that in 2025, the average cost of nuclear weapons development to every person in the United States was $324.4.

These expenditures come at a time when the world is awash in nuclear weapons, whereby as of early 2025, nine nations possessed 12,241 nuclear weapons, with 87% held by the United States and Russia.7 With potential nuclear flashpoints ranging from the current war in the Middle East to a limited nuclear exchange escalating from a conventional conflict between India and Pakistan, through a possible allout nuclear war between the major nuclear powers escalating from confrontations in places such as Ukraine or the Taiwan Straits, all of humanity is threatened by ever-present existential dangers ranging between widespread malnutrition from unfolding “nuclear winter” through more immediate omnicide.8,9

These dangers have been exacerbated by this year’s official expiration of the 2010 New START (Strategic Arms Reduction Treaty) between the United States and Russia that had placed important limits on the most deadly and destabilizing components of these nation’s nuclear arsenals, exemplified by intercontinental ballistic missiles (ICBMs) and other strategic systems.10 In addition, President Trump’s declared intention for the U.S. to restart testing nuclear weapons could upend the moratorium on explosive testing that the world’s largest nuclear weapons-armed states have largely respected since the early 1990’s.11 Such unraveling of traditional methods of arms control

Reinforcing the import of such efforts, numerous Nobel Prize winners and nuclear experts, gathering last July in Chicago to commemorate the 80th anniversary of the Trinity Test, signed a Declaration for the Prevention of Nuclear War including many recommendations for world leaders to reduce the increasing risk of nuclear conflict.19 Since joined by well over 100 Nobel Laureates, the declaration echoes the stirring keynote address that Dr. Joseph Rotblat, himself a Nobel Laureate, presented to a joint IPPNW/PSR World Congress held in Washington DC in May 2002.

In The Nuclear Issue: Where Do We Go from Here, Dr. Rotblat galvanized our audience with words that resonate with those of us committed to ridding our world from the daily threat of nuclear annihilation: “A colossal effort will be required … the courage and the will to embark on this great task, to restore sanity in our policies, humanity in our actions, and a sense of belonging to the human race.” No truer words could be said for those of us striving to ensure the future of our planet, and our web of life by committing to abolishing nuclear weapons once and for all. 20

References

1. Wikipedia. Available at: https://en.wikipedia.org/wiki/Hibakusha. Accessed March 8, 2026.

2. Makhijani A. The nuclear road not taken. Bulletin of the Atomic Scientists, August 5, 2025. Available at: https://thebulletin.org/2025/08/

the-nuclear-road-not-taken-and-its-consequences-80-years-after-thedestruction-of-hiroshima-and-nagasaki/. Accessed March 8, 2026.

3. Nathan A. They didn’t want to see us. Searchlight New Mexico, July 15, 2025. Available at: https://searchlightnm.org/trinity-bomb-detonation-atomic-bomb-1945-new-mexico-downwinders-congress-trump-radiation-exposure-compensation-act/. Accessed March 8, 2026.

4. Holland A. The crucial role of escalation dominance and narrative control in nuclear deterrence. Global Security Review. January 30, 2024. Available at: https://globalsecurityreview.com/the-crucial-role-of-escalation-dominance-and-narrative-control-in-nuclear-deterrence/. Accessed March 8, 2024.

5. Congressional Budget Office. Projected Costs of U.S. Nuclear Forces, 2025 to 2034, April 24, 2025. Available at: https://www.cbo.gov/ publication/61362. Accessed March 8, 2026.

6. Dodge B. Nuclear weapons community cost calculator. April 16, 2025. Available at: https://psr.org/resources/nuclear-weapons-community-cost-calculator/.

7. Accessed: March 8, 2026.

8. Kristensen H, et al. Status of world nuclear forces. Federation of American Scientists. March 26, 2025. Available at: https://fas.org/ initiative/status-world-nuclear-forces/.

9. Accessed March 8, 2026.

10. Bivens M. Nuclear famine. International Physicians for the Prevention of Nuclear War, September 2, 2022. Available at: https://www. ippnw.org/wp-content/uploads/2022/08/Nuclear-Famine-2022.pdf Accessed: March 8, 2026

11. Collina TZ. When the world ends in 72 minutes. Arms Control Today. June 2024. Available at: https://www.armscontrol.org/act/202406/book-reviews/nuclear-war-scenario.

12. Accessed: March 8, 2026.

13. International Campaign to Abolish Nuclear Weapons. The expiration of new START. What it means and what’s next. February 4, 2026. Available at: https://www.icanw.org/new_start_expiration. Accessed: March 8, 2026.

14. Sanger DE and Broad WJ. Newly unbound, trump weighs more

nuclear arms and underground tests. New York Times, February 11, 2026. Available at: https://www.nytimes.com/2026/02/09/us/politics/ trump-nuclear-arms-underground-tests.html. Accessed: March 8, 2026.

15. Sidel VW and Levy BS. Proliferation of nuclear weapons. Opportunities for control and abolition. American Journal of Public Health. September 2007. Available at: https://ajph.aphapublications.org/doi/ full/10.2105/AJPH.2006.100602. Accessed: March 8, 2026.

16. Back from the Brink. Available at: https://preventnuclearwar.org. Accessed: March 8, 2026.

17. American Public Health Association. Toward a world free of nuclear weapons. October 23, 2020. Available at: https://www.apha. org/policy-and-advocacy/public-health-policy-briefs/policy-database/2021/01/13/toward-a-world-free-of-nuclear-weapons Accessed: March 8, 2026.

18. United Nations General Assembly. Treaty on the prohibition of nuclear weapons, July 7, 2017. Available at: https://docs.un.org/en/A/ CONF.229/2017/8 Accessed: March 8, 2026.

19. United States Conference of Mayors. Urging the United States to lead the world back from the brink of nuclear war and reverse the nuclear arms race. June 22, 2025. Available at: https://www.usmayors. org/the-conference/resolutions/?category=u42015&meeting=93rd%20 Annual%20Meeting Accessed: March 8, 2026.

20. Back from the Brink. Support our congressional resolutions. Current cosponsors. Available at: https://preventnuclearwar.org/bftb-congressional-resolutions/?tab=current-cosponsors#hres317. Accessed: March 8, 2026.

21. Action Network. Tell Congress. Stop trump’s reckless plan to restart nuclear weapons test. Available at: https://actionnetwork.org/letters/2379472dbb647e14310a2c2cf5dc208264e857a3. Accessed: March 8, 2026.

22. Nobel Laureate Assembly for the Prevention of Nuclear War. The nobel laureate assembly declaration for the prevention of nuclear war. Available at: https://nobelassembly.org/declaration/. Accessed: March 8, 2026.

23. Rotblat J. The nuclear issue. Where do we go from here? Medicine, Conflict and Survival. Vol 19, Issue 1, 2003. Available at: https://www.tandfonline.com/doi/10.1080/13623690308409660?u rl_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20 %200pubmed. Accessed March 8, 2026.

