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"content": "\u003cp>Unions representing 85,000 health care workers have reached a tentative agreement with industry giant Kaiser Permanente following a strike over wages and staffing levels, the parties announced Friday.\u003c/p>\n\u003cp>The deal includes setting minimum hourly wages at $25 in California, where most of Kaiser’s facilities are located, and $23 in other states. Workers will also see a 21% wage increase over four years. The ratification process is scheduled to begin next week.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Yvonne Esquivel, Kaiser pediatric medical assistant in Gilroy\"]‘This deal is life-changing for frontline health care workers like me, and life-saving for our patients.’[/pullquote]Both sides said they prioritized patient health care during their talks. Steve Shields, Kaiser’s senior vice president of labor relations, said the deal will not affect rates.\u003c/p>\n\u003cp>The \u003ca href=\"https://apnews.com/article/kaiser-health-care-workers-strike-b8b40ce8c082c0b8c4f1c0fb7ec38741\">three-day strike\u003c/a> last week involving tens of thousands of workers in multiple states officially ended last Saturday and workers returned to their jobs in Kaiser’s hospitals and clinics that serve nearly 13 million Americans. Union members said understaffing is boosting the hospital system’s profits but hurting patients, and that executives had been bargaining in bad faith during negotiations.\u003c/p>\n\u003cp>“Millions of Americans are safer today because tens of thousands of dedicated healthcare workers fought for and won the critical resources they need and that patients need,” said Caroline Lucas, executive director of the Coalition of Kaiser Permanente Unions, in a statement Friday. “This historic agreement will set a higher standard for the healthcare industry nationwide.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The tentative agreement also includes protective terms around subcontracting and outsourcing, as well as initiatives to invest in the current workforce and address the staffing crisis. The workers’ last contract was negotiated in 2019, before the COVID-19 pandemic.\u003c/p>\n\u003cp>“We have an interest in helping build the health care workforce of the future,” Shields said during a news briefing Friday with both sides.\u003c/p>\n\u003cp>The coalition of unions \u003ca href=\"https://www.kqed.org/news/11963708/kaiser-workers-could-reauthorize-strike-if-negotiations-break-down\">had given the company notice\u003c/a> that another strike, from Nov. 1 to Nov. 8, was possible if the latest round of negotiations fell through. It also said the Oct. 31 expiration of a contract covering the Seattle area would enable another 3,000 workers to join picket lines.\u003c/p>\n\u003cp>“What the parties have achieved here in Oakland demonstrates, once again, that collective bargaining works,” said acting Secretary of Labor Julie A. Su, who helped mediate negotiations this week. “When workers have a voice and a seat at the table, it can result in historic gains for workers, their employer and our country.”\u003c/p>\n\u003cp>Kaiser Permanente, based in Oakland, confirmed the deal in a \u003ca href=\"https://twitter.com/aboutKP/status/1712889965095670195\">social media post\u003c/a> on Friday, noting that the strike notice for November “has been canceled.”\u003c/p>\n\u003cp>https://twitter.com/seiu_uhw/status/1712787147978321951\u003c/p>\n\u003cp>President Joe Biden applauded the tentative deal in a statement Friday, echoing his support for the health care unions. The president last month joined \u003ca href=\"https://apnews.com/article/president-joe-biden-strike-united-auto-workers-8ecc84eeca15c99673f31bdac6921f7b\">picketing United Auto Workers in Michigan\u003c/a> on the 12th day of their strike against major carmakers, becoming the first known sitting president in U.S. history to join an active picket line.\u003c/p>\n\u003cp>“We owe a tremendous debt to health care workers and the hard-working men and women who make their work possible,” Biden said in a statement. “Health care workers and support staff kept our hospitals — and our nation — going during the dark months of the pandemic. They had our backs during one of our nation’s toughest times. We must continue to have theirs.”\u003c/p>\n\u003cp>Last week’s three-day strike at facilities in California, Colorado, Oregon and Washington state was a last resort after Kaiser executives ignored the short-staffing crisis worsened by the coronavirus pandemic, union officials said.\u003c/p>\n\u003cp>[aside label='More on Kaiser Permanente' tag='kaiser-permanente']“This deal is life-changing for frontline health care workers like me, and life-saving for our patients,” said Yvonne Esquivel, a pediatric medical assistant at Kaiser Permanente in Gilroy.\u003c/p>\n\u003cp>Their goal was to bring the problems to the public’s consciousness for support, according to the Coalition of Kaiser Permanente Unions.\u003c/p>\n\u003cp>“The new [four-year] agreement will offer Coalition-represented employees competitive wages, excellent benefits, generous retirement income plans, and valuable job training opportunities that support their economic well-being, advance our shared mission, and keep Kaiser Permanente a best place to work and receive care,” read a joint-statement from Kaiser Permanente and the Coalition of Kaiser Permanente Unions, on Friday.\u003c/p>\n\u003cp>The strikers include licensed vocational nurses, home health aides and ultrasound sonographers, as well as technicians in the radiology, X-ray, surgical, pharmacy and emergency departments.\u003c/p>\n\u003cp>“No health care worker wants to go on strike,” Caroline Lucas, the coalition’s executive director, said Thursday. “I hope that the last few days have helped escalate this issue.”\u003c/p>\n\u003cp>The company warned the work stoppage could cause delays in people getting appointments and scheduling non-urgent procedures.\u003c/p>\n\u003cp>Unions representing Kaiser workers in August asked for a $25 hourly minimum wage, as well as increases of 7% each year in the first two years and 6.25% each year in the two years afterward.\u003c/p>\n\u003cp>Kaiser, which turned a $2.1 billion profit for the quarter, said in a statement last week that it proposed minimum hourly wages between $21 and $23 depending on the location. The company said it also completed hiring 10,000 more people, adding to the 51,000 workers the hospital system has brought on board since 2022.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The deal comes a day after Kaiser \u003ca href=\"https://calmatters.org/health/2023/10/kaiser-permanente-california-behavioral-health-settlement/\">agreed to pay a $50 million fine\u003c/a> as part of a larger settlement with the state of California, which found major deficiencies in its delivery of behavioral health care services. The settlement requires the health care giant to provide its patients with more timely access to behavioral health care, among other improvements, and to invest an additional $150 million in those programs over the next five years.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The tentative agreement also includes protective terms around subcontracting and outsourcing, as well as initiatives to invest in the current workforce and address the staffing crisis. The workers’ last contract was negotiated in 2019, before the COVID-19 pandemic.\u003c/p>\n\u003cp>“We have an interest in helping build the health care workforce of the future,” Shields said during a news briefing Friday with both sides.\u003c/p>\n\u003cp>The coalition of unions \u003ca href=\"https://www.kqed.org/news/11963708/kaiser-workers-could-reauthorize-strike-if-negotiations-break-down\">had given the company notice\u003c/a> that another strike, from Nov. 1 to Nov. 8, was possible if the latest round of negotiations fell through. It also said the Oct. 31 expiration of a contract covering the Seattle area would enable another 3,000 workers to join picket lines.\u003c/p>\n\u003cp>“What the parties have achieved here in Oakland demonstrates, once again, that collective bargaining works,” said acting Secretary of Labor Julie A. Su, who helped mediate negotiations this week. “When workers have a voice and a seat at the table, it can result in historic gains for workers, their employer and our country.”\u003c/p>\n\u003cp>Kaiser Permanente, based in Oakland, confirmed the deal in a \u003ca href=\"https://twitter.com/aboutKP/status/1712889965095670195\">social media post\u003c/a> on Friday, noting that the strike notice for November “has been canceled.”\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>President Joe Biden applauded the tentative deal in a statement Friday, echoing his support for the health care unions. The president last month joined \u003ca href=\"https://apnews.com/article/president-joe-biden-strike-united-auto-workers-8ecc84eeca15c99673f31bdac6921f7b\">picketing United Auto Workers in Michigan\u003c/a> on the 12th day of their strike against major carmakers, becoming the first known sitting president in U.S. history to join an active picket line.\u003c/p>\n\u003cp>“We owe a tremendous debt to health care workers and the hard-working men and women who make their work possible,” Biden said in a statement. “Health care workers and support staff kept our hospitals — and our nation — going during the dark months of the pandemic. They had our backs during one of our nation’s toughest times. We must continue to have theirs.”\u003c/p>\n\u003cp>Last week’s three-day strike at facilities in California, Colorado, Oregon and Washington state was a last resort after Kaiser executives ignored the short-staffing crisis worsened by the coronavirus pandemic, union officials said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“This deal is life-changing for frontline health care workers like me, and life-saving for our patients,” said Yvonne Esquivel, a pediatric medical assistant at Kaiser Permanente in Gilroy.\u003c/p>\n\u003cp>Their goal was to bring the problems to the public’s consciousness for support, according to the Coalition of Kaiser Permanente Unions.\u003c/p>\n\u003cp>“The new [four-year] agreement will offer Coalition-represented employees competitive wages, excellent benefits, generous retirement income plans, and valuable job training opportunities that support their economic well-being, advance our shared mission, and keep Kaiser Permanente a best place to work and receive care,” read a joint-statement from Kaiser Permanente and the Coalition of Kaiser Permanente Unions, on Friday.\u003c/p>\n\u003cp>The strikers include licensed vocational nurses, home health aides and ultrasound sonographers, as well as technicians in the radiology, X-ray, surgical, pharmacy and emergency departments.\u003c/p>\n\u003cp>“No health care worker wants to go on strike,” Caroline Lucas, the coalition’s executive director, said Thursday. “I hope that the last few days have helped escalate this issue.”\u003c/p>\n\u003cp>The company warned the work stoppage could cause delays in people getting appointments and scheduling non-urgent procedures.\u003c/p>\n\u003cp>Unions representing Kaiser workers in August asked for a $25 hourly minimum wage, as well as increases of 7% each year in the first two years and 6.25% each year in the two years afterward.\u003c/p>\n\u003cp>Kaiser, which turned a $2.1 billion profit for the quarter, said in a statement last week that it proposed minimum hourly wages between $21 and $23 depending on the location. The company said it also completed hiring 10,000 more people, adding to the 51,000 workers the hospital system has brought on board since 2022.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The deal comes a day after Kaiser \u003ca href=\"https://calmatters.org/health/2023/10/kaiser-permanente-california-behavioral-health-settlement/\">agreed to pay a $50 million fine\u003c/a> as part of a larger settlement with the state of California, which found major deficiencies in its delivery of behavioral health care services. The settlement requires the health care giant to provide its patients with more timely access to behavioral health care, among other improvements, and to invest an additional $150 million in those programs over the next five years.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>When Nancy Harvey opened a daycare out of her West Oakland home nearly two decades ago, she wanted to give kids in her neighborhood a high-quality preschool.\u003c/p>\n\u003cp>She was up for the challenge, but what she wasn’t prepared for was the low pay and lack of benefits: two things she took for granted when she worked in marketing and taught in private schools.\u003c/p>\n\u003cp>“A retirement plan was essential for anyone that worked a job and I couldn’t understand how this very valuable industry did not have that,” Harvey said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>As workers across occupations walked off the job during this \u003ca href=\"https://www.kqed.org/news/11963717/amid-kaiser-strike-a-look-at-the-biggest-union-walkouts-in-california-recently\">remarkable year of strikes\u003c/a>, a union representing 40,000 home-based child care providers like Harvey approved a landmark deal, which included a roughly 20% pay increase and unprecedented benefits. It was a big moment for a labor movement largely led by immigrants and women of color — two groups whose domestic work has \u003ca href=\"https://www.epi.org/blog/black-womens-labor-market-history-reveals-deep-seated-race-and-gender-discrimination/\">historically been undervalued and excluded \u003c/a>from labor protection laws.\u003c/p>\n\u003cp>Since child care in the United States is largely privatized, home-based providers are considered self-employed small business owners. But those who serve lower-income families have long argued they should be classified as public employees since their salaries depend on reimbursements from the state. In California, two-thirds of families who receive child care subsidies send their kids to home-based daycares.\u003c/p>\n\u003cp>For years, these providers complained \u003ca href=\"https://cscce.berkeley.edu/workforce-index-2020/the-early-educator-workforce/early-educator-pay-economic-insecurity-across-the-states/\">they were paid so little that they \u003cem>themselves\u003c/em> qualify for public assistance\u003c/a>.\u003c/p>\n\u003cp>“It spoke pretty loudly as to what folks really thought of child care providers, that we were just folks that they could use and not necessarily think about our well-being and our future,” Harvey said.\u003c/p>\n\u003cp>For Harvey, her involvement started with a knock on her door not long after she started her daycare. A union rep came in the middle of the children’s nap time and pitched unionizing as a strategy to improve pay and gain benefits. She said she didn’t hesitate to sign up.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Nancy Harvey, child care provider, West Oakland\"]‘We have set them aside long enough and we can’t do that.’[/pullquote]Organizing isn’t easy for home-based workers because they work independently, but Harvey said she felt a duty to speak up for her industry because many providers were in the same situation she was in, but were too busy to effect change.\u003c/p>\n\u003cp>It took two decades of organizing — a lot of it done during nap time — before Child Care Providers United \u003ca href=\"https://www.gov.ca.gov/2019/09/30/governor-newsom-signs-legislation-allowing-child-care-providers-the-right-to-unionize/\">won the right in 2019 to collectively bargain\u003c/a>. The union represents 40,000 home-based child care providers. It is a partnership between two chapters of the Service Employees International Union locals and the American Federation of State, County and Municipal Employees.\u003c/p>\n\u003cp>But just as Harvey and other providers got ready to negotiate their first contract with the state, the pandemic hit, greatly intensifying their economic insecurity. As essential workers, many home-based providers kept their doors open, but still struggled to pay their bills. They said they were seeing lower revenues due to enrollment declines and higher costs due to inflation.\u003c/p>\n\u003cfigure id=\"attachment_11963691\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11963691\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/230810-FeltonInstituteRally-21-BL-KQED-800x533.jpg\" alt=\"A person speaks into a megaphone in front of a group of people.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/230810-FeltonInstituteRally-21-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/230810-FeltonInstituteRally-21-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/230810-FeltonInstituteRally-21-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/230810-FeltonInstituteRally-21-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/230810-FeltonInstituteRally-21-BL-KQED-1920x1280.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/230810-FeltonInstituteRally-21-BL-KQED.jpg 2000w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Nancy Harvey speaks during a rally to bring attention to a gas leak Felton Institute employees say went unaddressed for more than a year outside of Felton’s Sunshine Community Center in San Francisco’s Mission District on Aug. 10, 2023. Felton Institute is a nonprofit serving children and families in the Bay Area. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It was at that point that people really recognized the fact that, hey, this industry is important,” Harvey recalled. “We have set them aside long enough and we can’t do that.”\u003c/p>\n\u003cp>The union reached its first contract in 2021, securing $100 million for health care, plus funding for training and pandemic relief. \u003ca href=\"https://laborcenter.berkeley.edu/many-california-family-child-care-providers-will-now-be-better-able-to-afford-health-care/\">In one survey\u003c/a>, many home-based providers reported delaying or not getting needed health care because they couldn’t afford out-of-pocket costs.\u003c/p>\n\u003cp>Gaining the health care fund was bittersweet for Patricia Moran, a daycare owner in San José. She said a fellow provider and member of the negotiation team was diagnosed with lung cancer during the talks and didn’t live long enough to see it.\u003c/p>\n\u003cp>“I knew providers who were going to Mexico, crossing the border for cheaper medical care and going so fast and coming back so fast they would sometimes get into car accidents,” she said.\u003c/p>\n\u003cp>Moran, Harvey and dozens of providers bargained for the second contract this past year. They spent nights and weekends negotiating and held union demonstrations, including rallies outside the Capitol and the governor’s mansion.\u003c/p>\n\u003cfigure id=\"attachment_11963692\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11963692\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/231002-ChildCareLaborMovement-003-BL-KQED-800x533.jpg\" alt=\"A person stands by a window and looks at the camera.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231002-ChildCareLaborMovement-003-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231002-ChildCareLaborMovement-003-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231002-ChildCareLaborMovement-003-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231002-ChildCareLaborMovement-003-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231002-ChildCareLaborMovement-003-BL-KQED-1920x1280.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231002-ChildCareLaborMovement-003-BL-KQED.jpg 2000w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Patricia Moran stands in her child care facility in San José on Oct. 2, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I remember I slept like two hours because, in my daycare, some parents are bringing children at 5 o’clock in the morning,” Moran said. “I was like, OK, I’m going to sleep. Maybe, maybe not. No, I’m going to stay awake.”\u003c/p>\n\u003cp>The organizing paid off. Last month, the state finalized \u003ca href=\"https://www.kqed.org/news/11961256/newsom-signs-bills-boosting-child-care-for-struggling-californians-and-providers\">a landmark $2 billion deal \u003c/a>to give them their largest pay raise to date and launch the nation’s first retirement fund for unionized child care workers. The $80 million fund made California the first of \u003ca href=\"https://www.clasp.org/wp-content/uploads/2023/04/4.3.2023_Unionizing-Home-Based-Providers-to-Address-the-Child-Care-Crisis.pdf\">11 states with home-based child care worker unions (PDF) \u003c/a>to offer this benefit.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Patricia Moran, child care provider, San José\"]‘I knew providers who were going to Mexico, crossing the border for cheaper medical care and going so fast and coming back so fast they would sometimes get into car accidents.’[/pullquote]Overall, the push to unionize child care workers has had more success in some states than others. Seven other states, for example, had granted that right to home-based child care providers before backing out, \u003ca href=\"https://www.clasp.org/wp-content/uploads/2023/04/4.3.2023_Unionizing-Home-Based-Providers-to-Address-the-Child-Care-Crisis.pdf\">according to the Center for Law and Social Policy (PDF)\u003c/a>.\u003c/p>\n\u003cp>It helped that in California, a record number of women in the state Legislature made \u003ca href=\"https://womenscaucus.legislature.ca.gov/news/2023-03-30-ca-legislative-women%E2%80%99s-caucus-announces-2023-priority-bill-package\">child care funding a priority in the 2023–24 budget year. \u003c/a>\u003c/p>\n\u003cp>State Sen. Nancy Skinner, an East Bay Democrat who chairs the Legislative Women’s Caucus, said funding was urgently needed because many child care programs permanently closed after the pandemic.\u003c/p>\n\u003cp>“So we just saw this collapse that affected not only families, obviously, and the little kids that really deserve good child care, but also affected California’s employers and our economy,” she said.