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"content": "\u003cp>A \u003ca href=\"https://www.kqed.org/podcasts/baycurious/\">Bay Curious\u003c/a> listener asked about the history of the National AIDS Memorial Grove in Golden Gate Park. It’s a beautiful, verdant place filled with ferns, redwood trees and a stone centerpiece engraved with the names of the many people lost to HIV/AIDS and the names of their friends and family members.\u003c/p>\n\u003cp>To answer the listener’s question, we created a theatrical walking tour into the stories behind the memorial garden. You can attend one of the tours on Nov. 4-5. They run at 1 p.m., 2 p.m. and 3 p.m. \u003ca href=\"https://www.kqed.org/event/3582\">Full information and tickets here. \u003c/a>\u003c/p>\n\u003cp>KQED led in-depth interviews with activists, survivors and loved ones who are integral to the grove. Their stories are reflected in the dances and music you’ll see during the tour.\u003c/p>\n\u003cp>Below are excerpts from those interviews. All photos are courtesy of the people interviewed.\u003c/p>\n\u003chr>\n\u003cfigure id=\"attachment_11965279\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/John-Cunningham.jpeg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11965279\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/John-Cunningham-800x800.jpeg\" alt=\"Portrait of John Cunningham.\" width=\"800\" height=\"800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/John-Cunningham-800x800.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/John-Cunningham-1020x1020.jpeg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/John-Cunningham-160x160.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/John-Cunningham-1536x1536.jpeg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/John-Cunningham-2048x2048.jpeg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/John-Cunningham-1920x1920.jpeg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">John Cunningham\u003c/figcaption>\u003c/figure>\n\u003ch2>John Cunningham\u003c/h2>\n\u003cp>\u003cem>CEO of the National AIDS Memorial Grove\u003c/em>\u003c/p>\n\u003cp>[dropcap]T[/dropcap]he space is a geographic bowl. I believe it’s a holder of energy. It’s the only space in public land in San Francisco where it’s legal to deposit urns or spread ashes. It is the final resting place for hundreds of individuals. We often avail to families and loved ones a tree or some sort of plant for them so that they can create life out of death and then oftentimes return to visit.\u003c/p>\n\u003cp>In 1998, I learned that I was HIV positive. I contracted the virus during a four or five-year stint of addiction, which I’ve conquered, which gave me the opportunity to rebuild my life. I have two Chinese symbols tattooed on my left shoulder, which are perseverance and longevity, or harnessing the energy of our life’s events to gain strength, perspective, wisdom. Because if we don’t go down that path, we tend to go down the dark path of being victims and jaded and negative. So I’ve tried to use that event in my life for other events in my life to create positive outcomes.\u003c/p>\n\u003cp>After coming off of disability from HIV, I re-entered the workforce and ended up working for a nonprofit called Positive Resource Center (PRC). They joined in the efforts to create the Grove.\u003c/p>\n\u003cp>So many individuals were cast aside or away from their communities, their homes, their places of worship, their churches. And I believe that many have found this to be that space, that sanctuary and the circle of friends.\u003c/p>\n\u003cp>Albeit the gay community was significantly adversely impacted, it was not the most significantly impacted single demographic. That would have been the hemophilia community.\u003c/p>\n\u003cp>The hemophilia community lost so many of their own members because of the injustice of a tainted blood supply that the government knew was tainted. They hoped they would find a cure, which we still don’t have.\u003c/p>\n\u003cp>Half the hemophiliacs in America died in the 10-year period. It was a tragedy. And they said, “You know, if it wasn’t for you gay people, we would have gotten help.” It wasn’t right, but they were [correct] because of the stigma that was projected upon one segment of the population, i.e., gays. No one got help. And that is just a tragedy. But it speaks to how corrosive to a society prejudice and stigma and discrimination can be when you’re projecting against a health crisis.