Date:

Tuesday, April 7

Time:

6:00

Speaker:

Robert Gould, MD

E A L T H & E N V I R O N M E N T A L I M P A C T S O F N U C L E A R W E A P O N S & W A

O v e r 8 0 y e a r s s i n c e t h e a t o m i c b o m b i n g s t h a t d e s t r o y e d H i r o s h i m a a n d

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t h e c l i m a t e a n d p a n d e m i c t h r e a t s t o h u m a n s u r v i v a l . T o d a y , t h e n i n e n u c l e a r -

a r m e d s t a t e s p o s s e s s o v e r 1 2 , 0 0 0 n u c l e a r w e a p o n s , h u n d r e d s o f w h i c h a r e o n

h a i r - t r i g g e r a l e r t T h i s p r e s e n t a t i o n w i l l d e s c r i b e t h e m a n i f o l d t h r e a t s p o s e d b y :

c u r r e n t g l o b a l p r o g r a m s t o e x p a n d a n d m o d e r n i z e t h e s e n u c l e a r w e a p o n s

a r s e n a l s ; t h e a b r o g a t i o n o f i n t e r n a t i o n a l t r e a t i e s t o r e d u c e t h e d a n g e r s ; a n d

a r e a s o f h e i g h t e n e d g r e a t - p o w e r c o n f r o n t a t i o n . W h i l e i g n o r i n g o u r c l i m a t e

e m e r g e n c y , t h e U . S . g o v e r n m e n t p l a n s t o s p e n d o v e r $ 4 m i l l i o n a n h o u r o v e r t h e

n e x t 3 0 y e a r s t o “ m o d e r n i z e ”

u r n u c l e a r w e a p o n s a r s e n a l , w i t h p r o f o u n d

o p p o r t u n i t y c o s t s t o p u b l i c a n d e n v i r o n m e n t a l h e a l t h

G y n e c o l o g y a n d R e p r o d u c t i v e S c i e n c e s a t t h e U n i v e r s i t y o f C a l i f o r n i a S a n F r a n c i s c o ,

w h e r e h e w o r k s a s a C o l l a b o r a t o r w i t h t h e P r o g r a m o n R e p r o d u c t i v e H e a l t h a n d t h e

E n v i r o n m e n t ( P R H E ) H e h a s b e e n P r e s i d e n t o f S a n F r a n c i s c o - B a y P h y s i c i a n s f o r S o c i a l

R e s p o n s i b i l i t y ( P S R ) s i n c e 1 9 8 9 , a n d w a s a m e m b e r o f t h e N a t i o n a l B o a r d o f P S R f r o m

1 9 9 3 t h r o u g h 2 0 2 2 , s e r v i n g a s P r e s i d e n t i n 2 0 0 3 a n d 2 0 1 4 . D r . G o u l d c u r r e n t l y i s t h e

N o r t h A m e r i c a n V i c e - P r e s i d e n t o f t h e I n t e r n a t i o n a l P h y s i c i a n s f o r t h e P r e v e n t i o n o

UPCOMING WEBINARS

SPRING 2026 ENVIRONMENTAL HEALTH COMMITTEE WEBINAR SERIES

Environmental Impacts of Nuclear Weapons & War

Environmental Impacts of Nuclear Weapons & War

A pril 7

April 7

6:00PM - 7:00 PM

6:00 P M - 7:00 P M

Obesogens: Unmasking the Metabolical Obesity Crisis

Obesogens: Unmasking the Metabolical Obesity Crisis

A pril 14 6:00 P M - 7:00 P M April 14 6:00PM - 7:00 PM

Microplastics & Our Health Microplastics & Our Health

A pril 28

6:00 P M - 7:00 P M April 28 6:00PM - 7:00 PM

The SCCMA Environment and Health Webinar Series 2026 will highlight a number of emerging, as well as ongoing issues related to public health and planetary health, including microplastics; obesogens and the biochemistry of obesity; the realities of nuclear weapons; and industry influence in science and health. Join us to learn together how we can improve the health, safety and well-being of our patients and the planet.

All webinars will be recorded and shared on the SCCMA website for those unable to attend the live events.

Register for all Environmental Health Webinars on www.sccma .org or scan the QR codes

Webinars are FREE to attend and conducted on Zoom from 6:00 PM to 7:00 PM PST. ALL ARE WELCOME

Corporate Determinants of Health

Corporate Determinants of Health M ay 5 6:00 P M - 7:00 P M May 5 6:00PM - 7:00 PM

Environmental Impacts of Nuclear Weapons & War

April 7 | 6:00PM - 7:00 PM with Robert Gould, MD

Obesogens: Unmasking the Metabolical Obesity Crisis

April 14 | 6:00PM - 7:00 PM with Robert Lustig, MD, MLS

Microplastics & Our Health

April 28 | 6:00PM - 7:00 PM with Desiree LaBeaud, MD

Corporate Determinants of Health

May 5 | 6:00PM - 7:00 PM with Tracey Woodruff , PhD, MPH, Nicholas Chartres, MD, and Kate Tasker

Why Aviation Fuel Still Poisons Our Communities

BRUCE LANPHEAR

One day in late August, Hep Ingham picked me up at the airport and drove me out to the Naughty Goat Farm. The farmhouse, built in the 1860s, looked worn but sturdy, ringed by sheds, trucks, and farm tools. Four dogs barked as we pulled in, three goats grazed in their paddock, and chickens wandered in the yard. Then, just as I stepped out of the car, the roar of a small airplane cut through the scene, shredding the quiet.

I had come to stay with Hep and his wife, Mary. Hep, wiry and sharp-eyed under a ball cap, has spent the past three years trying to rid his community of leaded aviation fuel. Inside, the house smelled of fresh flowers and ripening tomatoes. That evening, Mary served pulled pork, potato salad, and heirloom tomatoes from their garden. Local activists crowded around the table, plotting strategy. Sitting there, I felt both the satisfaction of joining a good fight and the nagging disbelief that, after decades of evidence, we were still debating leaded fuel.

I was in Boulder to speak on a panel about lead poisoning from small aircraft. Alongside me were Hep, Boulder County Commissioner Ashley Stolzmann, Colorado Representative Kyle Brown, who represents many Denver-area communities and sponsored HB24-1235, and three other speakers.

A Regulatory Carve-Out

Most people assume leaded gasoline vanished long ago. And in cars, it did. In 1973, the US EPA declared lead in automobile fuel a public-health hazard, beginning a phase-out completed in 1996. That decision prevented millions of cases of lead poisoning, boosted the nation’s collective IQ by millions of points, and helped drive down heart-attacks.

But aviation fuel dodged the ban. By 1996, when on-road

gasoline was finally lead-free, avgas remained untouched. The exemption was no oversight—it was a deliberate carve-out that still stands today.

The result is staggering. According to the US EPA, small piston-engine aircraft now account for about 70 percent of all airborne lead—more than 400 tons annually—in the United States. Leaded aviation fuel is still used at more than 13,000 thousand airports nationwide—often in working-class neighborhoods or rural towns—turning these airfields into invisible sources of contamination, quietly poisoning the communities around them.

The Science Was Always Clear

For decades, the science has told a simple, consistent story: no amount of lead is safe. Even trace levels can lower children’s IQ, increase the risk of premature birth for pregnant women, and raise the risk of heart disease in adults.

Four research teams have examined whether lead emissions from aircraft raise blood-lead levels in nearby children. All reached the same conclusion: kids living near airports had higher rates of lead poisoning, and their levels rose the closer they lived to the runway.