\u003c/p>\n\u003cp>But perhaps the biggest victory is that they got the state to \u003ca href=\"https://calbudgetcenter.org/resources/californias-subsidized-child-care-providers-are-overdue-for-pay-raise/\">fundamentally change the way it pays\u003c/a> providers of subsidized child care programs so that they’ll get closer to earning a fair wage, whether they’re in the union or not.\u003c/p>\n\u003cp>That means, the benefit will extend to larger state-funded child care centers.\u003c/p>\n\u003cp>“They fought for the entire system … which is incredibly tremendous for all of us,” said Nina Buthee, executive director of the advocacy group EveryChild California.\u003c/p>\n\u003cp>Buthee said she hopes better pay will encourage more private daycares to serve families who qualify for child care subsidies.\u003c/p>\n\u003cp>[aside label='More on Affordable Child Care' tag='child-care']“It’s really a huge step forward in terms of equity when you think about who our workforce is,” said Brandy Jones Lawrence, a senior analyst at the Center for the Study of Child Care Employment at the University of California, Berkeley.\u003c/p>\n\u003cp>“It’s also a huge step forward in our commitment to systemic reform,” she added\u003cem>.\u003c/em>\u003c/p>\n\u003cp>Harvey said these gains were long overdue. She’s ecstatic about the changes and hopes child care workers in other states will follow in her union’s footsteps.\u003c/p>\n\u003cp>At 61 years old, she said she feels more secure about retiring in a few years.\u003c/p>\n\u003cp>“We think of a retirement plan as a pot of money that’s going to help you survive. And if you don’t have that, then how are you going to survive?” she said. “I’m glad that the state of California heard our cry.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>As workers across occupations walked off the job during this \u003ca href=\"https://www.kqed.org/news/11963717/amid-kaiser-strike-a-look-at-the-biggest-union-walkouts-in-california-recently\">remarkable year of strikes\u003c/a>, a union representing 40,000 home-based child care providers like Harvey approved a landmark deal, which included a roughly 20% pay increase and unprecedented benefits. It was a big moment for a labor movement largely led by immigrants and women of color — two groups whose domestic work has \u003ca href=\"https://www.epi.org/blog/black-womens-labor-market-history-reveals-deep-seated-race-and-gender-discrimination/\">historically been undervalued and excluded \u003c/a>from labor protection laws.\u003c/p>\n\u003cp>Since child care in the United States is largely privatized, home-based providers are considered self-employed small business owners. But those who serve lower-income families have long argued they should be classified as public employees since their salaries depend on reimbursements from the state. In California, two-thirds of families who receive child care subsidies send their kids to home-based daycares.\u003c/p>\n\u003cp>For years, these providers complained \u003ca href=\"https://cscce.berkeley.edu/workforce-index-2020/the-early-educator-workforce/early-educator-pay-economic-insecurity-across-the-states/\">they were paid so little that they \u003cem>themselves\u003c/em> qualify for public assistance\u003c/a>.\u003c/p>\n\u003cp>“It spoke pretty loudly as to what folks really thought of child care providers, that we were just folks that they could use and not necessarily think about our well-being and our future,” Harvey said.\u003c/p>\n\u003cp>For Harvey, her involvement started with a knock on her door not long after she started her daycare. A union rep came in the middle of the children’s nap time and pitched unionizing as a strategy to improve pay and gain benefits. She said she didn’t hesitate to sign up.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Organizing isn’t easy for home-based workers because they work independently, but Harvey said she felt a duty to speak up for her industry because many providers were in the same situation she was in, but were too busy to effect change.\u003c/p>\n\u003cp>It took two decades of organizing — a lot of it done during nap time — before Child Care Providers United \u003ca href=\"https://www.gov.ca.gov/2019/09/30/governor-newsom-signs-legislation-allowing-child-care-providers-the-right-to-unionize/\">won the right in 2019 to collectively bargain\u003c/a>. The union represents 40,000 home-based child care providers. It is a partnership between two chapters of the Service Employees International Union locals and the American Federation of State, County and Municipal Employees.\u003c/p>\n\u003cp>But just as Harvey and other providers got ready to negotiate their first contract with the state, the pandemic hit, greatly intensifying their economic insecurity. As essential workers, many home-based providers kept their doors open, but still struggled to pay their bills. They said they were seeing lower revenues due to enrollment declines and higher costs due to inflation.\u003c/p>\n\u003cfigure id=\"attachment_11963691\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11963691\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/230810-FeltonInstituteRally-21-BL-KQED-800x533.jpg\" alt=\"A person speaks into a megaphone in front of a group of people.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/230810-FeltonInstituteRally-21-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/230810-FeltonInstituteRally-21-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/230810-FeltonInstituteRally-21-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/230810-FeltonInstituteRally-21-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/230810-FeltonInstituteRally-21-BL-KQED-1920x1280.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/230810-FeltonInstituteRally-21-BL-KQED.jpg 2000w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Nancy Harvey speaks during a rally to bring attention to a gas leak Felton Institute employees say went unaddressed for more than a year outside of Felton’s Sunshine Community Center in San Francisco’s Mission District on Aug. 10, 2023. Felton Institute is a nonprofit serving children and families in the Bay Area. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It was at that point that people really recognized the fact that, hey, this industry is important,” Harvey recalled. “We have set them aside long enough and we can’t do that.”\u003c/p>\n\u003cp>The union reached its first contract in 2021, securing $100 million for health care, plus funding for training and pandemic relief. \u003ca href=\"https://laborcenter.berkeley.edu/many-california-family-child-care-providers-will-now-be-better-able-to-afford-health-care/\">In one survey\u003c/a>, many home-based providers reported delaying or not getting needed health care because they couldn’t afford out-of-pocket costs.\u003c/p>\n\u003cp>Gaining the health care fund was bittersweet for Patricia Moran, a daycare owner in San José. She said a fellow provider and member of the negotiation team was diagnosed with lung cancer during the talks and didn’t live long enough to see it.\u003c/p>\n\u003cp>“I knew providers who were going to Mexico, crossing the border for cheaper medical care and going so fast and coming back so fast they would sometimes get into car accidents,” she said.\u003c/p>\n\u003cp>Moran, Harvey and dozens of providers bargained for the second contract this past year. They spent nights and weekends negotiating and held union demonstrations, including rallies outside the Capitol and the governor’s mansion.\u003c/p>\n\u003cfigure id=\"attachment_11963692\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11963692\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/231002-ChildCareLaborMovement-003-BL-KQED-800x533.jpg\" alt=\"A person stands by a window and looks at the camera.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231002-ChildCareLaborMovement-003-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231002-ChildCareLaborMovement-003-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231002-ChildCareLaborMovement-003-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231002-ChildCareLaborMovement-003-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231002-ChildCareLaborMovement-003-BL-KQED-1920x1280.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231002-ChildCareLaborMovement-003-BL-KQED.jpg 2000w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Patricia Moran stands in her child care facility in San José on Oct. 2, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I remember I slept like two hours because, in my daycare, some parents are bringing children at 5 o’clock in the morning,” Moran said. “I was like, OK, I’m going to sleep. Maybe, maybe not. No, I’m going to stay awake.”\u003c/p>\n\u003cp>The organizing paid off. Last month, the state finalized \u003ca href=\"https://www.kqed.org/news/11961256/newsom-signs-bills-boosting-child-care-for-struggling-californians-and-providers\">a landmark $2 billion deal \u003c/a>to give them their largest pay raise to date and launch the nation’s first retirement fund for unionized child care workers. The $80 million fund made California the first of \u003ca href=\"https://www.clasp.org/wp-content/uploads/2023/04/4.3.2023_Unionizing-Home-Based-Providers-to-Address-the-Child-Care-Crisis.pdf\">11 states with home-based child care worker unions (PDF) \u003c/a>to offer this benefit.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Overall, the push to unionize child care workers has had more success in some states than others. Seven other states, for example, had granted that right to home-based child care providers before backing out, \u003ca href=\"https://www.clasp.org/wp-content/uploads/2023/04/4.3.2023_Unionizing-Home-Based-Providers-to-Address-the-Child-Care-Crisis.pdf\">according to the Center for Law and Social Policy (PDF)\u003c/a>.\u003c/p>\n\u003cp>It helped that in California, a record number of women in the state Legislature made \u003ca href=\"https://womenscaucus.legislature.ca.gov/news/2023-03-30-ca-legislative-women%E2%80%99s-caucus-announces-2023-priority-bill-package\">child care funding a priority in the 2023–24 budget year. \u003c/a>\u003c/p>\n\u003cp>State Sen. Nancy Skinner, an East Bay Democrat who chairs the Legislative Women’s Caucus, said funding was urgently needed because many child care programs permanently closed after the pandemic.\u003c/p>\n\u003cp>“So we just saw this collapse that affected not only families, obviously, and the little kids that really deserve good child care, but also affected California’s employers and our economy,” she said.\u003c/p>\n\u003cp>But perhaps the biggest victory is that they got the state to \u003ca href=\"https://calbudgetcenter.org/resources/californias-subsidized-child-care-providers-are-overdue-for-pay-raise/\">fundamentally change the way it pays\u003c/a> providers of subsidized child care programs so that they’ll get closer to earning a fair wage, whether they’re in the union or not.\u003c/p>\n\u003cp>That means, the benefit will extend to larger state-funded child care centers.\u003c/p>\n\u003cp>“They fought for the entire system … which is incredibly tremendous for all of us,” said Nina Buthee, executive director of the advocacy group EveryChild California.\u003c/p>\n\u003cp>Buthee said she hopes better pay will encourage more private daycares to serve families who qualify for child care subsidies.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“It’s really a huge step forward in terms of equity when you think about who our workforce is,” said Brandy Jones Lawrence, a senior analyst at the Center for the Study of Child Care Employment at the University of California, Berkeley.\u003c/p>\n\u003cp>“It’s also a huge step forward in our commitment to systemic reform,” she added\u003cem>.\u003c/em>\u003c/p>\n\u003cp>Harvey said these gains were long overdue. She’s ecstatic about the changes and hopes child care workers in other states will follow in her union’s footsteps.\u003c/p>\n\u003cp>At 61 years old, she said she feels more secure about retiring in a few years.\u003c/p>\n\u003cp>“We think of a retirement plan as a pot of money that’s going to help you survive. And if you don’t have that, then how are you going to survive?” she said. “I’m glad that the state of California heard our cry.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>An \u003ca href=\"https://www.kqed.org/news/11961241/inside-californias-landmark-mental-health-reforms\">ambitious plan to change how California funds mental health care\u003c/a> will go before voters in March after Gov. Gavin Newsom signed a pair of bills Thursday to place the reforms on the primary ballot.\u003c/p>\n\u003cp>The changes to the Mental Health Services Act and a corresponding housing bond are aimed at helping Californians with severe mental illness while living on the street. The measures won overwhelming support in the Legislature despite concerns from California counties and some mental health advocates. Together, they represent Newsom’s latest effort to transform care at the intersection of mental health and homelessness.\u003c/p>\n\u003cp>The two bills Newsom signed on Thursday — Senate Bill 326 and Assembly Bill 531 — will appear on the March 5, 2024 ballot as Proposition 1.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“This was bipartisan legislation that we signed today, Democrats, Republicans — all of us impacted by the issue of mental health, mental illness,” Newsom said at a bill signing ceremony in Los Angeles. “So we’re very excited about the prospect of our success in March.”\u003c/p>\n\u003cp>SB 326 reworks the state’s Mental Health Services Act, first approved by voters in 2004. The MHSA places a 1% tax on personal income over $1 million to fund mental health care, along with services aimed at preventing mental health issues in kids and teens from becoming more severe.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"California Gov. Gavin Newsom\"]‘This was bipartisan legislation that we signed today, Democrats, Republicans — all of us impacted by the issue of mental health, mental illness.’[/pullquote]Under the changes, the law would be renamed the Behavioral Health Services Act, and tax dollars could be used to treat substance abuse, in addition to mental illness.\u003c/p>\n\u003cp>Going forward, 30% of the act’s revenue would be set aside for housing, which could include temporary units or rental subsidies for Californians with acute mental health care needs.\u003c/p>\n\u003cp>“We all come to this with our own personal stories about the frustrations of knocking our heads against walls, trying to get people we love help,” said Sen. Susan Talamantes Eggman (D-Stockton), the bill’s author. “Well, now we have all the pieces together.”\u003c/p>\n\u003cp>The bill faced initial opposition from providers of youth mental health services, who argued the plan lacked clear set-asides to pay for early interventions — such as paying for mental health clinicians to come into classrooms and help early childhood educators identify issues with students. The plan was amended to include specific set-asides for early intervention and Californians younger than 25.\u003c/p>\n\u003cp>County governments remained skeptical of the bill. Tax revenue from wealthy Californians is a volatile revenue source, and directing more of that money toward housing could leave less funding for core mental health services.\u003c/p>\n\u003cp>[aside label='More on California Law' tag='california-law']“Counties have a significant and growing obligation to fund behavioral health services under the Medi-Cal entitlement and use MHSA funds to support that obligation,” according to the final Senate analysis of the bill. “This proposal leaves counties with fewer resources to do so, including less funding available to use as a Medi-Cal match to draw down additional federal dollars.”\u003c/p>\n\u003cp>AB 531 proposes a $6.38 billion bond, with the goal of providing 10,000 new beds and supportive housing units for those with severe behavioral health needs who, supporters of the plan argue, currently end up in emergency rooms or back on the streets.\u003c/p>\n\u003cp>Over $1 billion will be set aside for veterans with behavioral health needs. Supporters of the plan are promising community-based facilities, and not the locked state mental hospitals of years past.\u003c/p>\n\u003cp>Jolissa Hebard, an outreach supervisor with the National Alliance on Mental Illness in Westside Los Angeles, said she has lived with substance use and has relatives with bipolar disorder. She also has a son who has attempted suicide.\u003c/p>\n\u003cp>“The stuff that we are doing today is going to help families to help themselves and help their loved ones,” she said.\u003c/p>\n\u003cp>The Newsom administration pushed hard to win support for the mental health changes in the state Legislature and the governor will actively pitch his plan to voters next year, said Dana Williamson, Newsom’s chief of staff.\u003c/p>\n\u003cp>“If he were here, he’d tell you this is his biggest priority,” Williamson told KQED’s Political Breakdown last month.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Jolissa Hebard, outreach supervisor, National Alliance on Mental Illness\"]‘The stuff that we are doing today is going to help families to help themselves and help their loved ones.’[/pullquote]Since taking office, Newsom has pushed for changes to how state and local governments deal with people suffering from severe psychosis or substance abuse — many of whom end up living in encampments on sidewalks or riverbeds.\u003c/p>\n\u003cp>Last year, the \u003ca href=\"https://www.kqed.org/news/11924117/governors-care-court-plan-passes-assembly-clearing-way-to-become-law\">governor signed into law the CARE Court program\u003c/a>, which authorizes judges to compel care and housing for Californians with severe mental illness. That law is \u003ca href=\"https://www.kqed.org/forum/2010101894425/care-court-is-coming-to-san-francisco-heres-what-we-can-expect\">rolling out this fall in eight counties\u003c/a> before statewide implementation next year.\u003c/p>\n\u003cp>Earlier this week, Newsom signed a bill \u003ca href=\"https://www.kqed.org/news/11963961/newsom-signs-law-expanding-conservatorships-for-those-experiencing-severe-mental-illness-substance-abuse\">expanding the state’s conservatorship law\u003c/a> governing the use of involuntary medical care.\u003c/p>\n\u003cp>Proposition 1 will be the only statewide measure on the March 5 ballot. Voters will also weigh in on primaries for president and California’s U.S. Senate seat.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“This was bipartisan legislation that we signed today, Democrats, Republicans — all of us impacted by the issue of mental health, mental illness,” Newsom said at a bill signing ceremony in Los Angeles. “So we’re very excited about the prospect of our success in March.”\u003c/p>\n\u003cp>SB 326 reworks the state’s Mental Health Services Act, first approved by voters in 2004. The MHSA places a 1% tax on personal income over $1 million to fund mental health care, along with services aimed at preventing mental health issues in kids and teens from becoming more severe.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Under the changes, the law would be renamed the Behavioral Health Services Act, and tax dollars could be used to treat substance abuse, in addition to mental illness.\u003c/p>\n\u003cp>Going forward, 30% of the act’s revenue would be set aside for housing, which could include temporary units or rental subsidies for Californians with acute mental health care needs.\u003c/p>\n\u003cp>“We all come to this with our own personal stories about the frustrations of knocking our heads against walls, trying to get people we love help,” said Sen. Susan Talamantes Eggman (D-Stockton), the bill’s author. “Well, now we have all the pieces together.”\u003c/p>\n\u003cp>The bill faced initial opposition from providers of youth mental health services, who argued the plan lacked clear set-asides to pay for early interventions — such as paying for mental health clinicians to come into classrooms and help early childhood educators identify issues with students. The plan was amended to include specific set-asides for early intervention and Californians younger than 25.\u003c/p>\n\u003cp>County governments remained skeptical of the bill. Tax revenue from wealthy Californians is a volatile revenue source, and directing more of that money toward housing could leave less funding for core mental health services.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Counties have a significant and growing obligation to fund behavioral health services under the Medi-Cal entitlement and use MHSA funds to support that obligation,” according to the final Senate analysis of the bill. “This proposal leaves counties with fewer resources to do so, including less funding available to use as a Medi-Cal match to draw down additional federal dollars.”\u003c/p>\n\u003cp>AB 531 proposes a $6.38 billion bond, with the goal of providing 10,000 new beds and supportive housing units for those with severe behavioral health needs who, supporters of the plan argue, currently end up in emergency rooms or back on the streets.\u003c/p>\n\u003cp>Over $1 billion will be set aside for veterans with behavioral health needs. Supporters of the plan are promising community-based facilities, and not the locked state mental hospitals of years past.\u003c/p>\n\u003cp>Jolissa Hebard, an outreach supervisor with the National Alliance on Mental Illness in Westside Los Angeles, said she has lived with substance use and has relatives with bipolar disorder. She also has a son who has attempted suicide.\u003c/p>\n\u003cp>“The stuff that we are doing today is going to help families to help themselves and help their loved ones,” she said.\u003c/p>\n\u003cp>The Newsom administration pushed hard to win support for the mental health changes in the state Legislature and the governor will actively pitch his plan to voters next year, said Dana Williamson, Newsom’s chief of staff.\u003c/p>\n\u003cp>“If he were here, he’d tell you this is his biggest priority,” Williamson told KQED’s Political Breakdown last month.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Since taking office, Newsom has pushed for changes to how state and local governments deal with people suffering from severe psychosis or substance abuse — many of whom end up living in encampments on sidewalks or riverbeds.