\u003c/p>\n\u003cp>They wanted to create their own AIDS memorial. And Jenny White, \u003ca href=\"https://en.wikipedia.org/wiki/Ryan_White\">Ryan White\u003c/a>’s mother said, “You’ve got one. It’s the National AIDS Memorial.” We worked and bridged some real chasms inside their community. The Hemophilia Circle was completed in 2017.\u003c/p>\n\u003cp>About 90% of those that are affected by bleeding disorders are men or boys. If you had one boy, you had three boys that all had hemophilia. And back in those days, they were probably all being transfused at the same center. So when you lost one, you lost them all. Most of the hemophilia community didn’t seek support within the gay community because the gay community was the only place that was really trying to do something. You were then alone. And your book of grieving was closed and you had nowhere to go.\u003c/p>\n\u003cp>So the grove was also a project that helped people open that book of grieving again and come together. On the day the space was dedicated, there were about 250 to 300 individuals representing the National Hemophilia Foundation, the Hemophilia Federation of America, the community of 10,000 and family members from across the country.\u003c/p>\n\u003cp>Hemophilia creates joint issues because it has blood pooling in ankles and knees. During the dedication these fathers, many with mobility issues, fell into other men’s arms crying and holding each other. When we welcomed them and stood here, it was clear they were all standing across from the circle, alone in the back. And I said to them, “We are one family. We were in one boat tragically connected. Come together, come in.” And we came together and shared.\u003c/p>\n\u003chr>\n\u003cfigure id=\"attachment_11965417\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2024/10/Dana-Francis.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11965417\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2024/10/Dana-Francis-800x825.jpg\" alt=\"\" width=\"800\" height=\"825\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/Dana-Francis-800x825.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/Dana-Francis-160x165.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/Dana-Francis.jpg 1000w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Dana Francis\u003c/figcaption>\u003c/figure>\n\u003ch2>Dana Francis\u003c/h2>\n\u003cp>\u003cem>Social Worker with hemophiliacs\u003c/em>\u003c/p>\n\u003cp>[dropcap]I[/dropcap] worked at UCSF at the Hemophilia Treatment Center for over 20 years. I think at the beginning a lot of people felt that the gay community gave this to the hemophilia community by donating blood. The blood products that were made to control their hemophilia infected them.\u003c/p>\n\u003cp>Before they knew what HIV was, the bloodmobile would come to 18th and Castro. Guys would line up and donate, but they didn’t know that their blood was infected. The gay community was one of the greatest civic players.\u003c/p>\n\u003cp>My role as a social worker has been to say for years, “This is nobody’s fault.” A big part of my job was to get the guys with bleeding disorders to think about this whole thing differently. Some of them were already there, a lot of them weren’t. We worked at it slowly and carefully.\u003c/p>\n\u003cp>It ended up being my calling in a way to do this work. I’ve always wanted to help other men think more broadly about their own humanity and their own emotional life. Nothing is going to get you into that position like having a chronic and life-threatening illness. I love helping men help themselves and help each other. It doesn’t sound like much, but it’s huge because men don’t do that.\u003c/p>\n\u003cp>Most people don’t even know what hemophilia is. I didn’t when I started the job. They think they’ve heard maybe that if you cut yourself shaving, you bleed to death. Which you don’t! People with hemophilia bleed longer, not faster. So if they cut themselves shaving, they’re going to be changing a Band-Aid a couple of times that day. They’re missing a protein in their blood that we have and the clots are blood, but they don’t have it. So they bleed into their joints, knees, ankles, hips, elbows mostly. They have internal bleeding.