In effect, children became the nation’s most sensitive lead detectors—a system that persisted because the national lead-monitoring network had only about 100 monitors for airborne lead. By contrast, the system for tracking microscopic air-pollution particles (PM2-5) had more than 3,000. With so few lead monitors, the burden of detection fell, unintentionally, on the children living closest to the emissions.

How Local Evidence Made an Invisible Hazard Impossible to Ignore

The study of Reid-Hillview—a 180-acre general-aviation air-

port—was especially compelling. Just four miles southeast of downtown San José, in the flat sweep of the Santa Clara Valley, the airport sits on the city’s edge, where homes, schools, and hangars share the same air. This is not a remote airstrip tucked in a valley. It is woven into everyday neighborhood life.

By linking birth certificates, census data, household income, fuel-use records, and more than 14,000 blood-lead tests collected from children between 2011 and 2020, Sammy Zahran’s team showed convincingly that living near airports like Reid-Hillview increased a child’s risk of lead poisoning. Two findings effectively sealed the case. As aircraft traffic increased, children’s blood-lead levels rose—but only for those living near the airport. Children farther away showed no change.

times a local government, armed with solid data and community voices, openly challenged the century-old presumption that airports must endure no matter the cost to public health.

“Most people assume leaded gasoline disappeared decades ago. And in cars, it did. But aviation fuel was excluded — a carve-out that persists today.”

The Santa Clara County vote didn’t just close an airport; it exposed a deeper national fault line. When a single county takes a stronger stand on lead than the federal government, it forces a harder question: How did we end up with a system where local officials act while federal agencies stall? What happened in San José is both a model of what courageous local government can do and a reminder of how little progress the nation has made on a well-understood hazard.

The Local Burden

Then came an unexpected natural experiment from the collapse of air traffic during the COVID lockdowns. Zahran recognized the opportunity and analyzed the data. As flights dropped, children’s blood-lead levels fell—again, only for those living near the airport. The rise and fall tracked the traffic almost perfectly. It wasn’t coincidence; it was the unmistakable signature of cause and effect. As Zahran, a professor at Colorado State University, put it, the findings from this “continuous barrage” of lead exposure were “unambiguous.”

The effect was sharpest for toddlers living within half a mile of the runway during periods of heavy traffic, especially those downwind. Among these children—the ones closest to the airport and most exposed—one in ten had blood-lead levels above 35 parts per billion, levels that constitute lead poisoning by modern standards.

In the months that followed, the Santa Clara County Board of Supervisors held a series of public meetings to hear from residents, pilots, health experts, and community advocates. By the third meeting, the evidence and community pressure converged. The Board voted to close Reid-Hillview and to prohibit the sale of leaded aviation fuel.

The consequences of that structural delay didn’t unfold in Washington—they unfolded in neighborhoods. Nationally, the problem remained largely invisible: leaded avgas is used by a relatively small group of private pilots, flight schools, and crop dusters. But the costs of inaction landed squarely on nearby communities, often lower-income families and communities of color who had no say in the planes overhead.

Zahran estimated that in Michigan, every gallon of avgas imposed about $10 in social costs, mostly from lost IQ points in children younger than five. And that figure is conservative—it doesn’t count the added costs of lead-related heart attacks or premature births. Scale it nationally, and the burden cost $5 billion each year. Families bear these hidden costs—not oil companies, not pilots, not regulators.

The decision was bold, and everyone knew it would draw the weight of the FAA. Indeed, the council had received a threatening letter from the FAA. But the supervisors chose to side with justice—and with a long-term vision for repurposing the land to meet San José’s urgent need for housing. It was one of the first

And this, too, fits a familiar pattern. Time and again, local communities have been forced to confront environmental hazards on their own.

Santa Clara County had to document the danger from leaded aviation fuel before federal agencies stirred. Boulder residents are now doing the same, pushing for action while regulators debate and delay. The story echoes across the country: radiation along Coldwater Creek in Missouri, asbestos in Libby, Montana, trichloroethylene in Woburn, Massachusetts, and thousands of poisoned towns across the country. Again and again, federal agencies arrive late, move slowly, or fail to act at all. In the vacuum, residents—often sick, grieving, or simply out of patience—become their own investigators, advocates, and public-health protectors.

After more than a decade of petitions and pressure, Earth-

justice finally forced EPA’s hand. On October 18,2023, the agency declared lead from piston-engine aircraft a public-health endangerment. Yet the FAA’s plan delays a full phase-out until 2030— meaning another generation of kids will be exposed.

Fifty Years of Delay

All of this raises a harder question: How did the United States allow leaded aviation fuel to persist for so long when its harms were so clear? Why did it take until 2023—half a century after the phase-out of leaded car fuel began—for the EPA to finally determine that leaded avgas poses a danger to public health?

Part of the answer lies in how responsibility was split. EPA regulates pollutants; FAA controls aviation safety and fuel certification. FAA has long argued that its job is to keep planes in the air— not regulate toxic chemicals. EPA, for its part, insists that FAA must certify safe alternatives before any transition can occur. Caught between these mandates, the two agencies spent decades trading deference and delay. No one agency owned the problem, and in that vacuum, leaded avgas endured.

Industry resistance deepened the stalemate. Oil companies profit from 100LL—“low lead” fuel—a niche but lucrative product. Aviation groups, worried about engine knock and performance, lobbied hard against change. For years, FAA and industry leaders claimed unleaded alternatives weren’t “feasible,” even as new fuel proposals were repeatedly dismissed.

As Ariel Whittenberg of POLITICO reported, every new formula—whether from a Swedish chemist or an American fuel maker—went before a committee at ASTM International. That committee included Chevron and ExxonMobil, companies with little incentive to approve competitors. Again and again, unleaded fuels were rejected.

EPA, meanwhile, kept repeating its refrain: more study was needed. Yet study after study found the same result. Which raises the obvious question: why wasn’t EPA conducting or funding the necessary research itself? For a hazard as well established as lead, the absence of federal action became its own quiet admission—delay had become the default.

And that delay wasn’t accidental. It

was built into the very structure of how the United States regulates toxic chemicals—a system that all but guarantees slow action, even when the science is clear.

What Needs to Change

EPA’s halting progress on avgas isn’t simply bureaucratic hesitation. It reflects a regulatory system built to move slowly. Under federal law, the agency must produce long, intricate analyses before restricting a hazardous chemical—analyses that take years and invite legal challenges at every turn. Industry litigation is almost guaranteed, and EPA’s decisions are routinely second-guessed in federal court.

Faced with this gauntlet, the agency becomes cautious and incremental, even when the science is clear. The result is predictable: hazards like asbestos, trichloroethylene, and leaded aviation fuel remain in use long after their risks are well understood.

Part of the problem is structural. EPA does not have the funding or the mandate the public imagines. Congress has intentionally constrained the agency—expanding its responsibilities while withholding the resources needed to meet them. A 2025 EPA report noted that, adjusted for inflation, the agency’s annual budget has fallen from more than $12 billion in the 1990s to just over $9 billion today. Under those conditions, rapid action on leaded avgas was never realistic. The system itself all but guarantees delay.

Bottom Line

EPA cannot protect public health with one hand tied behind its back. Congress must strengthen its authority, streamline regulation, and insulate scientific decisions from industry influence.