\u003c/p>\n\u003cp>Last year, the \u003ca href=\"https://www.kqed.org/news/11924117/governors-care-court-plan-passes-assembly-clearing-way-to-become-law\">governor signed into law the CARE Court program\u003c/a>, which authorizes judges to compel care and housing for Californians with severe mental illness. That law is \u003ca href=\"https://www.kqed.org/forum/2010101894425/care-court-is-coming-to-san-francisco-heres-what-we-can-expect\">rolling out this fall in eight counties\u003c/a> before statewide implementation next year.\u003c/p>\n\u003cp>Earlier this week, Newsom signed a bill \u003ca href=\"https://www.kqed.org/news/11963961/newsom-signs-law-expanding-conservatorships-for-those-experiencing-severe-mental-illness-substance-abuse\">expanding the state’s conservatorship law\u003c/a> governing the use of involuntary medical care.\u003c/p>\n\u003cp>Proposition 1 will be the only statewide measure on the March 5 ballot. Voters will also weigh in on primaries for president and California’s U.S. Senate seat.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>A week after tens of thousands of Kaiser Permanente employees across the country \u003ca href=\"https://www.kqed.org/news/11963306/kaiser-strike-furthers-delays-in-covid-19-vaccines-some-surgeries-in-the-bay-area\">staged a three-day walkout\u003c/a> demanding higher wages and more robust staffing, the unions representing them warned on Tuesday of a longer strike early next month if upcoming negotiations with the company prove unsuccessful.\u003c/p>\n\u003cp>The next bargaining sessions are scheduled for later this week, with Julie Su, the acting U.S. secretary of labor, expected to mediate, according to the union coalition representing Kaiser employees. Anything short of a fair deal will result in a subsequent strike starting on Nov. 1 and lasting until Nov. 8, coalition representatives told KQED.\u003c/p>\n\u003cp>“If we don’t stand up for our work, they’re going to continue treating us the way they are treating us,” said Drenda Sims, a receptionist in the OB-GYN department at Kaiser’s Oakland facility.[aside label=\"related coverage\" tag=\"kaiser-strike\"]Sims participated in last week’s walkout, which marked the largest health care worker strike in U.S. history. And like many of her colleagues, she said she hopes another strike will be averted, but is prepared to join the picket line again if necessary.\u003c/p>\n\u003cp>“It’s not a good feeling,” she said. “But it’s for the cause.”\u003c/p>\n\u003cp>The labor coalition, comprised of chapters of the Service Employees International Union and the Office and Professional Employees International Union, represent a wide range of Kaiser frontline workers, including respiratory therapists, X-ray technicians, behavioral health workers and pharmacists, among many other positions. Doctors and nurses, however, are not involved.\u003c/p>\n\u003cp>Coalition officials say limiting how much Kaiser can outsource and subcontract workers remains a major sticking point in the ongoing negotiations with the massive health care provider.\u003c/p>\n\u003cp>“The critical issues that are outstanding really are still a long-term comprehensive solution to the Kaiser short-staffing crisis,” Caroline Lucas, executive director of the Coalition of Kaiser Permanente Unions, told KQED on Tuesday, arguing that simply outsourcing the work, as she says Kaiser has considered, is not a remedy. “We need common sense limitations on subcontracting and outsourcing.”\u003c/p>\n\u003cp>Last week’s strike included nearly 75,000 Kaiser workers from facilities in California, Oregon, Washington, Colorado, Virginia and Washington, D.C. The majority of the strikers were located in California, with some 23,000 joining picket lines in the Bay Area alone.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In addition to significant staffing increases, workers are pushing for a 6.5% wage hike in the first two years of their next contract, and a 5.75% increase the following two years. They are also seeking to raise the minimum wage among workers in the union to $26 by 2026. Kaiser’s current minimum wage varies by region, but many places offer just under $20 per hour.\u003c/p>\n\u003cp>In the last round of negotiations, union officials rejected \u003ca href=\"https://about.kaiserpermanente.org/content/dam/kp/mykp/documents/infographics-pdf/new-offer-infographic_100123_5pm.pdf\">Kaiser’s offer (PDF)\u003c/a> of 4% across-the-board wage increases for all Northern California workers for the next two years, and 3% for the following two years, in addition to a minimum performance bonus.\u003c/p>\n\u003cp>Kaiser also recently offered a $23-per-hour minimum wage for its employees in California starting in 2024.\u003c/p>\n\u003cp>“Kaiser Permanente remains committed to reaching an agreement that is good for our employees, our members, and our organization, and we will continue to bargain in good faith,” the Oakland-based company said in an email to KQED on Tuesday.\u003c/p>\n\u003cp>As part of negotiations with the labor coalition, Kaiser has also vowed to accelerate the pace of hiring and add 10,000 new employees nationwide by the end of this year.\u003c/p>\n\u003cp>And although the company is on track to surpass that goal, union officials say it’s still not enough to make up for the burnout and turnover fueled by the pandemic, that has left many facilities severely understaffed.\u003c/p>\n\u003cp>“This week, Kaiser executives will have another opportunity to listen to frontline staff,” said Lucas, the union coalition leader, “and to begin investing in ways that will solve the Kaiser short-staffing crisis.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "If this week's negotiations with the company are unsuccessful, some 75,000 Kaiser employees — including thousands in the Bay Area — plan to walk off the job again next month, from Nov. 1 until Nov. 8, according to the union coalition representing the workers.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A week after tens of thousands of Kaiser Permanente employees across the country \u003ca href=\"https://www.kqed.org/news/11963306/kaiser-strike-furthers-delays-in-covid-19-vaccines-some-surgeries-in-the-bay-area\">staged a three-day walkout\u003c/a> demanding higher wages and more robust staffing, the unions representing them warned on Tuesday of a longer strike early next month if upcoming negotiations with the company prove unsuccessful.\u003c/p>\n\u003cp>The next bargaining sessions are scheduled for later this week, with Julie Su, the acting U.S. secretary of labor, expected to mediate, according to the union coalition representing Kaiser employees. Anything short of a fair deal will result in a subsequent strike starting on Nov. 1 and lasting until Nov. 8, coalition representatives told KQED.\u003c/p>\n\u003cp>“If we don’t stand up for our work, they’re going to continue treating us the way they are treating us,” said Drenda Sims, a receptionist in the OB-GYN department at Kaiser’s Oakland facility.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Sims participated in last week’s walkout, which marked the largest health care worker strike in U.S. history. And like many of her colleagues, she said she hopes another strike will be averted, but is prepared to join the picket line again if necessary.\u003c/p>\n\u003cp>“It’s not a good feeling,” she said. “But it’s for the cause.”\u003c/p>\n\u003cp>The labor coalition, comprised of chapters of the Service Employees International Union and the Office and Professional Employees International Union, represent a wide range of Kaiser frontline workers, including respiratory therapists, X-ray technicians, behavioral health workers and pharmacists, among many other positions. Doctors and nurses, however, are not involved.\u003c/p>\n\u003cp>Coalition officials say limiting how much Kaiser can outsource and subcontract workers remains a major sticking point in the ongoing negotiations with the massive health care provider.\u003c/p>\n\u003cp>“The critical issues that are outstanding really are still a long-term comprehensive solution to the Kaiser short-staffing crisis,” Caroline Lucas, executive director of the Coalition of Kaiser Permanente Unions, told KQED on Tuesday, arguing that simply outsourcing the work, as she says Kaiser has considered, is not a remedy. “We need common sense limitations on subcontracting and outsourcing.”\u003c/p>\n\u003cp>Last week’s strike included nearly 75,000 Kaiser workers from facilities in California, Oregon, Washington, Colorado, Virginia and Washington, D.C. The majority of the strikers were located in California, with some 23,000 joining picket lines in the Bay Area alone.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In addition to significant staffing increases, workers are pushing for a 6.5% wage hike in the first two years of their next contract, and a 5.75% increase the following two years. They are also seeking to raise the minimum wage among workers in the union to $26 by 2026. Kaiser’s current minimum wage varies by region, but many places offer just under $20 per hour.\u003c/p>\n\u003cp>In the last round of negotiations, union officials rejected \u003ca href=\"https://about.kaiserpermanente.org/content/dam/kp/mykp/documents/infographics-pdf/new-offer-infographic_100123_5pm.pdf\">Kaiser’s offer (PDF)\u003c/a> of 4% across-the-board wage increases for all Northern California workers for the next two years, and 3% for the following two years, in addition to a minimum performance bonus.\u003c/p>\n\u003cp>Kaiser also recently offered a $23-per-hour minimum wage for its employees in California starting in 2024.\u003c/p>\n\u003cp>“Kaiser Permanente remains committed to reaching an agreement that is good for our employees, our members, and our organization, and we will continue to bargain in good faith,” the Oakland-based company said in an email to KQED on Tuesday.\u003c/p>\n\u003cp>As part of negotiations with the labor coalition, Kaiser has also vowed to accelerate the pace of hiring and add 10,000 new employees nationwide by the end of this year.\u003c/p>\n\u003cp>And although the company is on track to surpass that goal, union officials say it’s still not enough to make up for the burnout and turnover fueled by the pandemic, that has left many facilities severely understaffed.\u003c/p>\n\u003cp>“This week, Kaiser executives will have another opportunity to listen to frontline staff,” said Lucas, the union coalition leader, “and to begin investing in ways that will solve the Kaiser short-staffing crisis.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "Newsom Signs Law Expanding Conservatorships for Those Experiencing Severe Mental Illness, Substance Abuse",
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"content": "\u003cp>Gov. Gavin Newsom on Tuesday signed the first of a series of bills that aims to transform California’s mental health system by loosening long-standing rules that dictate who can be forced into treatment.\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB43\">Senate Bill 43\u003c/a>, which changes the state’s conservatorship laws for the first time in more than 50 years, broadens the standards for involuntary medical treatment to include people who are considered unable to keep themselves safe because of severe substance-use disorders or mental health issues.\u003c/p>\n\u003cp>Depending on who you ask, this transformation represents a long overdue humanitarian response — or a worrisome step backward on civil liberties.\u003c/p>\n\u003cp>“California is undertaking a \u003ca href=\"https://www.gov.ca.gov/2023/10/10/modernizing-conservatorship-law-sb43/\">major overhaul of our mental health system,\u003c/a>” Newsom said in a statement. “The mental health crisis affects us all, and people who need the most help have been too often overlooked. We are working to ensure no one falls through the cracks, and that people get the help they need and the respect they deserve.”\u003c/p>\n\u003cp>Newsom is also expected to sign legislation that sends two key ballot measures to voters next March: a $6.4 billion bond to pay for 10,000\u003cstrong> \u003c/strong>new treatment beds and expand supportive housing options, and an update to a 20-year-old law that provides funding for \u003ca href=\"https://calmatters.org/health/mental-health/2023/09/gavin-newsom-mental-health-2024-election/\">mental health services\u003c/a>. Both measures would need approval from a majority of voters.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>All of this comes just as CARE Court — Newsom’s signature mental health legislation from last year aimed at addressing treatment options for people suffering from severe mental illness — begins rolling out in an initial cohort of seven counties. Glenn, Orange, Riverside, San Diego, San Francisco, Stanislaus and Tuolumne counties opened their \u003ca href=\"https://calmatters.org/housing/2022/09/california-lawmakers-approved-care-court-what-comes-next/\">Community Assistance, Recovery, and Empowerment (CARE) courts\u003c/a> earlier this month; Los Angeles County will open its court in December. The rest of the state’s counties will follow suit next year.\u003c/p>\n\u003cp>Addressing serious mental illness among the state’s growing unhoused population is a major focus of all of these initiatives.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"conservatorship\"]A recent survey of people experiencing homelessness by the \u003ca href=\"https://calmatters.org/housing/2023/06/california-homeless-growth-report/\">UCSF Benioff Homelessness and Housing Initiative\u003c/a>, found that the majority had experienced \u003ca href=\"https://homelessness.ucsf.edu/sites/default/files/2023-06/CASPEH_Report_62023.pdf\">serious mental health conditions (PDF)\u003c/a> at some point in their lives, but also found that high housing costs and low incomes were the main reasons most actually entered homelessness.\u003c/p>\n\u003cp>CARE Court allows family, close friends, first responders and behavioral health workers to petition a court to compel a person with untreated schizophrenia or other psychotic disorders into a court-ordered treatment plan. The proposed ballot initiative to redesign the Mental Health Services Act would require that 30% of tax dollars brought in under the plan go toward housing programs, with half of that reserved for people who are chronically homeless or living in encampments.\u003c/p>\n\u003cp>The prospective changes mark a significant departure from the decades in which civil liberties protections for Californians with mental illness seemed virtually untouchable because of the landmark 1967 Lanterman-Petris-Short Act.\u003c/p>\n\u003cp>The authors of that law sought to end the inappropriate and often indefinite institutionalization of people with mental illnesses and developmental disabilities. At the time, it had been relatively easy for family members to force people into mental health treatment, often locking them away for long stretches in state hospitals where conditions were often abhorrent.\u003c/p>\n\u003ch2>New standard for involuntary treatment\u003c/h2>\n\u003cp>The law established strict criteria to determine who was eligible for involuntary treatment as well as specific timeframes that limited how long people could be held against their will. This included the 72-hour hold period, known as a 5150. But concurrent promises to build up community-based support programs did not materialize.\u003c/p>\n\u003cp>Susan Talamantes Eggman, a social worker turned Democratic state senator from Stockton, has become one of the Legislature’s main authors of mental health policies, and is among those who feel the state went too far back then.\u003c/p>\n\u003cp>“For fear of doing something wrong we did something even worse,” said Eggman, who authored SB 43 and co-authored last year’s CARE Act.\u003c/p>\n\u003cp>She told CalMatters she has tried five times in recent years to introduce legislation amending the Lanterman-Petris-Short Act, but was stymied by stiff resistance from disability rights groups and some legislators concerned with the civil liberties implications.\u003c/p>\n\u003cp>But this year’s attempt sailed through the Legislature with little opposition.\u003c/p>\n\u003cp>She called the current constellation of policy changes “the most significant thing we’ve done in the mental health, behavioral health workspace easily within the last 50 years.”\u003c/p>\n\u003ch2 id=\"h-why-some-families-want-involuntary-treatment\" class=\"wp-block-heading\">Why some families want involuntary treatment\u003c/h2>\n\u003cp>Many families of seriously mentally ill individuals say they are thrilled with Eggman’s bill and other recent policy shifts, after long feeling sidelined in their efforts to get treatment for loved ones who refuse it.\u003c/p>\n\u003cp>“I think personally that the tide is finally turning, that we are on our way to really doing something to help these very sick people get the treatment that they need,” said Linda Mimms, vice chair of the national Schizophrenia & Psychosis Action Alliance.\u003c/p>\n\u003cp>She lauded \u003ca href=\"https://www.youtube.com/watch?v=gCBATlzmvqA\">Newsom’s interview with 60 Minutes\u003c/a> last month, in which he called out critics of the changes.\u003c/p>\n\u003cp>“Change has its enemies. I get it,” Newsom said. “But one thing you cannot argue for — with all due respect to all the critics out there — is the status quo. You can’t. And in the absence of alternatives, what the hell are we going to do to address this crisis?”\u003c/p>\n\u003cp>But those critics say they aren’t defending the status quo at all. Rather, they point to other critical parts of the system — including affordable housing and an array of voluntary treatment services — that have suffered after decades of underinvestment.\u003c/p>\n\u003cp>“We’re never having the right conversation,” said Kelechi Ubozoh, a mental health advocate and author of \u003cem>We’ve Been Too Patient: Voices from Radical Mental Health\u003c/em>. “It is a conversation around poverty. We’re still saying, ‘Let’s blame it on mental health and the mental health system.’”\u003c/p>\n\u003cp>Many who live with mental illness have had traumatic experiences with involuntary treatment, Ubozoh said, and are “really scared” by the current direction the state is headed.\u003c/p>\n\u003cp>“For no one to oppose this huge erosion of civil rights is just a really concerning change in the state Legislature,” said Samuel Jain, senior attorney with Disability Rights California. He believes that state leaders, feeling pressure to address the state’s spiraling homelessness crisis, are conflating homelessness and mental illness.\u003c/p>\n\u003cp>“We don’t feel that this is going to change anything on the streets,” he said. “This strategy seems to be to take people with mental health disabilities and put them into institutions.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>In the meantime, he said, his organization’s clients often find themselves stuck in emergency departments and locked psychiatric settings because there are no community-based beds available for them.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Gov. Gavin Newsom on Tuesday signed the first of a series of bills that aims to transform California’s mental health system by loosening long-standing rules that dictate who can be forced into treatment.\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB43\">Senate Bill 43\u003c/a>, which changes the state’s conservatorship laws for the first time in more than 50 years, broadens the standards for involuntary medical treatment to include people who are considered unable to keep themselves safe because of severe substance-use disorders or mental health issues.\u003c/p>\n\u003cp>Depending on who you ask, this transformation represents a long overdue humanitarian response — or a worrisome step backward on civil liberties.\u003c/p>\n\u003cp>“California is undertaking a \u003ca href=\"https://www.gov.ca.gov/2023/10/10/modernizing-conservatorship-law-sb43/\">major overhaul of our mental health system,\u003c/a>” Newsom said in a statement. “The mental health crisis affects us all, and people who need the most help have been too often overlooked. We are working to ensure no one falls through the cracks, and that people get the help they need and the respect they deserve.”\u003c/p>\n\u003cp>Newsom is also expected to sign legislation that sends two key ballot measures to voters next March: a $6.4 billion bond to pay for 10,000\u003cstrong> \u003c/strong>new treatment beds and expand supportive housing options, and an update to a 20-year-old law that provides funding for \u003ca href=\"https://calmatters.org/health/mental-health/2023/09/gavin-newsom-mental-health-2024-election/\">mental health services\u003c/a>. Both measures would need approval from a majority of voters.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>All of this comes just as CARE Court — Newsom’s signature mental health legislation from last year aimed at addressing treatment options for people suffering from severe mental illness — begins rolling out in an initial cohort of seven counties. Glenn, Orange, Riverside, San Diego, San Francisco, Stanislaus and Tuolumne counties opened their \u003ca href=\"https://calmatters.org/housing/2022/09/california-lawmakers-approved-care-court-what-comes-next/\">Community Assistance, Recovery, and Empowerment (CARE) courts\u003c/a> earlier this month; Los Angeles County will open its court in December. The rest of the state’s counties will follow suit next year.\u003c/p>\n\u003cp>Addressing serious mental illness among the state’s growing unhoused population is a major focus of all of these initiatives.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>A recent survey of people experiencing homelessness by the \u003ca href=\"https://calmatters.org/housing/2023/06/california-homeless-growth-report/\">UCSF Benioff Homelessness and Housing Initiative\u003c/a>, found that the majority had experienced \u003ca href=\"https://homelessness.ucsf.edu/sites/default/files/2023-06/CASPEH_Report_62023.pdf\">serious mental health conditions (PDF)\u003c/a> at some point in their lives, but also found that high housing costs and low incomes were the main reasons most actually entered homelessness.