\u003c/p>\n\u003cp>Although the treatment is much, much better than it used to be, and it’s getting better all the time, thank goodness, a lot of older folks are in wheelchairs because their knees are wrecked. So the ramps here at the grove are even for people to walk as much as they are for chairs. That’s perfect for this community.\u003c/p>\n\u003chr>\n\u003cfigure id=\"attachment_11965280\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11965280\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/Steve-Sagaser-800x800.jpeg\" alt=\"Portrait of Steve Sagaser.\" width=\"800\" height=\"800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Steve-Sagaser-800x800.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Steve-Sagaser-1020x1020.jpeg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Steve-Sagaser-160x160.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Steve-Sagaser-1536x1536.jpeg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Steve-Sagaser-2048x2048.jpeg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Steve-Sagaser-1920x1920.jpeg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Steve Sagaser\u003c/figcaption>\u003c/figure>\n\u003ch2>Steve Sagaser\u003c/h2>\n\u003cp>\u003cem>Senior Manager, Programs, AIDS Memorial Grove\u003c/em>\u003c/p>\n\u003cp>[dropcap]M[/dropcap]y name is Steve Sagaser. I’m 57 years old. I am an HIV-positive gay male.\u003c/p>\n\u003cp>A few years after we graduated from UC Berkeley, my partner Sergio died, in 1993. It was very traumatic and devastating for me. I very much wanted to avoid the topic of HIV and AIDS as much as possible. I lived in our apartment for some time with all of his belongings there. I needed that. When he died I believed that I was going to be next. The thought of being tested terrified me. If I were tested, my death sentence would be confirmed. Just hearing about HIV/AIDS terrified me.\u003c/p>\n\u003cp>Five years after Sergio died I finally went to be tested. I was negative. It was several years later when I became positive, while I was addicted to meth. Many people become infected while using crystal meth.\u003c/p>\n\u003cp>We’ve all heard the expression “sick and tired of being sick and tired.” We use that a lot in the recovery community. That happened to me. I recall walking through Dolores Park one afternoon on my way home after using meth all night long. I was seeing all the people doing seemingly healthy things — going to work, or just enjoying the park. And there I was, on my way home to figure out how to get more meth, after walking the city like a rat in the night. And I remember, in that moment, thinking about, and missing, all the wonderful people in my life before I had become a drug addict.\u003c/p>\n\u003cp>So I decided to endure the long and terrible withdrawal. I started going to a lot of anonymous meetings and some AA meetings. In doing that, I was able to find a little group of friends. One of those friends became my partner of 18 years.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>I was exhausted from the constant chasing, of missing the people that I loved, all of whom were there waiting for me when I finally got my shit together. I always feel so blessed that they never abandoned me.\u003c/p>\n\u003cp>The most meaningful place to me in the grove is the Circle of Friends, where the name of Sergio’s nephew, Daniel, is located. He was only five years old when Sergio and I went to visit his family and we had taken him to Universal Studios. We never stayed in touch. But Daniel, some 16 years later, was able to find me. He’s my nephew now, and this is one of the gifts Sergio gave me.\u003c/p>\n\u003cp>In the Circle of Friends are the names of people who have died from AIDS or people who have been impacted by AIDS. And Daniel is certainly one of those people. His family didn’t talk about what happened to Uncle Sergio. But Daniel is very intuitive and at a young age he started putting things together. One of those reasons is that Daniel is a gay man.\u003c/p>\n\u003cp>I had Daniel’s name engraved in there so that it was close to Sergio’s name.\u003c/p>\n\u003chr>\n\u003cfigure id=\"attachment_11965607\" class=\"wp-caption alignright\" style=\"max-width: 1400px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/Daniel-Villa-for-post.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11965607\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/Daniel-Villa-for-post.jpg\" alt=\"A headshot of a Latino man.