The cost of inaction is measured not only in lost IQ points, premature births, heart attacks, or billions drained from the economy. It is measured in the lives of people who deserve the simple dignity of breathing clean air and living under clear skies free of lead.

Congress, EPA, and FAA must act now: ban leaded avgas, accelerate the transition to unleaded fuel, and protect the families who live under the flight paths of America’s small airports. The science is clear; the delay is indefensible.

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CHSU’s College of Osteopathic Medicine

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Lifestyle Medicine: Transforming Care at Kaiser Permanente Santa Clara

Lifestyle Medicine is an evidence based medical specialty focused on preventing, treating, and—often—reversing chronic disease by addressing its root causes. It emphasizes six pillars:

• Wholefood, plantforward nutrition

• Regular movement and physical activity

• Restorative sleep

• Effective stress management

• Avoidance of risky substances

• Supportive relationships and social connection

Together, these six pillars address the behavioral and environmental drivers behind more than 80% of what clinicians see in practice, including cardiovascular disease, type 2 diabetes, obesity, hypertension, dementia, cancer, many autoimmune conditions, and mental health concerns. At a time when chronic diseases account for the majority of morbidity, mortality, and healthcare spending in the United States, Lifestyle Medicine offers a powerful shift from reactive care to proactive health.

At Kaiser Permanente Santa Clara, we are seeing what this shift looks like in action. Our medical center recently celebrated a remarkable milestone: more than 100 physicians and advanced practice providers are now boardcertified in Lifestyle Medicine

through the American Board of Lifestyle Medicine—the highest concentration at any medical center in the United States. This milestone represents more than certifications; it reflects an ongoing culture change.

This work is supported by a multidisciplinary, teambased model. Physicians, registered dietitians, health educators, behavioral health specialists, pharmacists, physical therapists, and care teams collaborate to deliver comprehensive programs that support sustainable lifestyle change. These initiatives include onetime classes, multisession workshops, shared medical visits, and yearlong intensive programs paired with culinary medicine to translate nutrition science into practical, culturally relevant skills for patients of all ages—from pediatrics to geriatrics. It has been the most rewarding work of my career to see patients reverse their diabetes or other health conditions and often safely get off medications, see kids prevent future health issues

by improving or reversing their obesity or fatty liver, and most importantly see patients just feel better with less pain and more energy for a long and vibrant life.

Across specialties, clinicians are increasingly incorporating evidencebased lifestyle interventions as firstline therapy. They use motivational counseling during visits and refer patients to Lifestyle Medicine programs. Education has been a key driver of this shift. Our medical center hosts monthly Lifestyle Medicine CME sessions featuring both local and national experts, helping clinicians understand how each pillar influences health outcomes and offering simple steps they can integrate into their daily lives and patient care.

We have also embedded Lifestyle Medicine into physician training. Our residency programs now include a dedicated Lifestyle Medicine curriculum, with handson culinary medicine sessions being a favorite among Internal Medicine and OBGYN residents. These interactive workshops allow trainees to develop practical nutrition skills while exploring how food can function as a therapeutic tool. Increasingly, residents are drawn to our programs because of our growing reputation as a hub for Lifestyle Medicine education.

To further expand physician learning, our team founded a twoday Lifestyle Medicine conference that now brings together clinicians from across Kaiser Permanente Northern California. The conference offers CME, immersive learning experiences, and opportunities to earn the 20 hours of Lifestyle Medicine–specific CME required for board certification.

The transformation extends beyond education. We are also working to change the food culture across our campus. Our teams have introduced healthier options in physician lounges, partnered with community caterers to provide plantforward meals at meetings and events, and collaborated with food services to launch a “Thrive Menu” in the cafeteria featuring flavorful, Lifestyle Medicine physiciandeveloped recipes.

These efforts also reach the inpatient setting. We have developed plantforward hospital meals designed to support healing and cardiometabolic health. These meals are now available for hospitalized patients at Kaiser Permanente Santa Clara and are expanding across Northern California— making the healthy choice the easy choice throughout the healthcare environment. We also work closely with

inpatient teams to support referrals to Lifestyle Medicine at discharge, meeting patients at critical moments when they may be more receptive to lifestyle change.

Culinary medicine is central to much of this work. Instead of simply telling patients and clinicians what to eat, culinary medicine brings people into the “kitchen” to cook, learn, and taste together. We offer large, scalable virtual classes—where physicians teach from their home kitchens—as well as inperson sessions in conference rooms transformed into teaching kitchens. This handson approach adds a “sticky factor,” helping transform nutrition science into lasting behavior change.

We also integrate Food is Medicine programs, providing participants in intensive programs with boxes of fruits, vegetables, whole grains, beans, legumes, and pantry staples, paired with recipes from our Kaiser Permanente Santa Clara Lifestyle Medicine cookbook and online collection. This allows patients to try new foods safely and has led to remarkable longterm changes in eating habits.

Leadership support has been instrumental in advancing this work. Medical center leadership has prioritized prevention, clinician training, and innovation in care delivery—recognizing that meaningful improvements in population health require investment in both systems and people to create this culture change.

Ultimately, we believe something simple but profound: all medicine is lifestyle medicine. The drivers of health touch every specialty—from pediatrics and women’s health to cardiology, oncology, ophthalmology, orthopedics, and more.

What we are seeing at Kaiser Permanente Santa Clara is not just a program—it is a shift in how medicine is practiced. And it offers a glimpse into what the future of healthcare can look like when prevention, nutrition, and wholeperson care move from the margins to the center of medicine.

Santa Clara University Graduate Students Partner with SCCMA on Countywide Health Access Analysis

Graduate students from the Leavey School of Business at Santa Clara University are partnering with the Santa Clara County Medical Association (SCCMA) on a Health Access and Capacity Analysis focused on Santa Clara County. The project, conducted as a graduate practicum in collaboration with SCCMA leadership, including Marc Chow, CEO, and Emily Coren, Director of Governance & Advocacy, examines how effectively the county’s healthcare system serves its diverse population, particularly vulnerable and underserved communities.

The project benchmarks Santa Clara County against ten California counties to provide a comparative perspective on healthcare capacity and performance. The team is developing an analytical framework to evaluate how core healthcare services, including primary care, behavioral health, and emergency services, align with community needs. These service areas represent foundational components of a healthcare system and are central to equitable access to care.

Using publicly available state and county-level datasets, the team integrates multiple sources of healthcare and public health information into a unified analytical model. These sources include California Department of Public Health facility listings, licensed bed capacity data, emergency department volume reports, hospital performance ratings, primary care workforce supply and provider-to-population ratios, utilization data, and county-level public health indicators such as insurance coverage and hospitalization rates. By combining these datasets, the project generates a quantitative perspective on healthcare service delivery across the county.

The analytical framework incorporates provider-to-population ratios, facility and bed capacity metrics, geographic access considerations, and safety-net utilization patterns. This approach highlights areas where provider supply may not align with population demand, where certain services may be limited, and where disparities disproportionately affect low-income or medically underserved communities. In addition to assessing

current capacity, the project evaluates demographic trends to anticipate future healthcare needs.