\u003c/p>\n\u003cp>CARE Court allows family, close friends, first responders and behavioral health workers to petition a court to compel a person with untreated schizophrenia or other psychotic disorders into a court-ordered treatment plan. The proposed ballot initiative to redesign the Mental Health Services Act would require that 30% of tax dollars brought in under the plan go toward housing programs, with half of that reserved for people who are chronically homeless or living in encampments.\u003c/p>\n\u003cp>The prospective changes mark a significant departure from the decades in which civil liberties protections for Californians with mental illness seemed virtually untouchable because of the landmark 1967 Lanterman-Petris-Short Act.\u003c/p>\n\u003cp>The authors of that law sought to end the inappropriate and often indefinite institutionalization of people with mental illnesses and developmental disabilities. At the time, it had been relatively easy for family members to force people into mental health treatment, often locking them away for long stretches in state hospitals where conditions were often abhorrent.\u003c/p>\n\u003ch2>New standard for involuntary treatment\u003c/h2>\n\u003cp>The law established strict criteria to determine who was eligible for involuntary treatment as well as specific timeframes that limited how long people could be held against their will. This included the 72-hour hold period, known as a 5150. But concurrent promises to build up community-based support programs did not materialize.\u003c/p>\n\u003cp>Susan Talamantes Eggman, a social worker turned Democratic state senator from Stockton, has become one of the Legislature’s main authors of mental health policies, and is among those who feel the state went too far back then.\u003c/p>\n\u003cp>“For fear of doing something wrong we did something even worse,” said Eggman, who authored SB 43 and co-authored last year’s CARE Act.\u003c/p>\n\u003cp>She told CalMatters she has tried five times in recent years to introduce legislation amending the Lanterman-Petris-Short Act, but was stymied by stiff resistance from disability rights groups and some legislators concerned with the civil liberties implications.\u003c/p>\n\u003cp>But this year’s attempt sailed through the Legislature with little opposition.\u003c/p>\n\u003cp>She called the current constellation of policy changes “the most significant thing we’ve done in the mental health, behavioral health workspace easily within the last 50 years.”\u003c/p>\n\u003ch2 id=\"h-why-some-families-want-involuntary-treatment\" class=\"wp-block-heading\">Why some families want involuntary treatment\u003c/h2>\n\u003cp>Many families of seriously mentally ill individuals say they are thrilled with Eggman’s bill and other recent policy shifts, after long feeling sidelined in their efforts to get treatment for loved ones who refuse it.\u003c/p>\n\u003cp>“I think personally that the tide is finally turning, that we are on our way to really doing something to help these very sick people get the treatment that they need,” said Linda Mimms, vice chair of the national Schizophrenia & Psychosis Action Alliance.\u003c/p>\n\u003cp>She lauded \u003ca href=\"https://www.youtube.com/watch?v=gCBATlzmvqA\">Newsom’s interview with 60 Minutes\u003c/a> last month, in which he called out critics of the changes.\u003c/p>\n\u003cp>“Change has its enemies. I get it,” Newsom said. “But one thing you cannot argue for — with all due respect to all the critics out there — is the status quo. You can’t. And in the absence of alternatives, what the hell are we going to do to address this crisis?”\u003c/p>\n\u003cp>But those critics say they aren’t defending the status quo at all. Rather, they point to other critical parts of the system — including affordable housing and an array of voluntary treatment services — that have suffered after decades of underinvestment.\u003c/p>\n\u003cp>“We’re never having the right conversation,” said Kelechi Ubozoh, a mental health advocate and author of \u003cem>We’ve Been Too Patient: Voices from Radical Mental Health\u003c/em>. “It is a conversation around poverty. We’re still saying, ‘Let’s blame it on mental health and the mental health system.’”\u003c/p>\n\u003cp>Many who live with mental illness have had traumatic experiences with involuntary treatment, Ubozoh said, and are “really scared” by the current direction the state is headed.\u003c/p>\n\u003cp>“For no one to oppose this huge erosion of civil rights is just a really concerning change in the state Legislature,” said Samuel Jain, senior attorney with Disability Rights California. He believes that state leaders, feeling pressure to address the state’s spiraling homelessness crisis, are conflating homelessness and mental illness.\u003c/p>\n\u003cp>“We don’t feel that this is going to change anything on the streets,” he said. “This strategy seems to be to take people with mental health disabilities and put them into institutions.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In the meantime, he said, his organization’s clients often find themselves stuck in emergency departments and locked psychiatric settings because there are no community-based beds available for them.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Day two of the \u003ca href=\"https://www.kqed.org/news/11963306/kaiser-strike-furthers-delays-in-covid-19-vaccines-some-surgeries-in-the-bay-area\">largest health care worker strike in U.S. history\u003c/a> is underway across the country and in the Bay Area, as tens of thousands of Kaiser workers are seeking higher wages and increased staffing.\u003c/p>\n\u003cp>“Frontline health care workers are awaiting a meaningful response from Kaiser executives regarding some of our key priorities including safe staffing, outsourcing protections for incumbent health care workers, and fair wages to reduce turnover,” said Caroline Lucas, a spokesperson for the Coalition of Kaiser Permanente Unions.\u003c/p>\n\u003cp>Kaiser Permanente leaders and union representatives met Monday and Tuesday for bargaining, but did not come to an agreement before \u003ca href=\"https://www.kqed.org/news/11963306/kaiser-strike-furthers-delays-in-covid-19-vaccines-some-surgeries-in-the-bay-area\">workers began striking on Wednesday morning\u003c/a>. As of Wednesday evening, there were no new negotiation sessions scheduled, Lucas said.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Drenda Sims, receptionist, Kaiser’s OB-GYN department in Oakland\"]‘We have employees sleeping in their cars because they can’t afford the cost of living. We need a raise. It’s bad.’[/pullquote]The strike is slated to end at 6 a.m. on Saturday morning, according to statements from both Kaiser Permanente and the coalition representing Kaiser workers unions.\u003c/p>\n\u003cp>“We will coordinate with Coalition leaders to reconvene bargaining as soon as possible,” a spokesperson for Kaiser told KQED on Thursday. “We will work hard to reach an agreement so that together, we can all return to delivering on the mission of Kaiser Permanente for the benefit of our members, patients, employees, physicians, customers, and communities.”\u003c/p>\n\u003cp>In a press statement days before the strike began, Kaiser said it hired 29,000 people in 2022, and 22,000 so far in 2023. Of the new hires this year, the company said more than 9,800 are in jobs represented by the Coalition of Kaiser Permanente Unions.\u003c/p>\n\u003cp>In earlier bargaining talks this year, Kaiser said it agreed to accelerate bringing on new staff and set a goal of adding 10,000 new employees represented by the Coalition by the end of 2023.\u003c/p>\n\u003cfigure id=\"attachment_11963407\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11963407\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-800x533.jpg\" alt=\"A large group of people hold signs in an outdoor setting.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-1920x1280.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED.jpg 2000w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Kaiser workers strike in front of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 2, 2023 \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Kaiser Permanente’s efforts are paying off: We expect to reach the 10,000 new hire goal by the end of October, if not sooner, and we won’t stop there,” the \u003ca href=\"https://about.kaiserpermanente.org/who-we-are/labor-relations/we-remain-committed-to-reaching-an-agreement-with-the-coalition\">press statement reads\u003c/a>. “We are committed to addressing every area of staffing that is still challenging. We’ve also taken actions to streamline the screening, hiring, and onboarding process.”\u003c/p>\n\u003cp>Roles impacted by the strike this week include respiratory therapists, optometrists, behavioral health workers, medical assistants and many others.\u003c/p>\n\u003cp>In an email, a Kaiser spokesperson said they will hire “contingent workers” to fill in for workers on strike this week. Some elective surgeries have been rescheduled, and wait times for COVID-19 and flu vaccines are also impacted. (\u003ca href=\"https://www.kqed.org/news/11963308/kaiser-strike-if-youre-a-patient-what-medical-services-would-be-affected\">Read KQED’s guide for Kaiser patients during the strike and what you need to know\u003c/a>.)\u003c/p>\n\u003cp>Workers on the picket lines this week told KQED they feel overworked and underpaid, and that low staffing after the pandemic has come at the expense of the quality of patient care.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We have seen patients in the hallways, we have seen patients not attended to immediately when they go to the emergency rooms,” said Edward Lopez-Matus, a union leader and medical assistant with Kaiser Permanente who started picketing around 5:30 a.m. on Wednesday outside of the San Francisco Kaiser facility. “When we are covering for doctors at the clinic levels, this is where mistakes can happen and this is not right for our patients. We need to have the right staffing so we can have the right care for our patients.”\u003c/p>\n\u003cp>Close to 75,000 Kaiser workers in California — as well as in Oregon, Washington, Colorado, Virginia and Washington, D.C. — are seeking a significant increase in staffing and are pushing for a 6.5% wage increase in the first two years of this next contract, and a 5.75% increase the following two years.[aside tag=\"kaiser, health\" label=\"More Related Stories\"]\u003c/p>\n\u003cp>Employees are also seeking to raise the minimum wage across the board to $26 by 2026.\u003c/p>\n\u003cp>In a recent proposal, Kaiser offered California workers across-the-board wage increases of 4% for the next two years, and 3% for the following two years, as well as a minimum performance bonus aimed to prevent any employees from receiving no payout.\u003c/p>\n\u003cp>Kaiser also recently offered a $23-per-hour minimum wage for its employees in California starting in 2024.\u003c/p>\n\u003cp>Workers on strike this week are pushing for more.\u003c/p>\n\u003cp>“We have employees sleeping in their cars because they can’t afford the cost of living,” said Drenda Sims, a receptionist at Kaiser’s OB-GYN department in Oakland. “We need a raise. It’s bad.”\u003c/p>\n\u003cp>\u003cem>KQED’s Farida Jhabvala Romero and Billy Cruz contributed to this report. \u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Day two of the \u003ca href=\"https://www.kqed.org/news/11963306/kaiser-strike-furthers-delays-in-covid-19-vaccines-some-surgeries-in-the-bay-area\">largest health care worker strike in U.S. history\u003c/a> is underway across the country and in the Bay Area, as tens of thousands of Kaiser workers are seeking higher wages and increased staffing.\u003c/p>\n\u003cp>“Frontline health care workers are awaiting a meaningful response from Kaiser executives regarding some of our key priorities including safe staffing, outsourcing protections for incumbent health care workers, and fair wages to reduce turnover,” said Caroline Lucas, a spokesperson for the Coalition of Kaiser Permanente Unions.\u003c/p>\n\u003cp>Kaiser Permanente leaders and union representatives met Monday and Tuesday for bargaining, but did not come to an agreement before \u003ca href=\"https://www.kqed.org/news/11963306/kaiser-strike-furthers-delays-in-covid-19-vaccines-some-surgeries-in-the-bay-area\">workers began striking on Wednesday morning\u003c/a>. As of Wednesday evening, there were no new negotiation sessions scheduled, Lucas said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The strike is slated to end at 6 a.m. on Saturday morning, according to statements from both Kaiser Permanente and the coalition representing Kaiser workers unions.\u003c/p>\n\u003cp>“We will coordinate with Coalition leaders to reconvene bargaining as soon as possible,” a spokesperson for Kaiser told KQED on Thursday. “We will work hard to reach an agreement so that together, we can all return to delivering on the mission of Kaiser Permanente for the benefit of our members, patients, employees, physicians, customers, and communities.”\u003c/p>\n\u003cp>In a press statement days before the strike began, Kaiser said it hired 29,000 people in 2022, and 22,000 so far in 2023. Of the new hires this year, the company said more than 9,800 are in jobs represented by the Coalition of Kaiser Permanente Unions.\u003c/p>\n\u003cp>In earlier bargaining talks this year, Kaiser said it agreed to accelerate bringing on new staff and set a goal of adding 10,000 new employees represented by the Coalition by the end of 2023.\u003c/p>\n\u003cfigure id=\"attachment_11963407\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11963407\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-800x533.jpg\" alt=\"A large group of people hold signs in an outdoor setting.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-1920x1280.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED.jpg 2000w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Kaiser workers strike in front of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 2, 2023 \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Kaiser Permanente’s efforts are paying off: We expect to reach the 10,000 new hire goal by the end of October, if not sooner, and we won’t stop there,” the \u003ca href=\"https://about.kaiserpermanente.org/who-we-are/labor-relations/we-remain-committed-to-reaching-an-agreement-with-the-coalition\">press statement reads\u003c/a>. “We are committed to addressing every area of staffing that is still challenging. We’ve also taken actions to streamline the screening, hiring, and onboarding process.”\u003c/p>\n\u003cp>Roles impacted by the strike this week include respiratory therapists, optometrists, behavioral health workers, medical assistants and many others.\u003c/p>\n\u003cp>In an email, a Kaiser spokesperson said they will hire “contingent workers” to fill in for workers on strike this week. Some elective surgeries have been rescheduled, and wait times for COVID-19 and flu vaccines are also impacted. (\u003ca href=\"https://www.kqed.org/news/11963308/kaiser-strike-if-youre-a-patient-what-medical-services-would-be-affected\">Read KQED’s guide for Kaiser patients during the strike and what you need to know\u003c/a>.)\u003c/p>\n\u003cp>Workers on the picket lines this week told KQED they feel overworked and underpaid, and that low staffing after the pandemic has come at the expense of the quality of patient care.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Employees are also seeking to raise the minimum wage across the board to $26 by 2026.\u003c/p>\n\u003cp>In a recent proposal, Kaiser offered California workers across-the-board wage increases of 4% for the next two years, and 3% for the following two years, as well as a minimum performance bonus aimed to prevent any employees from receiving no payout.\u003c/p>\n\u003cp>Kaiser also recently offered a $23-per-hour minimum wage for its employees in California starting in 2024.\u003c/p>\n\u003cp>Workers on strike this week are pushing for more.\u003c/p>\n\u003cp>“We have employees sleeping in their cars because they can’t afford the cost of living,” said Drenda Sims, a receptionist at Kaiser’s OB-GYN department in Oakland. “We need a raise. It’s bad.”\u003c/p>\n\u003cp>\u003cem>KQED’s Farida Jhabvala Romero and Billy Cruz contributed to this report. \u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/11963152/looming-kaiser-strike-could-delay-covid-flu-shots\">Tens of thousands of Kaiser Permanente health care workers across six states went on strike\u003c/a> this morning — including in California.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/2023/10/kaiser-strike-at-california-hospitals-october/\">Kaiser controls half of California’s private insurance market\u003c/a>, and has more than 9.4 million members across the state.\u003c/p>\n\u003cp>So if you’re a Kaiser patient, keep reading for what you need to know about the strike, who’s likely to be impacted and which medical services from Kaiser will be affected during this time.\u003c/p>\n\u003ch2>How long would a Kaiser strike last?\u003c/h2>\n\u003cp>Right now, the Kaiser strike in California is anticipated to last at least three days. It began at 6 a.m. on Wednesday, Oct. 4, and is expected to end at 6 a.m. on Saturday Oct. 7.\u003c/p>\n\u003ch2>Who is on strike at Kaiser?\u003c/h2>\n\u003cp>Nearly 75,000 Kaiser Permanente health care workers across six states, including California, went on strike today.\u003c/p>\n\u003cp>The strike impacts nearly 68,000 Kaiser employees in California — 22,650 of which are in the Bay Area, \u003ca href=\"https://www.kqed.org/news/11963152/looming-kaiser-strike-could-delay-covid-flu-shots\">according to the Coalition of Kaiser Permanente Unions\u003c/a>.\u003c/p>\n\u003cp>The union coalition says that jobs affected by the Kaiser strike will include: licensed vocational nurses, emergency department technicians, radiology technicians, ultrasound sonographers, teleservice representatives, respiratory therapists, x-ray technicians, certified nursing assistants, dietary services, behavioral health workers, surgical technicians, pharmacy technicians, transporters, home health aides, phlebotomists, medical assistants, and housekeepers, “among hundreds of other positions.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>What Kaiser services \u003cem>won’t\u003c/em> be affected by a strike?\u003c/h2>\n\u003cp>Neither the nurses union nor Kaiser’s physicians will be on strike, according to a statement Kaiser emailed to KQED, which also confirms that hospitals and emergency departments will remain open during any strike.\u003c/p>\n\u003cp>“Hospital pharmacies for inpatient care and critical infusion services will remain in operation” as well, according to the statement.\u003c/p>\n\u003cp>“Our facilities will be staffed by our physicians, trained and experienced managers and staff, and in some cases, we will augment with licensed and qualified contract staff,” said the statement.\u003c/p>\n\u003cp>You should not let any potential strike delay you from seeking care for a health emergency.\u003c/p>\n\u003cp>[aside label='Related Coverage' tag='kaiser-permanente']\u003c/p>\n\u003ch2>What Kaiser services will be affected by a strike?\u003c/h2>\n\u003cp>\u003cstrong>If you already have an appointment with Kaiser …\u003c/strong>\u003c/p>\n\u003cp>Kaiser said in its statement to KQED that during the strike, “in consultation with our physicians, we may need to reschedule certain non-urgent appointments and procedures, as long as that is appropriate and safe for the patient.”\u003c/p>\n\u003cp>If you have an existing appointment that’ll fall during the strike, Kaiser’s statement said the health system will “contact any patient affected by the strike in advance if necessary and work with them to reschedule their appointments.”\u003c/p>\n\u003cp>There’s no need for you to call or email your doctor’s office yourself, according to Kaiser.\u003c/p>\n\u003cp>\u003cstrong>If you need a laboratory, radiology or optical service …\u003c/strong>\u003c/p>\n\u003cp>“Some of our laboratory, radiology, and optical locations may be temporarily closed or operating with reduced hours during the strike,” said Kaiser. The company advises you to\u003ca href=\"https://healthy.kaiserpermanente.org/northern-california/front-door\"> schedule an appointment online\u003c/a> or via the KP mobile app.\u003c/p>\n\u003cp>What if you need lab work, radiology or optical services urgently? In this scenario, Kaiser advises that you call their Appointment and Advice Call Center at 1-866-454-8855 (TTY 711), 24 hours a day, 7 days a week.\u003c/p>\n\u003cp>“As a result of the strike, we may experience high call volumes resulting in longer than usual wait times,” notes Kaiser’s statement.\u003c/p>\n\u003cp>\u003cstrong>If you’re looking for a COVID or flu shot …\u003c/strong>\u003c/p>\n\u003cp>“Some COVID-19 and flu vaccine services may be affected if a strike occurs,” Kaiser representatives told KQED in a statement.\u003c/p>\n\u003cp>If you’re looking for either a COVID or flu shot ASAP during the strike, you can still find one at a pharmacy near you — but you’ll likely have to pay for it. Usually, if you have health insurance you should be able to give your insurer’s details at a pharmacy vaccination appointment to have the cost of your shot billed to them, but health systems like Kaiser are the exception to this, and so you almost certainly won’t be able to get your new COVID vaccine — or flu shot — at a pharmacy like CVS or Walgreens. \u003ca href=\"https://www.kqed.org/news/11960630/free-new-covid-vaccine-near-me-2023#kaisernewcovidvaccine\">Read more about finding a new COVID vaccine near you.\u003c/a>\u003c/p>\n\u003cp>[aside postID=news_11960630]\u003cstrong>If you need a prescription … \u003c/strong>\u003c/p>\n\u003cp>Kaiser’s statement said that “some of our outpatient pharmacies” would be closed or operating on reduced hours in the event of a strike.\u003c/p>\n\u003cp>What if you have a new, urgent prescription need? Kaiser says that you should use your nearest open Kaiser Permanente Pharmacy for these, and that\u003ca href=\"https://healthy.kaiserpermanente.org/northern-california/front-door\"> a list of open Kaiser pharmacies will be posted on the health system’s website “Tuesday evening.”