\" width=\"1400\" height=\"1245\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Daniel-Villa-for-post.jpg 1400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Daniel-Villa-for-post-800x711.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Daniel-Villa-for-post-1020x907.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Daniel-Villa-for-post-160x142.jpg 160w\" sizes=\"(max-width: 1400px) 100vw, 1400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Daniel Villa\u003c/figcaption>\u003c/figure>\n\u003ch2>Daniel Villa\u003c/h2>\n\u003cp>\u003cem>Steve’s Nephew\u003c/em>\u003c/p>\n\u003cp>[dropcap]T[/dropcap]he first time my uncle Sergio brought his partner Steve from Berkeley to our house was when I was five years old. I remember — I love telling Steve this now — “Staring at you because you were so pale and so different looking from my family!” He had shoulder-length blond hair. They took me to Universal Studios that day. I don’t remember any of the trips, but I remember the car ride, sitting in the back seat, feeling that there was something between them. And at the time I didn’t call it gay, but I felt something, even though they didn’t kiss in front of me or anything.\u003c/p>\n\u003cp>My family wasn’t very accepting of people being gay. So they were distant from Sergio. I always had questions about him and I was left with no answers.\u003c/p>\n\u003cp>And then one day when I was around 14 or 15, my mom gave me Sergio’s thesis. He went to Berkeley, and he wrote a thesis about AIDS. I started to read it and there were way too many big words and phrases that I just could not understand. I put it in my closet for years.\u003c/p>\n\u003cp>My coming out was kind of dramatic. I called my mom after one of my first breakups, crying. And I was really embarrassed to tell her. And she said, “I already knew.” I sobbed, “Oh, you did?” She said, “Yes, don’t freak me out like that. I thought you were going to die or something!” My family then became very accepting.\u003c/p>\n\u003cp>Years later, I picked up the thesis again. And I noticed that at the end it said, ‘I dedicate this to my lover and best friend, Steven Sager.’ I had forgotten his name but always wondered about Sergio’s friend… I was so excited. I didn’t have the courage to actually search for him just yet. Because what if he was also dead?\u003c/p>\n\u003cp>I don’t know how to explain, but it’s almost like Sergio was with me. I felt very much like he was guiding me to Steven in some way, and I would think about his name a lot and that image of him when I was five. It went like that for a while.\u003c/p>\n\u003cp>And then one day I was driving. And I had this feeling that I’ve never felt before like somebody was pushing you to do something, where you wanted to \u003ci>do\u003c/i> something. I pulled over, I wasn’t even home yet. It was like Sergio was forcing me to pull over.\u003c/p>\n\u003cp>I never told Steven this because this whole story sounds crazy.\u003c/p>\n\u003cp>I got on Google. I searched Steven’s name. The first thing that came up was an AIDS nonprofit he worked for. And I go, “Oh my God, this has to be it. My uncle died of AIDS, and here he is working in it. This has to be him!”\u003c/p>\n\u003cp>I called the number on the website and I was shaking so much because I wasn’t sure if it was going to be him. It goes straight to voicemail and I say, “My name is Daniel and I don’t know if you remember me, but I was five years old last time you saw me. And I’m the nephew of Sergio.” I must have been stuttering. It was so scary and exciting. And I get a phone call, like, maybe, 5 minutes later. And it was him.\u003c/p>\n\u003cp>I finally got to talk to Sergio through him and obviously, he was just so excited to hear me. It was magical.\u003c/p>\n\u003cp>I always felt loved by Sergio when he would visit when I was little. He would bring me trolls, the tiny ones with colored hair. Sergio was kind and really, really funny and witty. And it sounds like we’ve become alike, in many ways. I’ve loved hearing little stories about Sergio. But Steven was always such a beautiful person, being around him was always enough for me.\u003c/p>\n\u003cp>I never knew how old Sergio was when he died. Steven said he was 21, and I thought it was so interesting that I found Steven at the age of 21.\u003c/p>\n\u003cp>I’ve known Steven for many years now since I found him. And I’m not in a hurry to know every single detail about Sergio because every time we see each other, we talk about him or I remember this or that. And it’s just nice.