The practicum team brings interdisciplinary expertise to the effort. Emilie Davis, a Master’s student in Business Analytics with a background in statistics and public health, leads quantitative modeling and healthcare data analysis. Krystle Dario, also in the Business Analytics program and working in university health and well-being communications, contributes experience in healthcare outreach and systems integration. Elizabeth Nguyen, a Master’s student in Information Systems with a background in molecular biology, supports data integration and technology-driven analysis at the intersection of healthcare and information systems. The project is supervised by Professor Michele Samorani, Associate Professor of Information Systems and Analytics and Director of the AI and Healthcare Justice Lab, whose research focuses on data-driven decision systems, healthcare operations, and algorithmic fairness.

The anticipated deliverable is a gap analysis identifying areas where Santa Clara County demonstrates strength and where opportunities for improvement may exist compared with benchmark counties. The findings are intended to provide SCCMA leadership with insights to support advocacy priorities and strategic planning discussions.

Through this collaboration, SCCMA and Santa Clara University aim to strengthen the analytical foundation surrounding healthcare access and infrastructure in Santa Clara County. While exploratory, the project contributes data-informed perspectives that may support efforts to advance health equity and improve system-level coordination.

CMA’s Legislative Advocacy Day consistently brings together more than 400 physician and medical student leaders from all specialties and modes of practice. Attendees will have the opportunity to meet with legislators on priority health care issues.

+ Wednesday, April 8, 2026

+ Sacramento

+ cmadocs.org/legday26

SCCMA Policy on Health Equity

The Santa Clara County Medical Association (SCCMA) affirms that health equity is essential to the mission of improving public health. In the words of Dr. Camara Jones, MD, MPH, PhD, “Health equity is assurance of the conditions for optimal health for all people. Achieving health equity requires valuing all individuals and populations equally, recognizing and rectifying historical injustices, and providing resources according to need ” We recognize that equitable health outcomes in our community cannot be achieved through clinical care alone, but must be combined with systemic, cross-disciplinary collaboration and advocacy Further, we support evidence-based health equity initiatives that are responsive to the needs of Santa Clara County’s diverse population

Key principles and issues we address include:

1. Access to Basic Needs – Screening for and addressing social determinants of health as part of routine care; engagement in local partnerships and policy advocacy to promote resource access and upstream investment in population health.

2 Environmental Health – Equitable environmental policy solutions that: combat climate change; mitigate air and water pollution; expand access to green space; strengthen food and agricultural systems; and address urban heat island effects Environmental justice must be acknowledged as a core public health concern

3 Chronic Disease Prevention and Management – Community-based interventions that address food access, economic stability, and education to prevent and manage conditions like prediabetes and diabetes. These conditions disproportionately impact marginalized communities.

4. Culturally Relevant Care – Integration of cultural humility concepts into medical education and practice, acknowledging the expertise patients bring regarding their own lived experiences; expanded access to professional translation services, recognizing language access as fundamental to informed consent and effective care.

5 Financial Investment in Health Equity – Financing models that support sustainable, long-term solutions for health expenditure Research shows that upstream investments can reduce emergency healthcare utilization and improve workforce productivity

Health equity is not a one-size-fits-all solution. It is a guiding heuristic that must inform every health initiative in the County. SCCMA is committed to championing integrated, evidence-based, and community-oriented policies that improve health conditions within Santa Clara County

Our Commitment to Care and Condemnation of Violence

The Santa Clara County Medical Association (SCCMA) strongly condemns violence in all forms and reaffirms the medical profession’s unwavering commitment to health, safety, dignity, and respect for all patients regardless of race, religion, immigration status, gender identity, background, or circumstances.

As physicians, we are appalled by recent acts of violence, including the deaths of Renee Good, and most recently, Alex Pretti, a Veterans Administration ICU nurse who, according to reports, was brutalized and killed by federal immigration and customs agents while he was shielding an injured woman. Furthermore, credible accounts indicate these same agents prevented physicians at the scene from rendering immediate medical aid to Ms. Good and Mr. Pretti. This immoral and reprehensible behavior has no place in a fair, just and lawful society and underscores the urgent need to protect human life, reject violence, and uphold safety within our communities

We are also deeply troubled by credible reports of federal agents entering healthcare facilities without proper judicial warrants, detaining patients, and jeopardizing their right to privacy and care. Safe clinical environments are not political; they are essential to providing effective health care in our communities Healthcare facilities must remain safe and private spaces where patients can seek medical care and discuss their health openly, without fear of retribution. Reports of agents invading healthcare professionals’ private conversations with injured or detained patients are not only violations of the Health Insurance Portability and Accountability Act (HIPAA), but are also ethically troubling and fundamentally counter to the principles physicians have vowed to uphold

Current federal immigration and customs enforcement operations as reported, appear to undermine constitutional protections and established healthcare privacy laws while instilling fear and mistrust of our healthcare system thus undermining patient safety and public health. Fear, discrimination, violence, and exclusion create barriers to care that not only affect individuals detained but also their families, who experience generational trauma from the violence, separation, and loss of loved ones.

SCCMA, representing over 4800 physicians, affirms its duty to foster clinical environments in which patient safety is assured, health information remains private as required by law, and healthcare professionals can provide quality care guided by medical evidence, ethics, and professional judgment without fear of unlawful interference and violence. We urge policymakers and community leaders to support and strengthen these efforts

About SCCMA

Founded in 1876, the Santa Clara County Medical Association represents approximately 4,800 physicians dedicated to protecting patients, supporting colleagues, and maintaining the trust that allows health care to function SCCMA is committed to ensuring that clinical settings remain focused on safe, ethical, and compassionate care for all.

SCCMA Celebrates Leadership, Legacy, and Community at the 47th Annual Awards Gala

The Santa Clara County Medical Association (SCCMA) gathered physicians, healthcare leaders, and community partners from across the county for an evening of celebration, reflection, and inspiration at the 47th Annual SCCMA Awards Gala, held at the Ameswell Hotel in Mountain View. As SCCMA’s largest annual event with 220 attendees, the Gala serves as a moment for the county’s medical community to reconnect with colleagues, recognize extraordinary service, and look ahead to the future of medicine in Santa Clara County.

This year’s celebration marked a particularly meaningful transition of leadership, as Santosh Pandipati, MD was introduced as SCCMA’s incoming President while the Association honored the impactful tenure of outgoing President Fahd Khan, MD. In addition to this ceremonial passing of the torch, the evening recognized physicians and community leaders whose dedication to patient care, advocacy, innovation, and public service made a lasting impact on healthcare in 2025.

More than simply a formal gathering, the Annual Awards Gala embodies SCCMA’s enduring mission: strengthening the physician community while advancing the health and well-being of Santa Clara County residents.

A Night of Connection and Celebration

Physicians and healthcare leaders from across the county arrived at The Ameswell Hotel to reconnect with colleagues and friends in a setting that balanced celebration with professional camaraderie and fun. The evening brought together SCCMA leadership, members, advocates, partners, and community supporters—a testament to the collaborative nature of healthcare in Silicon Valley.

Throughout the evening, guests enjoyed dinner, networking, and a lively atmosphere that reflected the spirit of the local medical community. For many attendees, the Gala serves as one of the few opportunities each year for physicians across specialties and institutions to gather outside the clinical environment. The event also highlighted the important

role SCCMA continues to play in bringing together physicians working across private practice, large health systems, academic medicine, public health, and emerging health technology sectors.