\u003c/a>\u003c/p>\n\u003cp>“Our physicians and our Pharmacy representatives at each of our sites and in the Pharmacy Call Center will work with patients to ensure they get the medications they need,” said Kaiser.\u003c/p>\n\u003cp>You can also use Kaiser’s mail-order delivery “for most convenient services, which delivers medications in 3 to 5 business days with no shipping fee,” according to the health system’s statement.\u003c/p>\n\u003cp>Kaiser’s hospital inpatient pharmacies will remain open, according to the health system, but Kaiser will look at “expanding” their network of pharmacies “to include community pharmacies that can serve our members during a strike and mitigate any closure of our outpatient pharmacies.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/11963152/looming-kaiser-strike-could-delay-covid-flu-shots\">Tens of thousands of Kaiser Permanente health care workers across six states went on strike\u003c/a> this morning — including in California.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/2023/10/kaiser-strike-at-california-hospitals-october/\">Kaiser controls half of California’s private insurance market\u003c/a>, and has more than 9.4 million members across the state.\u003c/p>\n\u003cp>So if you’re a Kaiser patient, keep reading for what you need to know about the strike, who’s likely to be impacted and which medical services from Kaiser will be affected during this time.\u003c/p>\n\u003ch2>How long would a Kaiser strike last?\u003c/h2>\n\u003cp>Right now, the Kaiser strike in California is anticipated to last at least three days. It began at 6 a.m. on Wednesday, Oct. 4, and is expected to end at 6 a.m. on Saturday Oct. 7.\u003c/p>\n\u003ch2>Who is on strike at Kaiser?\u003c/h2>\n\u003cp>Nearly 75,000 Kaiser Permanente health care workers across six states, including California, went on strike today.\u003c/p>\n\u003cp>The strike impacts nearly 68,000 Kaiser employees in California — 22,650 of which are in the Bay Area, \u003ca href=\"https://www.kqed.org/news/11963152/looming-kaiser-strike-could-delay-covid-flu-shots\">according to the Coalition of Kaiser Permanente Unions\u003c/a>.\u003c/p>\n\u003cp>The union coalition says that jobs affected by the Kaiser strike will include: licensed vocational nurses, emergency department technicians, radiology technicians, ultrasound sonographers, teleservice representatives, respiratory therapists, x-ray technicians, certified nursing assistants, dietary services, behavioral health workers, surgical technicians, pharmacy technicians, transporters, home health aides, phlebotomists, medical assistants, and housekeepers, “among hundreds of other positions.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>What Kaiser services \u003cem>won’t\u003c/em> be affected by a strike?\u003c/h2>\n\u003cp>Neither the nurses union nor Kaiser’s physicians will be on strike, according to a statement Kaiser emailed to KQED, which also confirms that hospitals and emergency departments will remain open during any strike.\u003c/p>\n\u003cp>“Hospital pharmacies for inpatient care and critical infusion services will remain in operation” as well, according to the statement.\u003c/p>\n\u003cp>“Our facilities will be staffed by our physicians, trained and experienced managers and staff, and in some cases, we will augment with licensed and qualified contract staff,” said the statement.\u003c/p>\n\u003cp>You should not let any potential strike delay you from seeking care for a health emergency.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>What Kaiser services will be affected by a strike?\u003c/h2>\n\u003cp>\u003cstrong>If you already have an appointment with Kaiser …\u003c/strong>\u003c/p>\n\u003cp>Kaiser said in its statement to KQED that during the strike, “in consultation with our physicians, we may need to reschedule certain non-urgent appointments and procedures, as long as that is appropriate and safe for the patient.”\u003c/p>\n\u003cp>If you have an existing appointment that’ll fall during the strike, Kaiser’s statement said the health system will “contact any patient affected by the strike in advance if necessary and work with them to reschedule their appointments.”\u003c/p>\n\u003cp>There’s no need for you to call or email your doctor’s office yourself, according to Kaiser.\u003c/p>\n\u003cp>\u003cstrong>If you need a laboratory, radiology or optical service …\u003c/strong>\u003c/p>\n\u003cp>“Some of our laboratory, radiology, and optical locations may be temporarily closed or operating with reduced hours during the strike,” said Kaiser. The company advises you to\u003ca href=\"https://healthy.kaiserpermanente.org/northern-california/front-door\"> schedule an appointment online\u003c/a> or via the KP mobile app.\u003c/p>\n\u003cp>What if you need lab work, radiology or optical services urgently? In this scenario, Kaiser advises that you call their Appointment and Advice Call Center at 1-866-454-8855 (TTY 711), 24 hours a day, 7 days a week.\u003c/p>\n\u003cp>“As a result of the strike, we may experience high call volumes resulting in longer than usual wait times,” notes Kaiser’s statement.\u003c/p>\n\u003cp>\u003cstrong>If you’re looking for a COVID or flu shot …\u003c/strong>\u003c/p>\n\u003cp>“Some COVID-19 and flu vaccine services may be affected if a strike occurs,” Kaiser representatives told KQED in a statement.\u003c/p>\n\u003cp>If you’re looking for either a COVID or flu shot ASAP during the strike, you can still find one at a pharmacy near you — but you’ll likely have to pay for it. Usually, if you have health insurance you should be able to give your insurer’s details at a pharmacy vaccination appointment to have the cost of your shot billed to them, but health systems like Kaiser are the exception to this, and so you almost certainly won’t be able to get your new COVID vaccine — or flu shot — at a pharmacy like CVS or Walgreens. \u003ca href=\"https://www.kqed.org/news/11960630/free-new-covid-vaccine-near-me-2023#kaisernewcovidvaccine\">Read more about finding a new COVID vaccine near you.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cstrong>If you need a prescription … \u003c/strong>\u003c/p>\n\u003cp>Kaiser’s statement said that “some of our outpatient pharmacies” would be closed or operating on reduced hours in the event of a strike.\u003c/p>\n\u003cp>What if you have a new, urgent prescription need? Kaiser says that you should use your nearest open Kaiser Permanente Pharmacy for these, and that\u003ca href=\"https://healthy.kaiserpermanente.org/northern-california/front-door\"> a list of open Kaiser pharmacies will be posted on the health system’s website “Tuesday evening.”\u003c/a>\u003c/p>\n\u003cp>“Our physicians and our Pharmacy representatives at each of our sites and in the Pharmacy Call Center will work with patients to ensure they get the medications they need,” said Kaiser.\u003c/p>\n\u003cp>You can also use Kaiser’s mail-order delivery “for most convenient services, which delivers medications in 3 to 5 business days with no shipping fee,” according to the health system’s statement.\u003c/p>\n\u003cp>Kaiser’s hospital inpatient pharmacies will remain open, according to the health system, but Kaiser will look at “expanding” their network of pharmacies “to include community pharmacies that can serve our members during a strike and mitigate any closure of our outpatient pharmacies.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "Looming Kaiser Strike Could Delay COVID, Flu Shots",
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"content": "\u003cp>Nearly 75,000 Kaiser Permanente health care workers across six states, including California, plan to strike beginning Oct. 4 if ongoing \u003ca href=\"https://www.kqed.org/news/11961243/california-kaiser-workers-authorize-strike-as-contract-negotiations-continue\">contract negotiations\u003c/a> don’t result in an agreement very soon.\u003c/p>\n\u003cp>The impending strike, which could be the largest health care strike in U.S. history, would impact nearly 68,000 employees in California — ranging from optometrists to emergency room technicians and housekeeping workers — for at least three days. While Kaiser is prepared to continue most health services, a strike could impact some care needs, including COVID vaccines and flu shots, Kaiser representatives told KQED in an email.\u003c/p>\n\u003cp>“There’s going to be some disruption to care that’s not urgent,” Janet Coffman, professor at the Healthforce Center at UCSF, told KQED. “The bigger issue is how long the strike will be. If it goes beyond three days, then I think we are looking at more disruptions and more difficulties for people to get the COVID-19 vaccine and other care services they need.”\u003c/p>\n\u003cp>Last month, employees represented by Kaiser’s coalition of labor unions \u003ca href=\"https://www.kqed.org/news/11961243/california-kaiser-workers-authorize-strike-as-contract-negotiations-continue\">overwhelmingly voted to authorize a strike\u003c/a> if a deal was not reached by Sept. 30, when their contract expired.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Savonnda Blaylock, Kaiser pharmacy technician\"]‘We are suffering. We have had a lot of people leave during and after the pandemic. Unfortunately, those physicians have not been replaced and we don’t know if they will ever be replaced.’[/pullquote]The Coalition began bargaining in April. As of Oct. 2, a new contract had not yet been reached and negotiations are ongoing.\u003c/p>\n\u003cp>Starting Wednesday, Kaiser employees plan to picket outside facilities across the Bay Area, including in Antioch, Fremont, Oakland, Richmond, Redwood City, San Francisco, South San Francisco, San José, San Leandro, Santa Clara, Walnut Creek, Vacaville, Manteca, Roseville, Santa Rosa and Vallejo.\u003c/p>\n\u003cp>Understaffing and wages are two issues Kaiser workers say they are most concerned about as negotiations continue.\u003c/p>\n\u003cp>Savonnda Blaylock, a pharmacy technician at Kaiser in Tracy, helps order flu and COVID vaccines for her facility. But due to staffing shortages, she said patients already face delays in order to receive shots that they need.\u003c/p>\n\u003cp>“We are suffering. We have had a lot of people leave during and after the pandemic. Unfortunately, those physicians have not been replaced and we don’t know if they will ever be replaced,” Blaylock told KQED.\u003c/p>\n\u003cp>“Patients are having very long delays in care where they can’t get the vaccines they need, they can’t come in to see their physicians, because we don’t have physicians for them to be seen. That’s where the lapse in care comes, and where we are not able to accommodate patients,” said Blaylock.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Another factor impacting vaccine availability, however, is the fact that Kaiser in California just recently received its supply of doses in the last two weeks.\u003c/p>\n\u003cp>“Since the FDA authorized the updated COVID-19 vaccine, large-scale distribution has been a challenge for vaccine providers nationwide, including Kaiser Permanente,” a spokesperson for Kaiser said in an email. “However, we have now received our supply and expect a consistent supply of the vaccine going forward.”\u003c/p>\n\u003cp>Currently, the COVID-19 vaccine is available by walk-in at some Kaiser locations.\u003c/p>\n\u003cp>Regardless of the looming strike, the slow rollout for the COVID-19 vaccine this year has had many people clamoring to secure vaccine appointments.\u003c/p>\n\u003cp>Now, other pharmacies are gearing up to take on additional patients who are seeking vaccines if they can’t get them through Kaiser.\u003c/p>\n\u003cp>“We are committed to ensuring no patient pays and everyone who is eligible and wants a vaccine receives one,” a spokesperson for Walgreens told KQED in an email statement. “We encourage everyone to bring insurance information to their appointment if available but will not turn away those whose insurance does not cover it.”\u003c/p>\n\u003cp>[aside tag=\"kaiser, healthcare, health\" label=\"Related Stories\"]Kaiser is the largest private, nonprofit, health care organization in the U.S., serving more than nine million people in California.\u003c/p>\n\u003cp>Based on similar labor disputes and strikes at Kaiser and other health care giants, Coffman of UCSF said it’s possible that elective surgeries like knee and hip replacements and other non-emergency health care services could be impacted if a strike goes beyond this week.\u003c/p>\n\u003cp>“We call them elective, but often for the people who are getting them, they’ve been in pain for quite some time and further delay just exacerbates that,” Coffman said.\u003c/p>\n\u003cp>Kaiser workers in California — as well as in Oregon, Washington, Colorado, Virginia and Washington, D.C. — are demanding their employer increase staffing. Workers are pushing for a 7% wage increase in the first two years of a new contract, and a 6.25% increase the following two years.\u003c/p>\n\u003cp>Employees are also seeking to raise the minimum wage across the board to $26 by 2026.\u003c/p>\n\u003cp>In a recent proposal, Kaiser offered across-the-board wage increases of between 10%–14% over four years, as well as a minimum performance bonus aimed to prevent any employees from receiving no payout.\u003c/p>\n\u003cp>Kaiser also recently offered a $23 per hour minimum wage for its employees in California starting in 2024.\u003c/p>\n\u003cp>“We lead total compensation in every market where we operate, and our proposals in bargaining would ensure we keep that position,” a spokesperson for Kaiser said in an email. “In some places, a Kaiser Permanente employee leaving for a similar job at another organization would face a 20-plus percent pay cut, and lower benefits.”\u003c/p>\n\u003cp>Meanwhile, the California Legislature recently passed \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billStatusClient.xhtml?bill_id=202320240SB525\">a state bill\u003c/a> that would boost all California health care workers’ minimum wages to $25 per hour. The bill is now awaiting Gov. Gavin Newsom’s signature.\u003c/p>\n\u003cp>The Legislature also recently approved a bill providing unemployment insurance benefits to workers on strike — \u003ca href=\"https://www.kqed.org/news/11963061/newsom-rejects-bill-to-give-unemployment-checks-to-striking-workers\">but Newsom vetoed that bill on Saturday\u003c/a>.\u003c/p>\n\u003cp>The most recent Kaiser strike comes a year after nearly \u003ca href=\"https://www.kqed.org/news/11929713/kaiser-mental-health-workers-appove-new-contract-ending-10-week-strike\">2,000 Kaiser mental health care workers in Northern California went on strike last year for 10 weeks\u003c/a> over many of the same staffing and pay issues that workers today are protesting.\u003c/p>\n\u003cp>“We just want Kaiser to end the short staffing crisis,” said Blaylock, the Kaiser pharmacy technician. “It can happen at the click of the fingers.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Nearly 75,000 Kaiser Permanente health care workers across six states, including California, plan to strike beginning Oct. 4 if ongoing \u003ca href=\"https://www.kqed.org/news/11961243/california-kaiser-workers-authorize-strike-as-contract-negotiations-continue\">contract negotiations\u003c/a> don’t result in an agreement very soon.\u003c/p>\n\u003cp>The impending strike, which could be the largest health care strike in U.S. history, would impact nearly 68,000 employees in California — ranging from optometrists to emergency room technicians and housekeeping workers — for at least three days. While Kaiser is prepared to continue most health services, a strike could impact some care needs, including COVID vaccines and flu shots, Kaiser representatives told KQED in an email.\u003c/p>\n\u003cp>“There’s going to be some disruption to care that’s not urgent,” Janet Coffman, professor at the Healthforce Center at UCSF, told KQED. “The bigger issue is how long the strike will be. If it goes beyond three days, then I think we are looking at more disruptions and more difficulties for people to get the COVID-19 vaccine and other care services they need.”\u003c/p>\n\u003cp>Last month, employees represented by Kaiser’s coalition of labor unions \u003ca href=\"https://www.kqed.org/news/11961243/california-kaiser-workers-authorize-strike-as-contract-negotiations-continue\">overwhelmingly voted to authorize a strike\u003c/a> if a deal was not reached by Sept. 30, when their contract expired.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The Coalition began bargaining in April. As of Oct. 2, a new contract had not yet been reached and negotiations are ongoing.\u003c/p>\n\u003cp>Starting Wednesday, Kaiser employees plan to picket outside facilities across the Bay Area, including in Antioch, Fremont, Oakland, Richmond, Redwood City, San Francisco, South San Francisco, San José, San Leandro, Santa Clara, Walnut Creek, Vacaville, Manteca, Roseville, Santa Rosa and Vallejo.\u003c/p>\n\u003cp>Understaffing and wages are two issues Kaiser workers say they are most concerned about as negotiations continue.\u003c/p>\n\u003cp>Savonnda Blaylock, a pharmacy technician at Kaiser in Tracy, helps order flu and COVID vaccines for her facility. But due to staffing shortages, she said patients already face delays in order to receive shots that they need.\u003c/p>\n\u003cp>“We are suffering. We have had a lot of people leave during and after the pandemic. Unfortunately, those physicians have not been replaced and we don’t know if they will ever be replaced,” Blaylock told KQED.\u003c/p>\n\u003cp>“Patients are having very long delays in care where they can’t get the vaccines they need, they can’t come in to see their physicians, because we don’t have physicians for them to be seen. That’s where the lapse in care comes, and where we are not able to accommodate patients,” said Blaylock.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Another factor impacting vaccine availability, however, is the fact that Kaiser in California just recently received its supply of doses in the last two weeks.\u003c/p>\n\u003cp>“Since the FDA authorized the updated COVID-19 vaccine, large-scale distribution has been a challenge for vaccine providers nationwide, including Kaiser Permanente,” a spokesperson for Kaiser said in an email. “However, we have now received our supply and expect a consistent supply of the vaccine going forward.”\u003c/p>\n\u003cp>Currently, the COVID-19 vaccine is available by walk-in at some Kaiser locations.\u003c/p>\n\u003cp>Regardless of the looming strike, the slow rollout for the COVID-19 vaccine this year has had many people clamoring to secure vaccine appointments.\u003c/p>\n\u003cp>Now, other pharmacies are gearing up to take on additional patients who are seeking vaccines if they can’t get them through Kaiser.\u003c/p>\n\u003cp>“We are committed to ensuring no patient pays and everyone who is eligible and wants a vaccine receives one,” a spokesperson for Walgreens told KQED in an email statement. “We encourage everyone to bring insurance information to their appointment if available but will not turn away those whose insurance does not cover it.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Kaiser is the largest private, nonprofit, health care organization in the U.S., serving more than nine million people in California.\u003c/p>\n\u003cp>Based on similar labor disputes and strikes at Kaiser and other health care giants, Coffman of UCSF said it’s possible that elective surgeries like knee and hip replacements and other non-emergency health care services could be impacted if a strike goes beyond this week.\u003c/p>\n\u003cp>“We call them elective, but often for the people who are getting them, they’ve been in pain for quite some time and further delay just exacerbates that,” Coffman said.\u003c/p>\n\u003cp>Kaiser workers in California — as well as in Oregon, Washington, Colorado, Virginia and Washington, D.C. — are demanding their employer increase staffing. Workers are pushing for a 7% wage increase in the first two years of a new contract, and a 6.25% increase the following two years.\u003c/p>\n\u003cp>Employees are also seeking to raise the minimum wage across the board to $26 by 2026.\u003c/p>\n\u003cp>In a recent proposal, Kaiser offered across-the-board wage increases of between 10%–14% over four years, as well as a minimum performance bonus aimed to prevent any employees from receiving no payout.\u003c/p>\n\u003cp>Kaiser also recently offered a $23 per hour minimum wage for its employees in California starting in 2024.\u003c/p>\n\u003cp>“We lead total compensation in every market where we operate, and our proposals in bargaining would ensure we keep that position,” a spokesperson for Kaiser said in an email. “In some places, a Kaiser Permanente employee leaving for a similar job at another organization would face a 20-plus percent pay cut, and lower benefits.”\u003c/p>\n\u003cp>Meanwhile, the California Legislature recently passed \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billStatusClient.xhtml?bill_id=202320240SB525\">a state bill\u003c/a> that would boost all California health care workers’ minimum wages to $25 per hour. The bill is now awaiting Gov. Gavin Newsom’s signature.\u003c/p>\n\u003cp>The Legislature also recently approved a bill providing unemployment insurance benefits to workers on strike — \u003ca href=\"https://www.kqed.org/news/11963061/newsom-rejects-bill-to-give-unemployment-checks-to-striking-workers\">but Newsom vetoed that bill on Saturday\u003c/a>.\u003c/p>\n\u003cp>The most recent Kaiser strike comes a year after nearly \u003ca href=\"https://www.kqed.org/news/11929713/kaiser-mental-health-workers-appove-new-contract-ending-10-week-strike\">2,000 Kaiser mental health care workers in Northern California went on strike last year for 10 weeks\u003c/a> over many of the same staffing and pay issues that workers today are protesting.\u003c/p>\n\u003cp>“We just want Kaiser to end the short staffing crisis,” said Blaylock, the Kaiser pharmacy technician. “It can happen at the click of the fingers.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>We’re over three years into the COVID pandemic. And \u003ca href=\"https://www.kqed.org/news/11957790/the-new-covid-eris-variant-and-rising-cases-what-you-need-to-know\">as we’ve seen this summer, with the new Eris variant\u003c/a>, COVID continues to infect folks of all ages and still results in severe disease and hospitalization for some.