\u003c/p>\n\u003cp>My mom and John Cunningham — the CEO of the National AIDS Memorial Grove — coordinated a surprise for Steven. By this point my mom is very accepting, she loves me exactly for who I am. They engraved Steven’s name in the Circle of Friends by Sergio’s.\u003c/p>\n\u003cp>When my mom was dying, I remember looking at the Circle of Friends and thinking about Steven’s experience as a caregiver, since I saw my mom’s illness from beginning to end. I never said thank you to Steven for the hard work he did.\u003c/p>\n\u003chr>\n\u003cfigure id=\"attachment_11965274\" class=\"wp-caption alignright\" style=\"max-width: 687px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11965274 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/Gert-McMullin.jpeg\" alt=\"A portrait of Gert McMullin.\" width=\"687\" height=\"687\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Gert-McMullin.jpeg 687w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Gert-McMullin-160x160.jpeg 160w\" sizes=\"(max-width: 687px) 100vw, 687px\">\u003cfigcaption class=\"wp-caption-text\">Gert McMullin\u003c/figcaption>\u003c/figure>\n\u003ch2>Gert McMullin\u003c/h2>\n\u003cp>\u003cem>Quilt Conservator & Production Manager\u003c/em>\u003c/p>\n\u003cp>[dropcap]M[/dropcap]y given name is Cindy McMullin, but I gave myself the name Gert. I grew up in Oakland. I have been working with the quilt for 35, 36 years now. I’m the first volunteer that showed up at their first meeting. Cleve [Jones] didn’t even go to that meeting because he thought it was going to be a failure. But I’ve been working on sewing it ever since. I’ve made over 200 panels of my own and then helped thousands of people make what’s right behind me here. \u003cem>[Editor’s Note: This interview was conducted in the warehouse where the quilt is stored in Fremont.]\u003c/em>\u003c/p>\n\u003cp>My friends were the first to start dying in San Francisco and in the early 80s before they even knew. They didn’t even have a word for it — the first term was GRID [Gay Related Immune Deficiency]. Then it was just all the boys getting sick. By the time I started working with the quilt, I was about ready to flip it out. I just needed some place to put my energies that didn’t involve going to hospitals, because I was going to hospitals all the time visiting people. I needed to do something that was an action and activist-based thing. So that’s what got me. And I know how to sew.\u003c/p>\n\u003cp>I was at a party when a guy who knew Cleve, said, “I think you need to call this guy.” That would have been in April of 1987. He told me about the first meeting and I made my first two panels and I brought them. There were about four other people at that meeting. It was a failure in our eyes.\u003c/p>\n\u003cp>I just got involved out of a selfish need for me to be able to get my emotions in check and not kill myself, you know, because it just really, really bad then and nobody knew what it was.\u003c/p>\n\u003cp>My friend Roger Gail Lyon said, “I don’t want my epitaph to read: I died of red tape.” When he got sick I cared for him because his lover, David Case, had to work and I happened to have a lot of money then, so I didn’t have to worry about that. I really kind of fell in love with him during those months. And after he died, I found out about all the activism he had done. I was not an activist. But he changed me. My boyfriend had said to me at one point, “Well, if anybody deserves to know how this ends, Roger does”. And so through my eyes, I would let him see an end to it. So that’s why I got involved.\u003c/p>\n\u003cp>\u003cem>[Referring to the panels]\u003c/em> These are my boys. They’re all my friends on these walls and the people I’ve met and the things I’ve seen throughout my years keeps me here. I need the quilt as much as it needs me, if not more. Sometimes what “being involved” is being able to have this opportunity to help people a little through a bad time. I see a lot of pain in me and I put it into the quilt.\u003c/p>\n\u003cp>I think everybody should be so lucky to have a job like mine.\u003c/p>\n\u003cp>The quilt is about anger and activism. It’s about being a memorial, too. But the Grove is about hope. And so there is a big difference.