While the evening began with meaningful reflections and recognition of outstanding service, the celebration continued well into the night. After the final speeches concluded, the ballroom transformed into a lively gathering space as a DJ took the stage and guests filled the dance floor. Physicians, colleagues, and guests set aside their white coats for the evening to enjoy music, laughter, and spirited dancing together. The festive atmosphere reflected the strong sense of camaraderie that defines the SCCMA community—reminding attendees that moments of celebration and connection are just as important as the work physicians carry out each day in service of their patients.

Honoring Outgoing Leadership: Fahd Khan, MD

A key moment of the evening was the recognition of Fahd Khan, MD, whose leadership as SCCMA President helped expand the organization’s reach and strengthen physician engagement.

During his time as 2025 SCCMA President, Dr. Khan focused on expanding membership engagement, supporting physician wellness, and creating educational opportunities for physicians navigating the increasing complexities of modern healthcare practice. His leadership emphasized the importance of fostering a supportive professional network during a time when physicians face growing administrative burdens, workforce shortages, and systemic pressures.

Under Dr. Khan’s guidance, SCCMA also broadened its programming to create more opportunities for physicians to connect, learn, and advocate for the profession. Many can note that his work helped reinforce SCCMA’s core mission: ensuring physicians remain supported, heard, and connected within an evolving healthcare landscape.

Welcoming the 2026 SCCMA President: Santosh Pandipati, MD

The Gala also marked the official introduction of Santosh Pandipati, MD, who assumed the role of SCCMA President for 2026. Dr. Pandipati, a maternal-fetal medicine specialist, entrepreneur, and physician leader, delivered an inaugural address that reflected both the challenges and opportunities facing the medical profession. In opening his remarks, Dr. Pandipati shared reflections on a personally and professionally transformative year. In 2025, he celebrated significant milestones including turning 50, marking 20 years with his wife, launching the first independent maternal-fetal medicine practice in the South Bay in 25 years, and achieving Series A funding for his digital health startup, Lovu. But beyond personal milestones, his speech centered on a broader theme: the evolving role of physicians in an era defined by rapid technological change.

Dr. Pandipati emphasized that SCCMA now stands at a pivotal moment in its 150-year history. He credited recent SCCMA leaders, including Dr. Fahd Khan and Dr. Gloria Wu, for strengthening the Association’s position within Silicon Valley’s unique ecosystem of healthcare and technology.

Dr. Wu, he noted, recognized early that SCCMA sits at the center of a global technological revolution, and encouraged physician engagement in health technology development. Dr. Khan’s leadership, meanwhile, focused on strengthening physician community and resilience. Together, their efforts reinforced SCCMA’s relevance in one of the world’s most innovative regions.

“Humanity has struggled with how to use technology wisely since the first tools were developed thou-

sands of years ago,” Dr. Pandipati reflected. Today, he said, physicians face the modern version of that challenge as medicine intersects with artificial intelligence, social media, and rapidly evolving digital tools. While these advancements offer extraordinary potential, they also introduce new risks—particularly the spread of medical misinformation and erosion of trust in scientific institutions.

Dr. Pandipati addressed the growing pressures many physicians face in daily practice. Administrative complexity, regulatory requirements, insurance systems, rising costs, and corporate consolidation have fundamentally reshaped the profession. Physicians, he noted, increasingly find themselves navigating systems they did not design—from electronic medical records to complex billing requirements—while being asked to see more patients in less time.

izations like SCCMA play a crucial role in supporting physicians during times of rapid change. By bringing physicians together, fostering dialogue, and strengthening professional networks, medical associations help ensure the physician voice remains central in shaping healthcare policy and innovation.

At the same time, patients have unprecedented access to information through online platforms and artificial intelligence tools. While this can empower patients, it also introduces new challenges in maintaining trust and preserving evidence-based care. These dynamics, Dr. Pandipati warned, risk marginalizing the physician voice if the profession does not remain actively engaged in shaping the future of healthcare. Despite the challenges he described, Dr. Pandipati’s message was ultimately one of optimism and collective responsibility.

Rather than retreating from technological change, he urged physicians to engage directly with innovation, ensuring that new tools and systems serve patients and society. “We must face technological advancement with humility, honesty, transparency, and courage,” he said. “Courage to challenge assumptions, courage to stand up, and courage to demand that technology serve humanity.” He emphasized that organ-

Dr. Pandipati encouraged physicians to support one another, advocate for evidence-based medicine, and actively engage with leaders across healthcare, technology, and public policy.

Recognizing Excellence in Medicine

A central highlight of the evening was the presentation of SCCMA’s annual awards, which honor physicians and community leaders who have made extraordinary contributions to healthcare and the community. Each award recipient was nominated by their peers, reflecting the deep respect and admiration held by colleagues across the medical community. These honorees represent the best of Santa Clara County’s medical profession—physicians who have demonstrated outstanding leadership, compassion, innovation, and commitment to patient care.Their work extends far beyond the walls of hospitals and clinics. Through advocacy, mentorship, research, and community service, these physicians have strengthened the healthcare system and improved the lives of countless patients and families.

SCCMA proudly congratulates each award recipient for their remarkable achievements and thanks them for their continued dedication to advancing the profession and the health of our community.

Strengthening the Physician Community

As the evening continued with celebration and conversation, the Gala served as a reminder of the importance of physician community. In a profession often defined by long hours and demanding responsibilities, opportunities to gather, reflect, and celebrate shared accomplishments are invaluable. Events like the

Annual Awards Gala allow physicians to reconnect with colleagues across specialties and institutions, fostering collaboration that ultimately benefits patient care.

The evening also reinforced SCCMA’s longstanding role as a convener and advocate for physicians across Santa Clara County—providing a forum where the medical community can share ideas, address challenges, and work together toward common goals. As the evening concluded with celebration and dancing, attendees left with renewed energy for the year ahead.

The 47th Annual SCCMA Awards Gala was more than a celebration of past accomplishments—it was a reflection of the strength, resilience, and innovation of Santa Clara County’s physician community. Under the leadership of Dr. Pandipati, SCCMA looks forward to continuing its work to support physicians, foster collaboration, and advocate for the future of medicine in Silicon Valley.

Connecting with Legislators

This year’s Gala was supported by fourteen representatives

from regional elected offices supporting physician members and reiterating their commitment to supporting local healthcare. They took turns presenting proclamations and awards to Dr. Khan. They represented federal, state, and local offices. They mingled with physician members getting the opportunity to hear physician perspectives firsthand.

Gratitude for Our Sponsors

The success of the SCCMA Annual Awards Gala would not be possible without the generous support of our sponsors. Their partnership helps make it possible for SCCMA to continue its mission of supporting physicians, advancing healthcare, and strengthening the medical community.

SCCMA extends its sincere gratitude to the organizations whose commitment to healthcare and physician leadership made this celebration possible. Their support ensures that SCCMA can continue to host meaningful events, provide educational programming, and advocate on behalf of physicians and patients throughout Santa Clara County.