\u003c/p>\n\u003cp>But please don’t forget: The flu remains a potentially serious threat to your health too.\u003c/p>\n\u003cp>Jump straight to:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#whenflushot\">When should I get my flu shot?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#boosterflushot\">Can I get my new COVID vaccine and my flu shot at the same time? What about the RSV vaccine?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#flushotnearme\">Where can I get a flu shot, with or without insurance?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>Why is the flu so serious?\u003c/h2>\n\u003cp>Back in \u003ca href=\"https://www.cdc.gov/flu/season/faq-flu-season-2020-2021.htm\">2020, the U.S. saw a record-low number of flu cases\u003c/a> — most likely due to widespread mask-wearing, increased hygiene, social distancing and remote work and school. And \u003ca href=\"https://www.cdc.gov/flu/about/burden/preliminary-in-season-estimates.htm\">the Centers for Disease Control and Prevention says that flu activity has overall “been lower\u003c/a> than observed before the pandemic.”\u003c/p>\n\u003cp>Nonetheless, the CDC estimates that\u003ca href=\"https://www.cdc.gov/flu/about/burden/preliminary-in-season-estimates.htm\"> last year’s flu season resulted in 19,000–58,000 deaths from flu\u003c/a> and 300,000–650,000 flu hospitalizations. The agency says that the 2022–2023 flu season caused up to 54 million illnesses.\u003c/p>\n\u003cp>But the organization says that \u003ca href=\"https://www.cdc.gov/flu/fluvaxview/coverage-2022estimates.htm\">in the 2021–2022 flu season, just under half of adults got a flu shot\u003c/a> — a slight decrease from the previous season.\u003c/p>\n\u003ch2>Why should I get a flu shot?\u003c/h2>\n\u003cp>Getting a flu vaccine can prevent you from getting sick with the flu, which is a draining, unpleasant experience even if your symptoms are not severe. And if you \u003cem>do\u003c/em> get the flu, having a flu shot can also stop you from getting sick enough to have to visit the hospital (and be exposed to all the COVID risks hospital settings can still bring).\u003c/p>\n\u003cp>The CDC says the flu vaccine also offers other potential health impacts, such as being associated with \u003ca class=\"tp-link-policy\" href=\"https://pubmed.ncbi.nlm.nih.gov/24150467/\" data-domain-ext=\"gov\">lower rates of certain cardiac events\u003c/a> for people who have heart disease. It’s also the best, safest way not only to protect \u003cem>yourself\u003c/em> against the influenza virus, but also to minimize the chance you will spread it to others — folks who could be at far higher risk for serious complications or even death if they were to become infected. \u003ca href=\"https://www.cdc.gov/flu/vaccines-work/vaccineeffect.htm\">Read more from the CDC about what the flu shot can do for you.\u003c/a>\u003c/p>\n\u003cp>Keep reading to find out whether you should be getting your flu shot right now, and where to find free or low-cost flu shot options near you.\u003c/p>\n\u003ch2>\u003ca id=\"whenflushot\">\u003c/a>Should I get a flu shot now, or wait?\u003c/h2>\n\u003cp>The recommendations medical professionals make about when to get a flu shot are based on the fact that it takes about two weeks after you get vaccinated for antibodies to develop and provide protection against the flu.\u003c/p>\n\u003cp>This 2023–2024 season, as with previous seasons, \u003ca href=\"https://www.cdc.gov/flu/spotlights/2022-2023/flu-vaccination-recommendations-adopted.htm\">the CDC says that September and October are “the best times for most people to get vaccinated.”\u003c/a> These recommendations are based on traditional predictions of flu season starting in November and peaking around January or February.\u003c/p>\n\u003cfigure id=\"attachment_11838737\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11838737\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1536x1024.png 1536w\" sizes=\"auto, (max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">It takes 2 weeks after your flu shot for your body to develop the antibodies it needs to protect you from the flu virus. \u003ccite>(Queen's University/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Dr. Peter Chin-Hong, an infectious disease expert at UCSF says that yes, there’s evidence that \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/28039340/\">your risk of getting the flu increases every month after your flu shot, due to the antibodies waning over time\u003c/a>.\u003c/p>\n\u003cp>But when medical professionals talk about strategically “waiting” to get a flu shot, they’re aiming that advice at those who are at particularly high risk for more serious complications related to the flu. That includes:\u003c/p>\n\u003cul>\n\u003cli>People over 65.\u003c/li>\n\u003cli>Folks with chronic medical conditions.\u003c/li>\n\u003cli>Pregnant people (or those who are planning to become pregnant).\u003c/li>\n\u003cli>Kids under 5.\u003c/li>\n\u003c/ul>\n\u003cp>Delaying inoculations for these populations is based on the idea of getting the shot at a time Chin-Hong calls “the sweet spot,” around mid-to-late October. Two weeks later, right around early November, the antibodies should have developed, just as flu season is (usually) getting serious. Think of it as getting the “biggest bang for your buck,” he said.\u003c/p>\n\u003cp>So, if you’re in one of those vulnerable categories, yes, you can think about waiting, says Chin-Hong. People over 65 might also consider requesting special flu vaccines for this age group — read more about this below. As with all health matters, if you’re looking for advice, it’s best to consult your health care provider or someone you see regularly for your medical needs.\u003c/p>\n\u003cp>And what if you’re under 65, not pregnant and don’t have other risk factors for severe flu? If you can truly trust yourself to plan ahead and not forget to make the appointment, getting it by Halloween (i.e., before October is up) is best, Chin-Hong said. But remember: Not only are you human, and it might slip your mind, but predictions about how the flu season might behave are just that — predictions.\u003c/p>\n\u003cp>Flu cases might start to rise earlier than anticipated, throwing previous notions of a “best time” to get the vaccine into disarray. So, take that “October rule” with “a grain of salt,” Chin-Hong advised, and “get [your flu shot] when you get it.”\u003c/p>\n\u003cp>What if you plan to get your flu shot in October with the best of intentions, but you still forget? If Nov. 1 comes and goes, and you realize you haven’t been vaccinated, all is not lost — since the CDC says that “vaccination after October can still provide protection during the peak of flu season,” which is usually February.\u003c/p>\n\u003cp>In other words, just go get the shot already — whenever that may be.\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11838740\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1536x1024.png 1536w\" sizes=\"auto, (max-width: 1900px) 100vw, 1900px\">\u003c/p>\n\u003ch2>\u003ca id=\"boosterflushot\">\u003c/a>Can I get my new COVID vaccine and my flu shot at the same time?\u003c/h2>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11960630/free-new-covid-vaccine-near-me-2023#shouldigetfluandcovidvaccine\">It’s totally fine, and safe, to get your flu shot at the same time\u003c/a> as your new COVID vaccine, and you’ll find that COVID vaccine appointments will often prompt you to “add on” a flu shot at the same session — especially at pharmacies. Although, if you’re trying to schedule your kid’s vaccinations, \u003ca href=\"https://www.npr.org/sections/health-shots/2023/09/13/1198803134/covid-boosters-updated-vaccines-fda-cdc\">the CDC advises that you first talk to your pediatrician\u003c/a> about the best schedule for the COVID and flu vaccines (and now the RSV — respiratory syncytial virus — preventive treatment too).\u003c/p>\n\u003cp>But if that optimal time to get your flu shot is “sometime before Halloween” according to Chin-Hong — as long as flu season behaves as expected and doesn’t start in earnest before November — should you get your new COVID shot \u003cem>first\u003c/em>, and follow up with a flu shot later?\u003c/p>\n\u003cp>If you can trust yourself to remember to seek out your flu shot by the end of October (or schedule an appointment for October in advance), yes: You might consider getting your new COVID vaccine earlier, separately from your flu shot. And if not — or if life is getting hectic, and a two-for-one vaccination appointment ensures that you actually \u003ci>will \u003c/i>get your shots rather than forgetting — just go ahead and get your COVID and flu shots at the same time, when you can.\u003c/p>\n\u003cp>There’s also the fact that \u003ca href=\"https://www.kqed.org/news/11960630/free-new-covid-vaccine-near-me-2023\">you might \u003cem>have\u003c/em> to wait a little longer for your COVID shot anyway\u003c/a>. Public health officials are urging people to first seek out the new vaccine via their health care provider, but supplies haven’t yet reached many providers. Kaiser Permanente, for example, is telling patients that \u003ca href=\"https://mydoctor.kaiserpermanente.org/covid-19/covid-19-vaccine\">shots of the new COVID vaccine won’t become available through Kaiser until early October\u003c/a>. All this to say: You might not have a choice about waiting to get your new COVID shot — by which time, you might be approaching that optimal October flu shot time anyway, and can choose a double vaccination appointment at that time.\u003c/p>\n\u003cp>Chin-Hong reiterated that “if you really wanted to optimize” the timing of your flu shot, yes, “sometime in October \u003cem>is\u003c/em> probably the best.” But ultimately, he says that just \u003cem>getting\u003c/em> the shots is better than not getting them at all.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11960630/free-new-covid-vaccine-near-me-2023\">Read more about where to find the new COVID vaccine near you.\u003c/a>\u003c/p>\n\u003ch2>What about the RSV vaccine?\u003c/h2>\n\u003cp>The CDC says that the respiratory syncytial virus — RSV — is “a common cause of respiratory illness in infants and young children, as well as older adults.” The disease results in up to 160,000 hospitalizations and \u003ca href=\"https://www.cdc.gov/vaccines/vpd/rsv/hcp/older-adults-faqs.html\">up to 10,000 deaths annually among adults ages 65 years and older\u003c/a>, says the agency.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/vaccines/vpd/rsv/index.html\">The vaccine against the respiratory syncytial virus — RSV — is accordingly recommended by the CDC\u003c/a> for infants, young children and adults ages 60 and older.\u003c/p>\n\u003cp>Most \u003ca href=\"https://www.npr.org/sections/health-shots/2023/09/13/1198803134/covid-boosters-updated-vaccines-fda-cdc\">experts NPR talked to for their fall booster guide\u003c/a> recommended getting the RSV vaccine separately from the COVID and flu vaccines.\u003c/p>\n\u003cp>“I think the recommendation would be if you’re going in, get your flu and COVID shot. If you’re eligible for RSV, maybe space that out by a week or two,” Dr. \u003ca href=\"https://www.bcm.edu/people-search/peter-hotez-23229\">Peter Hotez\u003c/a>, who leads the National School of Tropical Medicine at Baylor College of Medicine, told NPR.\u003c/p>\n\u003cp>Again, if you’re trying to schedule your kid’s vaccinations, \u003ca href=\"https://www.npr.org/sections/health-shots/2023/09/13/1198803134/covid-boosters-updated-vaccines-fda-cdc\">the CDC advises that you first talk to your pediatrician\u003c/a> about the best schedule for the COVID, flu and RSV vaccines.\u003c/p>\n\u003ch2>\u003ca id=\"highrisk\">\u003c/a>If I have risk factors for severe flu, what kind of flu shot should I get?\u003c/h2>\n\u003cp>If you’re age 65 or older, there are now three types of flu vaccines it’s recommended you get — because they’ll be even more effective for you than a regular flu shot.\u003c/p>\n\u003cp>Chin-Hong said folks in this age group should seek out these three types of vaccines because you’ll be getting “essentially a high-dose shot” or a vaccine that contains an “adjuvant” — which, in simple terms, “makes the flu shot more powerful in terms of waking up the immune system,” he said. \u003ca href=\"https://www.cdc.gov/flu/prevent/keyfacts.htm\">Read more about the three kinds of flu shots available to people ages 65 and older.\u003c/a>\u003c/p>\n\u003cp>Pregnant people can get a regular flu shot, although some types of flu vaccines are off-limits to pregnant people. The CDC says that getting vaccinated when you’re pregnant will not only help protect you from the flu, but also — if your baby is born during the immunity period — protect your infant in the first few months of their life when they’re too young to get vaccinated themselves.\u003c/p>\n\u003cp>This benefit to the baby is also the reason that pregnant people are one of the few groups who might want to consider getting a flu shot \u003cem>early\u003c/em>, instead of waiting — to ensure their baby isn’t left completely unprotected for those first six months after birth when they can’t get a vaccine. \u003ca href=\"https://www.cdc.gov/flu/prevent/keyfacts.htm\">Read more about the benefits of getting a flu shot if you’re pregnant.\u003c/a>\u003c/p>\n\u003cp>Children ages 6 months and older can get a regular dose of the flu shot. \u003ca href=\"https://www.cdc.gov/flu/highrisk/children-high-risk.htm\">Flu can be particularly dangerous for kids\u003c/a>, and the CDC says that a 2022 study showed that flu vaccination reduced children’s risk of severe, life-threatening influenza by 75%.\u003c/p>\n\u003ch2>\u003ca id=\"flushotnearme\">\u003c/a>Where can I get a flu shot if I have insurance?\u003c/h2>\n\u003cp>If you have health insurance, a flu shot is available without extra cost as a preventive service from your usual health care provider, or at most pharmacies (see below).\u003c/p>\n\u003cp>It’s a good idea to wear a mask, maintain social distancing wherever possible while waiting for your shot, and dress in a top with sleeves you can easily pull up to your shoulder, to make receiving the injection even easier (and quicker).\u003c/p>\n\u003cp>\u003cstrong>Common places to find a flu shot appointment, walk-in site or drive-thru flu shot:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.vaccines.gov/find-vaccines/\">CDC’s Find Flu Vaccines tool.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://mydoctor.kaiserpermanente.org/ncal/cold-and-flu/prevention#/prevention\">Kaiser Permanente flu shots (Northern California)\u003c/a>.\u003c/li>\n\u003cli>\u003ca href=\"https://www.cvs.com/immunizations/flu\">CVS flu shots.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.walgreens.com/topic/pharmacy/seasonal-flu.jsp?ban=flu_fy21_influenzapage\">Walgreens flu shots.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.riteaid.com/pharmacy/scheduler\">Rite Aid flu shots.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.costco.com/Pharmacy/adult-immunization-program.html\">Costco Pharmacy flu shots.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.albertsons.com/pharmacy/pharmacy-services/immunizations.html\">Albertsons (Safeway) flu shots.\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2>Where can I get a flu shot if I \u003cem>don’t\u003c/em> have health insurance?\u003c/h2>\n\u003cp>If you want a flu shot but don’t have health insurance, you can get the vaccine free of charge from several providers and community clinics around the Bay Area. (You can also technically use these free services even if you do have insurance, but you may consider choosing to free up these particular resources for those who are not covered.)\u003c/p>\n\u003cp>Your county’s public health department may also be offering flu shots.\u003c/p>\n\u003cp>\u003cstrong>Places to get a free or low-cost flu shot in the Bay Area include:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.sfcdcp.org/aitc/aitc-regular-prices-low-cost-or-free-vaccines/\">San Francisco Department of Public Health’s AITC clinic\u003c/a> (offers a pay-what-you-can option).\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/immunization/clinics.php#Uninsured\">Contra Costa Public Health Immunization Clinic\u003c/a> (flu shots are $15 for adults over 19, but fees may be waived if you’re unable to pay).\u003c/li>\n\u003cli>\u003ca href=\"https://acphd.org/clinics/\">Alameda County Immunization Clinics.\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cspan style=\"font-weight: 400\">[ad fullwidth]\u003c/span>\u003c/p>\n\u003ch2>And a reminder … the flu vaccine can’t give you the flu\u003c/h2>\n\u003cp>The virus that the flu shot contains has been inactivated or severely weakened, so \u003ca href=\"https://www.cdc.gov/flu/prevent/misconceptions.htm#:~:text=Can%20a%20flu%20vaccine%20give,protein%20from%20the%20flu%20virus.\">you just aren’t physically able to get the flu from your flu shot\u003c/a>, confirms the CDC.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/flu/prevent/general.htm#side-effects\">The flu vaccine can cause side effects\u003c/a> like any medical product, but they’re “\u003ca href=\"https://www.cdc.gov/flu/prevent/general.htm\">generally mild and go away on their own within a few days\u003c/a>,” the agency says.\u003c/p>\n\u003cp>Common flu shot side effects can include soreness or swelling at the injection site, headache, fever, nausea and muscle aches. (But not the flu.)\u003c/p>\n\u003cp>\u003cem>This story contains reporting by KQED’s Alexander Gonzalez.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>We’re over three years into the COVID pandemic. And \u003ca href=\"https://www.kqed.org/news/11957790/the-new-covid-eris-variant-and-rising-cases-what-you-need-to-know\">as we’ve seen this summer, with the new Eris variant\u003c/a>, COVID continues to infect folks of all ages and still results in severe disease and hospitalization for some.\u003c/p>\n\u003cp>But please don’t forget: The flu remains a potentially serious threat to your health too.\u003c/p>\n\u003cp>Jump straight to:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#whenflushot\">When should I get my flu shot?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#boosterflushot\">Can I get my new COVID vaccine and my flu shot at the same time? What about the RSV vaccine?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#flushotnearme\">Where can I get a flu shot, with or without insurance?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>Why is the flu so serious?\u003c/h2>\n\u003cp>Back in \u003ca href=\"https://www.cdc.gov/flu/season/faq-flu-season-2020-2021.htm\">2020, the U.S. saw a record-low number of flu cases\u003c/a> — most likely due to widespread mask-wearing, increased hygiene, social distancing and remote work and school. And \u003ca href=\"https://www.cdc.gov/flu/about/burden/preliminary-in-season-estimates.htm\">the Centers for Disease Control and Prevention says that flu activity has overall “been lower\u003c/a> than observed before the pandemic.”\u003c/p>\n\u003cp>Nonetheless, the CDC estimates that\u003ca href=\"https://www.cdc.gov/flu/about/burden/preliminary-in-season-estimates.htm\"> last year’s flu season resulted in 19,000–58,000 deaths from flu\u003c/a> and 300,000–650,000 flu hospitalizations. The agency says that the 2022–2023 flu season caused up to 54 million illnesses.\u003c/p>\n\u003cp>But the organization says that \u003ca href=\"https://www.cdc.gov/flu/fluvaxview/coverage-2022estimates.htm\">in the 2021–2022 flu season, just under half of adults got a flu shot\u003c/a> — a slight decrease from the previous season.\u003c/p>\n\u003ch2>Why should I get a flu shot?\u003c/h2>\n\u003cp>Getting a flu vaccine can prevent you from getting sick with the flu, which is a draining, unpleasant experience even if your symptoms are not severe. And if you \u003cem>do\u003c/em> get the flu, having a flu shot can also stop you from getting sick enough to have to visit the hospital (and be exposed to all the COVID risks hospital settings can still bring).\u003c/p>\n\u003cp>The CDC says the flu vaccine also offers other potential health impacts, such as being associated with \u003ca class=\"tp-link-policy\" href=\"https://pubmed.ncbi.nlm.nih.gov/24150467/\" data-domain-ext=\"gov\">lower rates of certain cardiac events\u003c/a> for people who have heart disease. It’s also the best, safest way not only to protect \u003cem>yourself\u003c/em> against the influenza virus, but also to minimize the chance you will spread it to others — folks who could be at far higher risk for serious complications or even death if they were to become infected. \u003ca href=\"https://www.cdc.gov/flu/vaccines-work/vaccineeffect.htm\">Read more from the CDC about what the flu shot can do for you.\u003c/a>\u003c/p>\n\u003cp>Keep reading to find out whether you should be getting your flu shot right now, and where to find free or low-cost flu shot options near you.\u003c/p>\n\u003ch2>\u003ca id=\"whenflushot\">\u003c/a>Should I get a flu shot now, or wait?\u003c/h2>\n\u003cp>The recommendations medical professionals make about when to get a flu shot are based on the fact that it takes about two weeks after you get vaccinated for antibodies to develop and provide protection against the flu.\u003c/p>\n\u003cp>This 2023–2024 season, as with previous seasons, \u003ca href=\"https://www.cdc.gov/flu/spotlights/2022-2023/flu-vaccination-recommendations-adopted.htm\">the CDC says that September and October are “the best times for most people to get vaccinated.”\u003c/a> These recommendations are based on traditional predictions of flu season starting in November and peaking around January or February.\u003c/p>\n\u003cfigure id=\"attachment_11838737\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11838737\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1536x1024.png 1536w\" sizes=\"auto, (max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">It takes 2 weeks after your flu shot for your body to develop the antibodies it needs to protect you from the flu virus. \u003ccite>(Queen's University/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Dr. Peter Chin-Hong, an infectious disease expert at UCSF says that yes, there’s evidence that \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/28039340/\">your risk of getting the flu increases every month after your flu shot, due to the antibodies waning over time\u003c/a>.