\u003c/p>\n\u003chr>\n\u003cfigure id=\"attachment_11965377\" class=\"wp-caption alignright\" style=\"max-width: 640px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/Nan-and-Eugene-Tribuzio.jpeg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11965377 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/Nan-and-Eugene-Tribuzio.jpeg\" alt=\"An older man and woman in puffy black jackets smile at the camera while standing outdoors in front of a small pine tree decorated with Christmas ornaments. The man is holding a small brown dog that is wearing a Santa Claus jacket. \" width=\"640\" height=\"480\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Nan-and-Eugene-Tribuzio.jpeg 640w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Nan-and-Eugene-Tribuzio-160x120.jpeg 160w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Nan Tribuzio (right) and her husband Eugene.\u003c/figcaption>\u003c/figure>\n\u003ch2>Nan Tribuzio\u003c/h2>\n\u003cp>\u003cem>Early volunteer\u003c/em>\u003c/p>\n\u003cp>[dropcap]M[/dropcap]y name is Nan Tribuzio and I live in Morgan, Utah. I joined the Grove in 1995.\u003c/p>\n\u003cp>We were at a garden show at Fort Mason in San Francisco, and there was a group there from the grove. They had bay leaves and invitations to sign the names of people that you had lost to AIDS or were dealing with AIDS. At that time, my son’s partner died. So he put his name and added it to the basket. That’s how we found out about the grove.\u003c/p>\n\u003cp>When my son passed, a friend of his drove over to where the grove was. It still looked like a garbage dump then. He found out they had work days that you could volunteer at, so he contacted the office and asked if we could do a memorial at one of the work days for my son. And from then on, we were there every month. We were regular volunteers.\u003c/p>\n\u003cp>We kept my son in San Francisco as long as we could so he could be with his friends. And when he got too sick, we decided to bring him home. The big fear was that his friends wouldn’t be able to come. We just let them know they were welcome. Most every weekend we had a group at the house. They listened to music, interacted with us. They made my husband, [Eugene], an honorary gay because he was so friendly with them and treated them just like anybody else. And they were so thankful that we included them, instead of bringing Joe home and telling them they weren’t welcome.\u003c/p>\n\u003cp>We were included in a lot of the activities he had going on. Got to know all of his friends. The only thing he wouldn’t let me do is come to the gay pride parade. After he passed, that was one of the first things I did. I actually marched in the parade with a group from the grove, and I said, “I’m here, Joe.”\u003c/p>\n\u003cp>He passed in January 1995.\u003c/p>\n\u003cp>When I’m in the grove, I really feel Joe is with me. Joe did maintenance landscaping, so I know he would love the grove. The Circle of Friends is where I always gravitate. And even if we visit San Francisco when it’s not a work day, we go to the Grove and always go to the Circle of Friends. If it’s his birthday, we put flowers on his name. It’s just such a healing place, and everybody there has experienced losing someone to AIDS. So it’s easy to talk about. You just have so much in common. They’ve become family.\u003c/p>\n\u003cp>Many times when somebody will say, “How many children do you have?” I’ll say, two, but I lost my son. And then there is just this silence and they don’t know what to say. At the grove, I can talk about it and nobody’s uncomfortable. I think that’s the most healing thing for me. I have one friend that sends me a Mother’s Day card every year from Joe.\u003c/p>\n\u003cp>Someday I’ll probably scatter Joe’s ashes at the grove, but I have them here with me now. I combined his partner’s ashes and his ashes. He’s always with me. It was just his birthday the other day. He would have been 61. I see his friends who are his age, and it’s like, okay, that’s what he would look like. Yeah. Turned out great.\u003c/p>\n\u003chr>\n\u003cfigure id=\"attachment_11965282\" class=\"wp-caption alignright\" style=\"max-width: 704px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11965282\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/tomjenson.jpeg\" alt=\"Portrait of Tom Jenson.