Leadership in Healthcare Award

For an individual whose leadership, innovation, and dedication have resulted in profound improvement to healthcare in Santa Clara and has left a lasting impact on the physicians and patients of the County

Award Recipient: Kurt VandeVort, MD (CEO of Palo Alto Foundation Medical Group)

“I’m honored to accept the Leadership in Healthcare Award from the Santa Clara County Medical Association. This recognition reflects the commitment of clinicians at Palo Alto Foundation Medical Group to deliver exceptional care, expand services and improve access for patients in our community. We’ve also focused on caring for our teams, earning the AMA Joy in Medicine Gold Award for physician satisfaction. That milestone speaks to the strength of our culture and values.

Continuing to care for patients as an internal medicine physician in Sunnyvale keeps me connected to the community we serve. That experience reminds me every day why this work matters and deepens my appreciation for the dedication of our physicians and APCs. I’m grateful to our partners at Sutter Health and the Greater Silicon Valley leadership team for their support and collaboration. Together, we’ve advanced initiatives that make a meaningful difference in the lives of those we serve.”

Award for Outstanding Contribution in Medical Education

For a physician member of the Medical Association who has exhibited sustained interest and participation in one or more medical education activities over and above that expected of the membership at-large.

Award Recipient: Haritha Rachamallu, MD (The Permanente Medical Group)

“There is so much about life and people I have learned by serving each of our patients/their families and the communities we serve. They teach me what is never in medical textbooks - life lessons through their trust, perseverance, resilience, wisdom, shared decision making and partnership. I am truly grateful to many of my mentors throughout my professional career who stand by me unconditionally and cheer me on. I am truly honored and sincerely hope to pay forward!”

Award for Outstanding Contribution to the Medical Association

For a physician member of the Medical Association who has exhibited sustained interest and participation in one or more activities of the Association over and above that expected of the membership at-large.

Award Recipient: Gloria Wu, MD (Small Practice)

“Thank you to the Santa Clara County Medical Association: Marc Chow, Rashida, Angelica, Andy, Doctors Fahd Khan, and Dr. Santosh Pandipati.

To my mentors—Doctors Seema Sidhu, Cindy Russell, Clifford Wang and Anlin Xu—I am deeply grateful for your guidance.

Thank you to Dr. Karen Kim and all the members of the AI Healthcare Committee.

And to everyone in the audience, Thank you—you are the superheroes, supporting us and showing up for SCCMA.”

Award for Outstanding Contribution in Community Service

For a physician member of the Medical Association who has exhibited sustained interest and participation in one or more activities of the community over and above that expected of the membership at-large.

Award Recipient: Swetang J. Shah, MD (Bay Area Community Health)

“I am deeply honored by this recognition from SCCMA and grateful to the patients and families who give purpose to my work as a physician. I thank the Bay Area Community Health executive and leadership team, my mentor Dr. Keyur Cholera, my parents, and my wife for their incredible support and for shaping my journey.

This award renews my commitment to advancing healthcare equity and raising the standard of quality and compassion for the communities we serve.”

Benjamin J. Cory, MD Award

For a physician member of the Medical Association who has displayed forward-looking, pioneering ideas, enterprise, enthusiasm, and prolonged professional stature and ability.

Award Recipient: Gopi Ayer, MD (Small Practice)

“I am deeply grateful to all my patients who have have trusted me to care for them all these years. My particular thanks to Dr. Fahd Khan for his able and unstinting support during my tenure as Chief of Staff at Good Samaritan hospital.”

Award for Outstanding Achievement in Medicine

For a physician member of the Medical Association who, during his/her medical career, has made unique contributions to the betterment of patient care, for which he/she has achieved widespread recognition. Consideration shall be given to research and/or the development of procedures, methods of treatment, pharmaceutical agents, or technological advances in the field of medicine.

Award Recipient: Bryant Lin, MD (Stanford Medicine)

“I am deeply honored to receive this award from my colleagues at the Santa Clara County Medical Association. Over the past 20 years, I have had the privilege of taking care of thousands of patients and now have the privilege of advocating for patients, like myself, with lung cancer. I hope that this recognition will help me raise awareness of the impact of Lung Cancer on Asians who have never smoked.”

Citizen’s Award

For an individual who has achieved public recognition for a significant contribution in the health field.

Award Recipient: Mohammed Subeh, MD (Good Samaritan Hospital)

“I thank my grandparents, who were forcibly expelled from their home in 1948 and taught me resilience and perseverance, I want to thank my parents, who weathered the storms of war and showed me how to start anew as refugees in the United States; and my wife and children, who ground me every day. I could not do what I do without the compassionate ER staff at Good Samaritan Hospital, who take care of people in their most difficult times. Finally, I dedicate this award to my true heroes—my colleagues in Gaza, who continue to provide lifesaving care with little to no resources, often at great personal risk. They are the beacons of light that give me hope for humanity.”

- https://losgatan.com/local-doctor-earns-national-humanitarian-award-from-health-system/

Robert D. Burnett, MD Legacy Award

For a physician member of the Medical Association who has demonstrated extraordinary visionary leadership, tireless effort, selfless long-term commitment, and success in challenging and advancing the health care community, the well-being of patients, and the most exalted goals of the medical profession.

Award Recipient: Lee Anna Botkin, MD (Santa Clara Valley Medical Center)

“I am deeply grateful to the entire staff and membership of the Santa Clara County Medical Association for this recognition. This award is an enormous honor, and one that would not be possible without the dedication, enthusiasm, and talent of my colleagues at Santa Clara Valley Healthcare and beyond. In particular, I would like to thank Doctors Catherine Nelson, Amna Khan, Beatriz Mares, Iliana Harrysson, Manuel Gonzales, Laurie Cammon, and Judith Sanchez for your collaboration and support. I hope that the work we do brings improved and lasting health to our patients, their families, and our communities.”

Open Nominations for:

SCCMA REPRESENTATIVE TO THE DISTRICT VII DELEGATION

Delegates represent their counties in the California Medical Association (CMA) house of delegates by attending and actively participating in delegation caucus meetings and in all sessions of the house.

Delegates monitor business put before the house to consider, including business at the annual session, and items presented during the year-round resolution process. Delegates are represent their overall constituency and not just their own personal views on issues.

Selection Criteria

Delegate candidates are team-oriented, knowledgeable on policy issues, willing to play an active role in the delegation and support the goals of the delegation.

Term length

Positions are for a two-year term. If you are interested in becoming an alternate delegate to participate in future meetings of the House of Delegates please contact Governance & Advocacy Associate at emily@sccma.org.

ADD YOUR VOICE TO ORGANIZED MEDICINE!

CMA physician leaders advocate for patients during national advocacy conference in D.C.

Physician leaders from across California traveled to Washington, D.C., last week for the AMA National Advocacy Conference, where they met with members of Congress to advocate on key topics, including protecting Medicaid access, stabilizing Medicare physician payment and reforming prior authorization.

CMA President Dr. René Bravo calls on physicians to step boldly into public leadership

During his first official report to the CMA Board of Trustees in late January, CMA President René Bravo, M.D., urged California physicians to step boldly into public leadership, emphasizing that public service has long been central to the profession.