\u003c/p>\n\u003cp>But when medical professionals talk about strategically “waiting” to get a flu shot, they’re aiming that advice at those who are at particularly high risk for more serious complications related to the flu. That includes:\u003c/p>\n\u003cul>\n\u003cli>People over 65.\u003c/li>\n\u003cli>Folks with chronic medical conditions.\u003c/li>\n\u003cli>Pregnant people (or those who are planning to become pregnant).\u003c/li>\n\u003cli>Kids under 5.\u003c/li>\n\u003c/ul>\n\u003cp>Delaying inoculations for these populations is based on the idea of getting the shot at a time Chin-Hong calls “the sweet spot,” around mid-to-late October. Two weeks later, right around early November, the antibodies should have developed, just as flu season is (usually) getting serious. Think of it as getting the “biggest bang for your buck,” he said.\u003c/p>\n\u003cp>So, if you’re in one of those vulnerable categories, yes, you can think about waiting, says Chin-Hong. People over 65 might also consider requesting special flu vaccines for this age group — read more about this below. As with all health matters, if you’re looking for advice, it’s best to consult your health care provider or someone you see regularly for your medical needs.\u003c/p>\n\u003cp>And what if you’re under 65, not pregnant and don’t have other risk factors for severe flu? If you can truly trust yourself to plan ahead and not forget to make the appointment, getting it by Halloween (i.e., before October is up) is best, Chin-Hong said. But remember: Not only are you human, and it might slip your mind, but predictions about how the flu season might behave are just that — predictions.\u003c/p>\n\u003cp>Flu cases might start to rise earlier than anticipated, throwing previous notions of a “best time” to get the vaccine into disarray. So, take that “October rule” with “a grain of salt,” Chin-Hong advised, and “get [your flu shot] when you get it.”\u003c/p>\n\u003cp>What if you plan to get your flu shot in October with the best of intentions, but you still forget? If Nov. 1 comes and goes, and you realize you haven’t been vaccinated, all is not lost — since the CDC says that “vaccination after October can still provide protection during the peak of flu season,” which is usually February.\u003c/p>\n\u003cp>In other words, just go get the shot already — whenever that may be.\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11838740\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1536x1024.png 1536w\" sizes=\"auto, (max-width: 1900px) 100vw, 1900px\">\u003c/p>\n\u003ch2>\u003ca id=\"boosterflushot\">\u003c/a>Can I get my new COVID vaccine and my flu shot at the same time?\u003c/h2>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11960630/free-new-covid-vaccine-near-me-2023#shouldigetfluandcovidvaccine\">It’s totally fine, and safe, to get your flu shot at the same time\u003c/a> as your new COVID vaccine, and you’ll find that COVID vaccine appointments will often prompt you to “add on” a flu shot at the same session — especially at pharmacies. Although, if you’re trying to schedule your kid’s vaccinations, \u003ca href=\"https://www.npr.org/sections/health-shots/2023/09/13/1198803134/covid-boosters-updated-vaccines-fda-cdc\">the CDC advises that you first talk to your pediatrician\u003c/a> about the best schedule for the COVID and flu vaccines (and now the RSV — respiratory syncytial virus — preventive treatment too).\u003c/p>\n\u003cp>But if that optimal time to get your flu shot is “sometime before Halloween” according to Chin-Hong — as long as flu season behaves as expected and doesn’t start in earnest before November — should you get your new COVID shot \u003cem>first\u003c/em>, and follow up with a flu shot later?\u003c/p>\n\u003cp>If you can trust yourself to remember to seek out your flu shot by the end of October (or schedule an appointment for October in advance), yes: You might consider getting your new COVID vaccine earlier, separately from your flu shot. And if not — or if life is getting hectic, and a two-for-one vaccination appointment ensures that you actually \u003ci>will \u003c/i>get your shots rather than forgetting — just go ahead and get your COVID and flu shots at the same time, when you can.\u003c/p>\n\u003cp>There’s also the fact that \u003ca href=\"https://www.kqed.org/news/11960630/free-new-covid-vaccine-near-me-2023\">you might \u003cem>have\u003c/em> to wait a little longer for your COVID shot anyway\u003c/a>. Public health officials are urging people to first seek out the new vaccine via their health care provider, but supplies haven’t yet reached many providers. Kaiser Permanente, for example, is telling patients that \u003ca href=\"https://mydoctor.kaiserpermanente.org/covid-19/covid-19-vaccine\">shots of the new COVID vaccine won’t become available through Kaiser until early October\u003c/a>. All this to say: You might not have a choice about waiting to get your new COVID shot — by which time, you might be approaching that optimal October flu shot time anyway, and can choose a double vaccination appointment at that time.\u003c/p>\n\u003cp>Chin-Hong reiterated that “if you really wanted to optimize” the timing of your flu shot, yes, “sometime in October \u003cem>is\u003c/em> probably the best.” But ultimately, he says that just \u003cem>getting\u003c/em> the shots is better than not getting them at all.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11960630/free-new-covid-vaccine-near-me-2023\">Read more about where to find the new COVID vaccine near you.\u003c/a>\u003c/p>\n\u003ch2>What about the RSV vaccine?\u003c/h2>\n\u003cp>The CDC says that the respiratory syncytial virus — RSV — is “a common cause of respiratory illness in infants and young children, as well as older adults.” The disease results in up to 160,000 hospitalizations and \u003ca href=\"https://www.cdc.gov/vaccines/vpd/rsv/hcp/older-adults-faqs.html\">up to 10,000 deaths annually among adults ages 65 years and older\u003c/a>, says the agency.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/vaccines/vpd/rsv/index.html\">The vaccine against the respiratory syncytial virus — RSV — is accordingly recommended by the CDC\u003c/a> for infants, young children and adults ages 60 and older.\u003c/p>\n\u003cp>Most \u003ca href=\"https://www.npr.org/sections/health-shots/2023/09/13/1198803134/covid-boosters-updated-vaccines-fda-cdc\">experts NPR talked to for their fall booster guide\u003c/a> recommended getting the RSV vaccine separately from the COVID and flu vaccines.\u003c/p>\n\u003cp>“I think the recommendation would be if you’re going in, get your flu and COVID shot. If you’re eligible for RSV, maybe space that out by a week or two,” Dr. \u003ca href=\"https://www.bcm.edu/people-search/peter-hotez-23229\">Peter Hotez\u003c/a>, who leads the National School of Tropical Medicine at Baylor College of Medicine, told NPR.\u003c/p>\n\u003cp>Again, if you’re trying to schedule your kid’s vaccinations, \u003ca href=\"https://www.npr.org/sections/health-shots/2023/09/13/1198803134/covid-boosters-updated-vaccines-fda-cdc\">the CDC advises that you first talk to your pediatrician\u003c/a> about the best schedule for the COVID, flu and RSV vaccines.\u003c/p>\n\u003ch2>\u003ca id=\"highrisk\">\u003c/a>If I have risk factors for severe flu, what kind of flu shot should I get?\u003c/h2>\n\u003cp>If you’re age 65 or older, there are now three types of flu vaccines it’s recommended you get — because they’ll be even more effective for you than a regular flu shot.\u003c/p>\n\u003cp>Chin-Hong said folks in this age group should seek out these three types of vaccines because you’ll be getting “essentially a high-dose shot” or a vaccine that contains an “adjuvant” — which, in simple terms, “makes the flu shot more powerful in terms of waking up the immune system,” he said. \u003ca href=\"https://www.cdc.gov/flu/prevent/keyfacts.htm\">Read more about the three kinds of flu shots available to people ages 65 and older.\u003c/a>\u003c/p>\n\u003cp>Pregnant people can get a regular flu shot, although some types of flu vaccines are off-limits to pregnant people. The CDC says that getting vaccinated when you’re pregnant will not only help protect you from the flu, but also — if your baby is born during the immunity period — protect your infant in the first few months of their life when they’re too young to get vaccinated themselves.\u003c/p>\n\u003cp>This benefit to the baby is also the reason that pregnant people are one of the few groups who might want to consider getting a flu shot \u003cem>early\u003c/em>, instead of waiting — to ensure their baby isn’t left completely unprotected for those first six months after birth when they can’t get a vaccine. \u003ca href=\"https://www.cdc.gov/flu/prevent/keyfacts.htm\">Read more about the benefits of getting a flu shot if you’re pregnant.\u003c/a>\u003c/p>\n\u003cp>Children ages 6 months and older can get a regular dose of the flu shot. \u003ca href=\"https://www.cdc.gov/flu/highrisk/children-high-risk.htm\">Flu can be particularly dangerous for kids\u003c/a>, and the CDC says that a 2022 study showed that flu vaccination reduced children’s risk of severe, life-threatening influenza by 75%.\u003c/p>\n\u003ch2>\u003ca id=\"flushotnearme\">\u003c/a>Where can I get a flu shot if I have insurance?\u003c/h2>\n\u003cp>If you have health insurance, a flu shot is available without extra cost as a preventive service from your usual health care provider, or at most pharmacies (see below).\u003c/p>\n\u003cp>It’s a good idea to wear a mask, maintain social distancing wherever possible while waiting for your shot, and dress in a top with sleeves you can easily pull up to your shoulder, to make receiving the injection even easier (and quicker).\u003c/p>\n\u003cp>\u003cstrong>Common places to find a flu shot appointment, walk-in site or drive-thru flu shot:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.vaccines.gov/find-vaccines/\">CDC’s Find Flu Vaccines tool.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://mydoctor.kaiserpermanente.org/ncal/cold-and-flu/prevention#/prevention\">Kaiser Permanente flu shots (Northern California)\u003c/a>.\u003c/li>\n\u003cli>\u003ca href=\"https://www.cvs.com/immunizations/flu\">CVS flu shots.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.walgreens.com/topic/pharmacy/seasonal-flu.jsp?ban=flu_fy21_influenzapage\">Walgreens flu shots.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.riteaid.com/pharmacy/scheduler\">Rite Aid flu shots.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.costco.com/Pharmacy/adult-immunization-program.html\">Costco Pharmacy flu shots.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.albertsons.com/pharmacy/pharmacy-services/immunizations.html\">Albertsons (Safeway) flu shots.\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2>Where can I get a flu shot if I \u003cem>don’t\u003c/em> have health insurance?\u003c/h2>\n\u003cp>If you want a flu shot but don’t have health insurance, you can get the vaccine free of charge from several providers and community clinics around the Bay Area. (You can also technically use these free services even if you do have insurance, but you may consider choosing to free up these particular resources for those who are not covered.)\u003c/p>\n\u003cp>Your county’s public health department may also be offering flu shots.\u003c/p>\n\u003cp>\u003cstrong>Places to get a free or low-cost flu shot in the Bay Area include:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.sfcdcp.org/aitc/aitc-regular-prices-low-cost-or-free-vaccines/\">San Francisco Department of Public Health’s AITC clinic\u003c/a> (offers a pay-what-you-can option).\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/immunization/clinics.php#Uninsured\">Contra Costa Public Health Immunization Clinic\u003c/a> (flu shots are $15 for adults over 19, but fees may be waived if you’re unable to pay).\u003c/li>\n\u003cli>\u003ca href=\"https://acphd.org/clinics/\">Alameda County Immunization Clinics.\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003ch2>And a reminder … the flu vaccine can’t give you the flu\u003c/h2>\n\u003cp>The virus that the flu shot contains has been inactivated or severely weakened, so \u003ca href=\"https://www.cdc.gov/flu/prevent/misconceptions.htm#:~:text=Can%20a%20flu%20vaccine%20give,protein%20from%20the%20flu%20virus.\">you just aren’t physically able to get the flu from your flu shot\u003c/a>, confirms the CDC.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/flu/prevent/general.htm#side-effects\">The flu vaccine can cause side effects\u003c/a> like any medical product, but they’re “\u003ca href=\"https://www.cdc.gov/flu/prevent/general.htm\">generally mild and go away on their own within a few days\u003c/a>,” the agency says.\u003c/p>\n\u003cp>Common flu shot side effects can include soreness or swelling at the injection site, headache, fever, nausea and muscle aches. (But not the flu.)\u003c/p>\n\u003cp>\u003cem>This story contains reporting by KQED’s Alexander Gonzalez.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/11957790/the-new-covid-eris-variant-and-rising-cases-what-you-need-to-know\">COVID-19 cases\u003c/a> are again rising in Contra Costa County as it and other Bay Area counties are issuing a new masking order that applies to workers at “high-risk” health care facilities.\u003c/p>\n\u003cp>Contra Costa Health Services CEO Anna Roth told the county Board of Supervisors Tuesday that countywide hospital admissions for COVID-19 have increased since July, from 8.1 per day to 12.1.\u003c/p>\n\u003cp>“So it’s going up,” Roth said. “It’s not huge. We are able to handle the increased demand for some hospital beds, but it is going up.”\u003c/p>\n\u003cp>In response to the increased cases in the Bay Area — which health officials attribute to the latest mutated strain of COVID-19 — Roth said Contra Costa Health and other Bay Area health agencies are implementing new mask requirements for health care workers.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We are issuing the health order today around masking for high-risk facilities, health care facilities specifically,” Roth said. “So again, masking in hospitals, masking in skilled nursing facilities, masking in high-risk facilities.”\u003c/p>\n\u003cp>The new masking order will not affect patients or visitors to affected health care facilities.\u003c/p>\n\u003cp>Roth said the new order will not include other residential congregate settings, such as detention facilities and homeless shelters. [pullquote size=\"medium\" align=\"right\" citation=\"Anna Roth, CEO, Contra Costa Health Services\"]‘So it’s going up. It’s not huge. We are able to handle the increased demand for some hospital beds, but it is going up.’[/pullquote] Roth also said the latest vaccine — which isn’t considered a booster, but an entirely new vaccine that replaces the former vaccine and handles the newest variants — will be available in Contra Costa County either at the end of this week or the beginning of next week.\u003c/p>\n\u003cp>“For those of you who have not been vaccinated in the last 60 days, you will be eligible,” Roth said. “This is a vaccine for everybody 6 months and over.”\u003c/p>\n\u003cp>Roth said the county is no longer running any mass vaccination sites and people should go to their regular providers.\u003c/p>\n\u003cp>“We do expect that there will be high demand the first couple of weeks,” Roth said. “What we have historically seen is that demand settles down and your regular providers will have the vaccine available.”\u003c/p>\n\u003cp>Roth said Contra Costa Health providers will turn no one away, but it’s important to go to a regular provider, who can record the vaccination for people to keep track.\u003c/p>\n\u003cp>Dr. Sefanit Mekuria, the county’s deputy health officer, told the board that the county — and county libraries — are still offering free test kits through the mail.\u003c/p>\n\u003cp>Sonoma County’s health officer issued a similar order Tuesday for health care workers who work directly with patients to wear face masks during an anticipated surge in the transmission of respiratory viruses this fall and winter.\u003c/p>\n\u003cp>The order lasts from Nov. 1 to April 30 and covers workers in facilities such as hospitals, clinics and other facilities where patient care is provided indoors.\u003c/p>\n\u003cp>“Each year we see that higher rates of influenza, COVID-19 and other respiratory viruses that can cause severe respiratory infections occur annually between late fall and spring,” said Dr. Karen Smith, Sonoma County’s health officer. [aside postID=news_11960630 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/09/005_SanFrancisco_UnitedinHealthKidsCOVIDVaccination_11092021-qut.jpg'] “Patients and residents in our health care and congregate facilities, especially young children, pregnant women, the elderly, and those with chronic health conditions, are at greater risk for respiratory virus-related hospitalizations and death.\u003c/p>\n\u003cp>“Workers in direct care, health care, and congregate facilities are at risk for respiratory illness and can transmit the viruses to their clients, patients and coworkers,” Smith said.\u003c/p>\n\u003cp>Smith also strongly recommended that everyone who is at least 6 months old get an updated COVID-19 vaccine and a flu shot.\u003c/p>\n\u003cp>To find out more about COVID-19 in Contra Costa County, go to \u003ca href=\"https://cchealth.org/covid19\">https://cchealth.org/covid19\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "Sonoma and Contra Costa counties issued health orders Tuesday that urged masking for high-risk facilities, specifically hospitals and skilled nursing centers.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/11957790/the-new-covid-eris-variant-and-rising-cases-what-you-need-to-know\">COVID-19 cases\u003c/a> are again rising in Contra Costa County as it and other Bay Area counties are issuing a new masking order that applies to workers at “high-risk” health care facilities.\u003c/p>\n\u003cp>Contra Costa Health Services CEO Anna Roth told the county Board of Supervisors Tuesday that countywide hospital admissions for COVID-19 have increased since July, from 8.1 per day to 12.1.\u003c/p>\n\u003cp>“So it’s going up,” Roth said. “It’s not huge. We are able to handle the increased demand for some hospital beds, but it is going up.”\u003c/p>\n\u003cp>In response to the increased cases in the Bay Area — which health officials attribute to the latest mutated strain of COVID-19 — Roth said Contra Costa Health and other Bay Area health agencies are implementing new mask requirements for health care workers.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We are issuing the health order today around masking for high-risk facilities, health care facilities specifically,” Roth said. “So again, masking in hospitals, masking in skilled nursing facilities, masking in high-risk facilities.”\u003c/p>\n\u003cp>The new masking order will not affect patients or visitors to affected health care facilities.\u003c/p>\n\u003cp>Roth said the new order will not include other residential congregate settings, such as detention facilities and homeless shelters. \u003c/p>\u003c/div>",
