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One in four fifth-graders has high blood pressure and cholesterol. One in four eleven-year-olds is obese, a clear red flag for the future.

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Bay Area school nutrition directors say higher nutrition standards are good, but expensive.

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Steven (Steve) A. Escoboza is president and CEO of the Hospital Association of San Diego and Imperial Counties, a nonprofit trade association representing hospitals and health systems. Escoboza participates in the California Healthcare Association's Executive Management Group, attends meetings of the American Hospital Association Region Nine Policy Board and serves on the Conference of Metropolitan Hospitals Association Board. Locally, Escoboza is active on a number of state and local health-related boards and committees.

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Karen Pollitz is a Research Professor at the Health Policy Institute at Georgetown University in Washington, D.C. There she directs research on health insurance reform issues as they affect consumers and patients. Her areas of focus include regulation of private health insurance plans and markets, managed care consumer protections, and access to affordable health insurance. She is also an adjunct professor in Georgetown's Graduate Public Policy School.

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Carol J. Collins is an assistant agency director of the Alameda County Social Services Agency, overseeing the Children and Family Services department. She is also assistant director of the Alameda County Health Care Services Agency. Collins has spent most of her career in the department of Children and Family Services and has worked in every program area: emergency response, dependency investigation, family preservation, family maintenance, family reunification, long-term care, shelter care, independent living skills, child welfare worker, training, and adoptions.

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