CMA sponsors legislation to prohibit automatic downcoding by insurance companies

Assemblymember Darshana Patel has introduced Assembly Bill 2431, sponsored by the California Medical Association (CMA), to protect physician practices and patient access to care by prohibiting automatic downcoding by health insurance companies

CMA joins legal effort to protect immigrant children in ICE custody

The California Medical Association (CMA) joined an amicus brief urging a federal court to keep the Flores Settlement Agreement in place, warning that ending it would weaken protections for immigrant children and increase risks to their health and development.

CMA sponsors bill to protect patients from “deepfake doctor” scams

State Senator Lena Gonzalez (D-Long Beach) has introduced Senate Bill 1146, a measure sponsored by the CMA to crack down on the growing use of artificial intelligence to create “deepfake” impersonations of physicians. The bill seeks to protect patients from misleading medical advice and fraudulent advertisements that weaponize the trust between doctors and patients.

As artificial intelligence becomes more capable at producing realistic videos, a dangerous new trend has emerged: Scammers are using AI to clone physicians’ likenesses and voices – without their knowledge or consent – to sell unproven supplements and “miracle cures” and dispense baseless medical advice.

Introducing CMA Audio News: A new way to stay informed

CMA has launched CMA Audio News, a new members-only feature in the CMADocs app that delivers short, timely audio updates on policy, regulatory and practice issues affecting California physicians — making it easier to stay informed on the go.

CMA understands the unique challenges facing physicians and provides services, resources and benefits to help you succeed. Members can offset the price of their annual dues when using CMA membership services and discounts.

Practice Resources

Reimbursement Assistance: Experts from CMA’s Center for Economic Services provide free one-on-one assistance to members and their staff on reimbursement, contracting and practice management-related issues. Services include educational resources, one-on-one assistance and direct intervention with payors. CMA’s reimbursement experts have recouped nearly $50 million from payors on behalf of CMA physicians in the past 16 years. These monies represent actual physician reimbursements that would have likely gone unpaid without CMA intervention. Reach CMA’s reimbursement experts at (800) 786-4262 or economicservices@cmadocs.org.

Legal Resources

Legal Services: CMA’s legal department provides members with information and resources about laws and regulations that impact the practice of medicine. While CMA staff cannot provide physicians with individual legal advice, our health law information specialists, with the support of CMA legal counsel, will help you find legal information and resources on a multitude of health-law related issues.

Health Law Library: CMA’s health law library is the most comprehensive health law and medical practice resource for California physicians. Access to the library is free for CMA members (nonmembers can purchase documents at $3 per page). cmadocs.org/health-law-library

Professional Development

Newsletters: CMA produces a number of publications to keep members up to date on the latest health care news and information affecting the practice of medicine in California. Subscribe to any of these newsletters. cmadocs.org/newsletters

Webinars: CMA’s webinar series gives physicians the opportunity to watch online presentations on important topics of interest and interact with experts from the comfort of their homes or offices. The webinars are free to CMA members and their staff. CMA also has 100+ archived ondemand webinars available. cmadocs.org/webinars

Seminars: Experts from CMA’s various centers travel to local county medical societies throughout the state, holding live seminars for members and their staff on a variety of issues. Contact your local county medical society for more information.

California Physician™ Career Center: Enjoy free access to valuable resources to advance your career, including tips on resume writing, interviews and networking, as well as hundreds of current job openings in California. careers.cmadocs.org

Benefits Tailored for You

Whether you operate independently or as part of a group practice, are beginning your career or considering retirement, CMA’s member benefits are here to help you through all stages of being a California physician.

Student Loan Refinancing: Explore a variety of student loan refinancing options with SoFi, including low-variable and fixed rates with terms ranging from five to 20 years, as well as an additional rate discount of 0.25% off the approved loan rate. sofi.com/cma

Mercury Insurance: CMA members are eligible for exclusive savings on auto and home insurance with Mercury. We have seen members save up to 14.5 percent with combined auto and home discounts. Actual savings vary by policy, so visit the link below to check your specific rate. 24/7 claims support and lifetime guaranteed repairs are included. mercuryinsurance.com/cma

The Doctors Company: CMA’s exclusive medical professional liability insurance company corporate sponsor. thedoctors.com/ca

CONTACT CMA TODAY!

When you join CMA, you hire a powerful professional staff to protect the viability of your practice. By protecting your practice from legal, legislative and regulatory intrusions, your CMA membership lets you focus on what’s really important: your patients. Contact CMA today at (800) 786-4262 or memberservice@cmadocs.org

SCCMA Webinar: Health & Environmental Impacts of Nuclear Weapons and War

Date: Tuesday, April 7, 2026

Time: 6:00 PM to 7:00 PM (PST)

Location: Zoom

Speaker: Robert Gould, MD

This presentation will describe the manifold threats posed by: current global programs to expand and modernize these nuclear weapons arsenals; the abrogation of international treaties to reduce the dangers; & areas of heightened great-power confrontation.

Legislative Advocacy Day

Date: Wednesday, April 8, 2026

Location: Sacramento, CA

CMA’s Legislative Advocacy Day consistently brings together more than 400 of physician and medical student leaders from all specialties and modes of practice. Attendees will have the opportunity to meet with legislators on priority health care issues.

To ease the burden of travel, SCCMA is organizing a charter bus for Legislative Advocacy Day. To reserve a spot on the bus, please email Director Governance and Advocacy, Emily Coren, at emily@sccma.org

CMA Webinar: Virtual Grand Rounds: Psychedelic Therapy - What we Do and Don’t Know

Date: Tuesday, April 14

Time: 12:00 PM – 1:00 PM

Location: Virtual

While psychedelic therapy is still controversial and not considered the standard of care, the subject has seen increasing interest by both the media and patients. In this Virtual Grand Rounds, Joshua Woolley, M.D., Ph.D., will discuss the current state of psychedelic therapy including clinical evidence, legal status, long-term data and regulatory factors. Additionally, California Department of Public Health Director Erica Pan, M.D., MPH, will discuss the winter respiratory virus season as well as other important emerging public health issues.

To register for any of these events, please visit www. sccma.org or scan the QR code

SCCMA Webinar: Obesogens: Unmasking the Metabolical Obesity Crisis

Date: Tuesday, April 14, 2026

Time: 6:00PM - 7:00 PM (PST)

Location: Zoom

Speaker: Robert Lustig, MD, MLS

Dr. Lustig will discuss the rise in chemical obesogens in everyday products and how they act throughout an individual’s lifespan, and even across generations to affect the development of obesity and contribute to the obesity epidemic.

SCCMA Webinar: Microplastics and Our Health

Date: April 28, 2026

Time: 6 PM-7PM

Location: Zoom

Speaker: Dr. Desiree LaBeaud

Dr. LaBeaud will discuss how plastic pollution affects human and environmental health, with a special emphasis on effects to the developing child.

SCCMA Webinar: Corporate Determinants of Health: UCSF Archives of Internal Corporate Documents

Date: Tuesday, May 5, 2026

Time: 6:00 PM to 7:00 PM (PST)

Location: Zoom

Speakers:

Tracey Woodruff , PhD, MPH

Nicholas Chartres, MD

Kate Tasker, Director of the UCSF Industry Documents Library (Video)

Join Director Tracey Woodruff, PhD, MPH, & Nicholas Chartres, MD, as they discuss these industry files, highlighting examples of the mechanisms and strategies these corporations use to proliferate the sale of their harmful products