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"content": "‘So it’s going up. It’s not huge. We are able to handle the increased demand for some hospital beds, but it is going up.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp> Roth also said the latest vaccine — which isn’t considered a booster, but an entirely new vaccine that replaces the former vaccine and handles the newest variants — will be available in Contra Costa County either at the end of this week or the beginning of next week.\u003c/p>\n\u003cp>“For those of you who have not been vaccinated in the last 60 days, you will be eligible,” Roth said. “This is a vaccine for everybody 6 months and over.”\u003c/p>\n\u003cp>Roth said the county is no longer running any mass vaccination sites and people should go to their regular providers.\u003c/p>\n\u003cp>“We do expect that there will be high demand the first couple of weeks,” Roth said. “What we have historically seen is that demand settles down and your regular providers will have the vaccine available.”\u003c/p>\n\u003cp>Roth said Contra Costa Health providers will turn no one away, but it’s important to go to a regular provider, who can record the vaccination for people to keep track.\u003c/p>\n\u003cp>Dr. Sefanit Mekuria, the county’s deputy health officer, told the board that the county — and county libraries — are still offering free test kits through the mail.\u003c/p>\n\u003cp>Sonoma County’s health officer issued a similar order Tuesday for health care workers who work directly with patients to wear face masks during an anticipated surge in the transmission of respiratory viruses this fall and winter.\u003c/p>\n\u003cp>The order lasts from Nov. 1 to April 30 and covers workers in facilities such as hospitals, clinics and other facilities where patient care is provided indoors.\u003c/p>\n\u003cp>“Each year we see that higher rates of influenza, COVID-19 and other respiratory viruses that can cause severe respiratory infections occur annually between late fall and spring,” said Dr. Karen Smith, Sonoma County’s health officer. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> “Patients and residents in our health care and congregate facilities, especially young children, pregnant women, the elderly, and those with chronic health conditions, are at greater risk for respiratory virus-related hospitalizations and death.\u003c/p>\n\u003cp>“Workers in direct care, health care, and congregate facilities are at risk for respiratory illness and can transmit the viruses to their clients, patients and coworkers,” Smith said.\u003c/p>\n\u003cp>Smith also strongly recommended that everyone who is at least 6 months old get an updated COVID-19 vaccine and a flu shot.\u003c/p>\n\u003cp>To find out more about COVID-19 in Contra Costa County, go to \u003ca href=\"https://cchealth.org/covid19\">https://cchealth.org/covid19\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>California voters next spring will get to decide on a ballot measure to create housing and treatment options for unhoused individuals with serious mental illness. If it passes, the measure championed by Gov. Gavin Newsom would mark the first major overhaul of the state’s community mental health system in 20 years.\u003c/p>\n\u003cp>The two-pronged proposition on the March primary election ballot includes a nearly $6.4 billion bond to build 10,000 psychiatric treatment units. It also asks voters to redefine how counties spend money collected from a special “millionaire’s tax” to allocate a share of it for housing.\u003c/p>\n\u003cp>Newsom and supporters have promoted Proposition 1 as a way to help address the state’s deteriorating homelessness and addiction crises. They contend that increased investment and an update to the state’s Mental Health Services Act are “long overdue.”\u003c/p>\n\u003cp>The Legislature on Thursday overwhelmingly backed his proposal, with lopsided votes to place it on the 2024 ballot. Newsom still must sign the bills, and he said he would in a written statement after a late-night vote in the Assembly.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“These measures represent a key part of the solution to our homelessness crisis, and improving mental health for kids and families,” Newsom said. “Now, it will be up to voters to ratify the most significant changes to California’s mental health system in more than 50 years.”\u003c/p>\n\u003cp>Opponents of the ballot measure say diverting money in the Mental Health Services Act for housing will result in up to $1 billion in cuts to\u003ca href=\"https://lao.ca.gov/Publications/Report/4782\"> current mental health programs\u003c/a> like outpatient care and crisis response. Other advocates criticize the governor for making last-minute changes to the bond, allowing the money to be spent on involuntary treatment institutions.\u003c/p>\n\u003cp>So what exactly are voters being asked to consider? Here’s how the proposal breaks down.\u003c/p>\n\u003ch2>What is the Mental Health Services Act?\u003c/h2>\n\u003cp>The Mental Health Services Act, which voters passed as a ballot measure in 2004, levies a 1% tax on personal income over $1 million. It passed at a time when the state’s mental health system was severely underfunded. Since then, the tax has generated an estimated $26 billion for county mental health programs. Last year the tax garnered more than $3 billion. It supports roughly one-third of the state’s mental health system. [pullquote size=\"medium\" align=\"right\" citation=\"Gov. Gavin Newsom\"]‘These measures represent a key part of the solution to our homelessness crisis, and improving mental health for kids and families.’[/pullquote] The tax is not California’s only source of revenue for mental health programs. The state also receives money from Medi-Cal, and it spends a portion of its general fund on those services. Those sources come with strict spending limitations. For example, Medi-Cal primarily pays for treatment of mental health disorders but will not cover prevention programs. It also will not pay for inpatient treatment at a facility with more than 16 beds.\u003c/p>\n\u003cp>Counties have come to rely on the relative flexibility of Mental Health Services Act dollars to pay for core services like outpatient care, outreach and engagement, school-based counseling, youth wellness programs, family resource centers, and crisis response teams.\u003c/p>\n\u003ch2>What does Newsom want to do?\u003c/h2>\n\u003cp>The most significant change put forth by the governor is a requirement that counties invest 30% of their Mental Health Services Act tax dollars — roughly $1 billion based on last year’s revenue — in housing programs, including rental subsidies and navigation services. Counties would have to spend half this money on people who are chronically homeless or living in encampments. They could also use up to one-quarter of the money to build or purchase housing units.\u003c/p>\n\u003cp>Sacramento Mayor Darrell Steinberg has been a staunch supporter of Newsom’s proposal. Steinberg was one of the co-authors of the Mental Health Services Act when he was an Assembly member in 2004.\u003c/p>\n\u003cp>“To put it plainly, not enough of the Mental Health Services Act dollars are getting out to the people with the most persistent mental illnesses, specifically people who are chronically homeless and living with those underlying conditions,” Steinberg said during a press call in August. “So that’s where you start.”\u003c/p>\n\u003cp>The ballot measure puts counties on the hook for paying for substance use disorder treatment with Mental Health Services Act money. Counties have historically paid for addiction treatment with other funding.\u003c/p>\n\u003cp>And, it\u003cstrong> \u003c/strong>renames the program as the Behavioral Health Services Act.\u003c/p>\n\u003cfigure id=\"attachment_11961360\" class=\"wp-caption aligncenter\" style=\"max-width: 2400px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11961360\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/CMNewsom02.jpeg\" alt=\"Gov. Gavin Newsom is pictured with his hands out as he speak to many folks in a warehouse in front of a microphone.\" width=\"2400\" height=\"1600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/CMNewsom02.jpeg 2400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/CMNewsom02-800x533.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/CMNewsom02-1020x680.jpeg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/CMNewsom02-160x107.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/CMNewsom02-1536x1024.jpeg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/CMNewsom02-2048x1365.jpeg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/CMNewsom02-1920x1280.jpeg 1920w\" sizes=\"auto, (max-width: 2400px) 100vw, 2400px\">\u003cfigcaption class=\"wp-caption-text\">Flanked by state and local politicians, Newsom announced the state’s plan to address homelessness across the state at Cal Expo in Sacramento, on March 16, 2023. \u003ccite>(Miguel Gutierrez Jr./CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>What will the bond measure do?\u003c/h2>\n\u003cp>The second half of Newsom’s proposal places a $6.4 billion general obligation bond before voters to dramatically expand the state’s psychiatric and addiction treatment infrastructure. [pullquote size=\"medium\" align=\"right\" citation=\"Sacramento Mayor Darrell Steinberg\"]‘To put it plainly, not enough of the Mental Health Services Act dollars are getting out to the people with the most persistent mental illnesses, specifically people who are chronically homeless and living with those underlying conditions.’[/pullquote] Nearly $4.4 billion would go toward building inpatient and residential treatment beds and could serve 100,000 people annually, officials said. California faces a shortage of \u003ca href=\"https://www.rand.org/content/dam/rand/pubs/testimonies/CTA2700/CTA2742-1/RAND_CTA2742-1.pdf\">nearly 8,000 adult psychiatric beds (PDF)\u003c/a>, said Nicole Eberhart, senior behavioral health scientist for the RAND Corporation, during testimony to an Assembly budget subcommittee in May. Long waitlists plague the state’s inpatient mental health system, and doctors say there’s nowhere to send stable patients who need long-term treatment focused on recovery.\u003c/p>\n\u003cp>Another $2 billion will go toward building permanent supportive housing, with half set aside for veterans with mental health diagnoses or addiction disorders.\u003c/p>\n\u003ch2>How many people are unhoused in California?\u003c/h2>\n\u003cp>More than 170,000 Californians are unhoused, the vast majority of whom live in street encampments. California has the highest homeless rate per 10,000 people, second only to the District of Columbia, and the highest proportion of unsheltered homeless individuals in the country, according to federal data.\u003c/p>\n\u003cp>A \u003ca href=\"https://calmatters.org/housing/2023/06/california-homeless-growth-report/\">landmark study by the UCSF Benioff Homelessness and Housing Initiative\u003c/a> found about two-thirds of unhoused Californians surveyed suffered from a mental health disorder but only 19% had received recent treatment. The driving force behind homelessness, however, was most often income loss, not mental illness or addiction, \u003ca href=\"https://homelessness.ucsf.edu/our-impact/our-studies/california-statewide-study-people-experiencing-homelessness\">according to the study\u003c/a>. [aside label='More Around California' tag='california-law']\u003c/p>\n\u003ch2>Who are the supporters?\u003c/h2>\n\u003cp>Sen. Susan Talamantes-Eggman, a Democrat from Stockton, carried the proposed reform of the Mental Health Services Act in the Legislature. During Thursday’s Senate concurrence vote, Talamantes-Eggman said the way counties spend state mental health funding needs to address changes that have happened in the two decades since the act was first designed.\u003c/p>\n\u003cp>Assemblymember Jacqui Irwin, a Democrat from Thousand Oaks, carried the bond proposal in the Legislature.\u003c/p>\n\u003cp>Mayors and county supervisors from eight major regions, including San Francisco and Los Angeles, successfully lobbied to increase funding for the bond measure by $1.5 billion. City leaders were early supporters of the measure with more than two dozen submitting letters of support along with housing and homeless advocates and the National Alliance on Mental Illness California.\u003c/p>\n\u003ch2>Who are the opponents?\u003c/h2>\n\u003cp>Peer-run and disability organizations have been the staunchest opponents of the changes proposed in the ballot measure. They argue current clients will lose treatment options and accuse Newsom’s administration of using the proposal to fund his \u003ca href=\"https://calmatters.org/housing/2023/08/care-court-california-start/\">CARE Court initiative\u003c/a> that passed last year. That law allows a court to place someone with a serious mental illness into an involuntary treatment program. [pullquote size=\"medium\" align=\"right\" citation=\"Paul Simmons, executive director, Depression and Bipolar Support Alliance\"]‘This is a really tough time for our communities. Our concern with [the proposition] is massive increases in involuntary and forced treatment.’[/pullquote] Groups representing people of color and LGBTQ+ communities also oppose the measure. They say it will eliminate prevention resources and worsen already stark disparities in access to treatment. Resource centers that target these populations are among the services most likely to get cut, county behavioral health leaders have said in public hearing.\u003c/p>\n\u003cp>The bond measure, which previously faced no opposition, drew fierce criticism from peer and disability advocates after last-minute amendments \u003ca href=\"https://calmatters.org/health/mental-health/2023/09/mental-health-bond-gavin-newsom-amendments/\">allowed the money to be used on involuntary treatment facilities\u003c/a>.\u003c/p>\n\u003cp>“This is a really tough time for our communities,” said Paul Simmons, executive director of the Depression and Bipolar Support Alliance. “Our concern with [the proposition] is massive increases in involuntary and forced treatment.”\u003c/p>\n\u003cp>Children and family advocates withdrew previous opposition after securing significant concessions from the governor requiring 51% of spending on early intervention be targeted toward children and youth.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California voters next spring will get to decide on a ballot measure to create housing and treatment options for unhoused individuals with serious mental illness. If it passes, the measure championed by Gov. Gavin Newsom would mark the first major overhaul of the state’s community mental health system in 20 years.\u003c/p>\n\u003cp>The two-pronged proposition on the March primary election ballot includes a nearly $6.4 billion bond to build 10,000 psychiatric treatment units. It also asks voters to redefine how counties spend money collected from a special “millionaire’s tax” to allocate a share of it for housing.\u003c/p>\n\u003cp>Newsom and supporters have promoted Proposition 1 as a way to help address the state’s deteriorating homelessness and addiction crises. They contend that increased investment and an update to the state’s Mental Health Services Act are “long overdue.”\u003c/p>\n\u003cp>The Legislature on Thursday overwhelmingly backed his proposal, with lopsided votes to place it on the 2024 ballot. Newsom still must sign the bills, and he said he would in a written statement after a late-night vote in the Assembly.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“These measures represent a key part of the solution to our homelessness crisis, and improving mental health for kids and families,” Newsom said. “Now, it will be up to voters to ratify the most significant changes to California’s mental health system in more than 50 years.”\u003c/p>\n\u003cp>Opponents of the ballot measure say diverting money in the Mental Health Services Act for housing will result in up to $1 billion in cuts to\u003ca href=\"https://lao.ca.gov/Publications/Report/4782\"> current mental health programs\u003c/a> like outpatient care and crisis response. Other advocates criticize the governor for making last-minute changes to the bond, allowing the money to be spent on involuntary treatment institutions.\u003c/p>\n\u003cp>So what exactly are voters being asked to consider? Here’s how the proposal breaks down.\u003c/p>\n\u003ch2>What is the Mental Health Services Act?\u003c/h2>\n\u003cp>The Mental Health Services Act, which voters passed as a ballot measure in 2004, levies a 1% tax on personal income over $1 million. It passed at a time when the state’s mental health system was severely underfunded. Since then, the tax has generated an estimated $26 billion for county mental health programs. Last year the tax garnered more than $3 billion. It supports roughly one-third of the state’s mental health system. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> The tax is not California’s only source of revenue for mental health programs. The state also receives money from Medi-Cal, and it spends a portion of its general fund on those services. Those sources come with strict spending limitations. For example, Medi-Cal primarily pays for treatment of mental health disorders but will not cover prevention programs. It also will not pay for inpatient treatment at a facility with more than 16 beds.\u003c/p>\n\u003cp>Counties have come to rely on the relative flexibility of Mental Health Services Act dollars to pay for core services like outpatient care, outreach and engagement, school-based counseling, youth wellness programs, family resource centers, and crisis response teams.\u003c/p>\n\u003ch2>What does Newsom want to do?\u003c/h2>\n\u003cp>The most significant change put forth by the governor is a requirement that counties invest 30% of their Mental Health Services Act tax dollars — roughly $1 billion based on last year’s revenue — in housing programs, including rental subsidies and navigation services. Counties would have to spend half this money on people who are chronically homeless or living in encampments. They could also use up to one-quarter of the money to build or purchase housing units.\u003c/p>\n\u003cp>Sacramento Mayor Darrell Steinberg has been a staunch supporter of Newsom’s proposal. Steinberg was one of the co-authors of the Mental Health Services Act when he was an Assembly member in 2004.\u003c/p>\n\u003cp>“To put it plainly, not enough of the Mental Health Services Act dollars are getting out to the people with the most persistent mental illnesses, specifically people who are chronically homeless and living with those underlying conditions,” Steinberg said during a press call in August. “So that’s where you start.”\u003c/p>\n\u003cp>The ballot measure puts counties on the hook for paying for substance use disorder treatment with Mental Health Services Act money. Counties have historically paid for addiction treatment with other funding.\u003c/p>\n\u003cp>And, it\u003cstrong> \u003c/strong>renames the program as the Behavioral Health Services Act.\u003c/p>\n\u003cfigure id=\"attachment_11961360\" class=\"wp-caption aligncenter\" style=\"max-width: 2400px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11961360\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/CMNewsom02.jpeg\" alt=\"Gov. Gavin Newsom is pictured with his hands out as he speak to many folks in a warehouse in front of a microphone.\" width=\"2400\" height=\"1600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/CMNewsom02.jpeg 2400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/CMNewsom02-800x533.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/CMNewsom02-1020x680.jpeg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/CMNewsom02-160x107.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/CMNewsom02-1536x1024.jpeg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/CMNewsom02-2048x1365.jpeg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/CMNewsom02-1920x1280.jpeg 1920w\" sizes=\"auto, (max-width: 2400px) 100vw, 2400px\">\u003cfigcaption class=\"wp-caption-text\">Flanked by state and local politicians, Newsom announced the state’s plan to address homelessness across the state at Cal Expo in Sacramento, on March 16, 2023. \u003ccite>(Miguel Gutierrez Jr./CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>What will the bond measure do?\u003c/h2>\n\u003cp>The second half of Newsom’s proposal places a $6.4 billion general obligation bond before voters to dramatically expand the state’s psychiatric and addiction treatment infrastructure. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> Nearly $4.4 billion would go toward building inpatient and residential treatment beds and could serve 100,000 people annually, officials said. California faces a shortage of \u003ca href=\"https://www.rand.org/content/dam/rand/pubs/testimonies/CTA2700/CTA2742-1/RAND_CTA2742-1.pdf\">nearly 8,000 adult psychiatric beds (PDF)\u003c/a>, said Nicole Eberhart, senior behavioral health scientist for the RAND Corporation, during testimony to an Assembly budget subcommittee in May. Long waitlists plague the state’s inpatient mental health system, and doctors say there’s nowhere to send stable patients who need long-term treatment focused on recovery.\u003c/p>\n\u003cp>Another $2 billion will go toward building permanent supportive housing, with half set aside for veterans with mental health diagnoses or addiction disorders.\u003c/p>\n\u003ch2>How many people are unhoused in California?\u003c/h2>\n\u003cp>More than 170,000 Californians are unhoused, the vast majority of whom live in street encampments. California has the highest homeless rate per 10,000 people, second only to the District of Columbia, and the highest proportion of unsheltered homeless individuals in the country, according to federal data.\u003c/p>\n\u003cp>A \u003ca href=\"https://calmatters.org/housing/2023/06/california-homeless-growth-report/\">landmark study by the UCSF Benioff Homelessness and Housing Initiative\u003c/a> found about two-thirds of unhoused Californians surveyed suffered from a mental health disorder but only 19% had received recent treatment. The driving force behind homelessness, however, was most often income loss, not mental illness or addiction, \u003ca href=\"https://homelessness.ucsf.edu/our-impact/our-studies/california-statewide-study-people-experiencing-homelessness\">according to the study\u003c/a>. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> Groups representing people of color and LGBTQ+ communities also oppose the measure. They say it will eliminate prevention resources and worsen already stark disparities in access to treatment. Resource centers that target these populations are among the services most likely to get cut, county behavioral health leaders have said in public hearing.\u003c/p>\n\u003cp>The bond measure, which previously faced no opposition, drew fierce criticism from peer and disability advocates after last-minute amendments \u003ca href=\"https://calmatters.org/health/mental-health/2023/09/mental-health-bond-gavin-newsom-amendments/\">allowed the money to be used on involuntary treatment facilities\u003c/a>.\u003c/p>\n\u003cp>“This is a really tough time for our communities,” said Paul Simmons, executive director of the Depression and Bipolar Support Alliance. “Our concern with [the proposition] is massive increases in involuntary and forced treatment.”\u003c/p>\n\u003cp>Children and family advocates withdrew previous opposition after securing significant concessions from the governor requiring 51% of spending on early intervention be targeted toward children and youth.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game and Brown has some lessons he'd like to share. ",
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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"possible": {
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"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"radiolab": {
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},
"rightnowish": {
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"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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"tagline": "Real stories with killer beats",
"info": "The Snap Judgment radio show and podcast mixes real stories with killer beats to produce cinematic, dramatic radio. Snap's musical brand of storytelling dares listeners to see the world through the eyes of another. This is storytelling... with a BEAT!! Snap first aired on public radio stations nationwide in July 2010. Today, Snap Judgment airs on over 450 public radio stations and is brought to the airwaves by KQED & PRX.",
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"soldout": {
"id": "soldout",
"title": "SOLD OUT: Rethinking Housing in America",
"tagline": "A new future for housing",
"info": "Sold Out: Rethinking Housing in America",
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