California is in the midst of overhauling its Medicaid program to better serve the 12 million low-income residents who rely on it for health care. This report explores the state’s capacity to provide one key aspect of the plan: medically supportive food and nutrition interventions such as food pharmacies, produce prescriptions, healthy groceries and medically tailored meals designed to prevent, reverse and treat chronic health conditions.
Gov. Gavin Newsom has declared a drought emergency, salmon are on the brink of extinction and rivers are choked with toxic algae because too much water is diverted for farms and cities. Does the Bay Area really have enough water to continue to grow? We found that the answer is yes — if the region adopts comprehensive water efficiency measures and smart land-use planning.
The crises that confronted the Bay Area before the COVID-19 pandemic have not gone away: inadequate and unaffordable housing, growing racial inequality and growing impacts from climate change. Building diverse communities with much more housing, services and jobs near transit is the best opportunity we have to tackle these challenges. The newly released Plan Bay Area 2050 charts a path to this future, but an outdated policy from 2005 is standing in the way.
Regional transit coordination and integration are urgent priorities for Caltrain. As board members prepare for Caltrain’s October 22 special meeting on regional governance options, SPUR urges the agency to commit itself to open-minded engagement in regional transit governance discussions. Caltrain needs to consider new institutional models that would grow its capacity and enable greater regionalism.
The Bay Area is projected to add 2 million jobs and as many as 6.8 million people in the next 50 years. But can we add more jobs and build more housing without using more water? New research from SPUR and the Pacific Institute says yes. We can use the same amount of water — or even less — if we invest in efficiency measures, pursue compact land use and commit to better mechanisms to share water regionally.