\" width=\"704\" height=\"704\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/tomjenson.jpeg 704w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/tomjenson-160x160.jpeg 160w\" sizes=\"(max-width: 704px) 100vw, 704px\">\u003cfigcaption class=\"wp-caption-text\">Tom Jenson\u003c/figcaption>\u003c/figure>\n\u003ch2>Tom Jenson\u003c/h2>\n\u003cp>\u003cem>Early volunteer, board member, garden expert\u003c/em>\u003c/p>\n\u003cp>[dropcap]I[/dropcap] believe scent and movement invoke memory. Not even floral, but nature and wet ground. Or the moisture of something dank inside the redwood grove in the darkness, where there’s non-movement and the chance to be with yourself.\u003c/p>\n\u003cp>So when Ray [former head gardener] came to me years ago and said “I want to plant a thousand lavenders on the North Slope,” I was like, you have no argument from me because it’s bringing scent and movement.\u003c/p>\n\u003cp>I became a gardener because I was a child seeking love from my father. My father was an aspiring landscape architect but was an engineer who then had five children, so decided he couldn’t go back to school and become what he wanted. His life was always gardening, planting, building. And I just sat there looking at the Sunset Western Garden guide and looking at plants and learning about plants. I probably would have naturally veered that way anyway. But it was a good way to spend time with my dad since I didn’t want to dribble basketballs with him.\u003c/p>\n\u003cp>My partner died on Memorial Day in 2000, and by June, I was at the grove for my first work day. I said, “You have to.”\u003c/p>\n\u003cp>You have to understand —I was in high caregiving mode. I said to myself, “You have to go volunteer on the weekend because if you lay in bed and grieve, Monday morning, you’ll be calling in sick to work because you’ll get further and further under the covers.” So I came here.\u003c/p>\n\u003cp>At the time, I was not social. My partner and I were both introverts, but also I grew up as a shy child, which is why I looked through the books of flowers and plants and read those. So coming here was intimidating to me because I’m like, oh, a group of people. And it’s outdoors. It’s not like just going to the hotline for the AIDS Foundation, which I did for a while, where you have your own little cubicle and your book of answers. I’m going to have to relate to people. I just convinced myself to just come here and I know what I’m doing in terms of weeds.\u003c/p>\n\u003cp>When I left, I said, “I’ll see you next week.” And they’re like, “Oh, we only do this once a month.” And I was like, oh, no. I need this once a week.\u003c/p>\n\u003cp>I started asking this other volunteer questions. Like, what’s a board of directors? Why did they plant these? Why are these native plants in the sand dunes? I’m using the Latin names as I say those words because I read them in the book. I know about California plants, Western plants. And at some point, he said, “Do you want to join a committee?” Yeah! So I joined the Workday committee, which was designed to plan for the workdays.\u003c/p>\n\u003cp>Then I moved to the planning committee. We developed a very tight site committee that met with the gardener, and talked about: What are we doing next year? What are your ideas about improvements? What do you think needs to be done in three years? What should we be preparing for? Because it helps us raise funds too, letting people know something’s happening, and what’s going on with maintenance.\u003c/p>\n\u003chr>\n\u003cfigure id=\"attachment_11965283\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11965283\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/Vince-Crisostomo-800x557.jpeg\" alt=\"Portrait of Vince Crisostomo.\" width=\"800\" height=\"557\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Vince-Crisostomo-800x557.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Vince-Crisostomo-1020x710.jpeg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Vince-Crisostomo-160x111.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Vince-Crisostomo.jpeg 1150w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Vince Crisostomo\u003c/figcaption>\u003c/figure>\n\u003ch2>Vincent Crisostomo\u003c/h2>\n\u003cp>\u003cem>Director of Aging Services, SFAF\u003c/em>\u003c/p>\n\u003cp>[dropcap]I[/dropcap]’ve been living with HIV since 1985, and so it’s been a long time.\u003c/p>\n\u003cp>I am originally from Guam, and I was there for a couple of years doing HIV work. I opened the first organization funded to do HIV work in the Pacific. Then I went to DC and I was the director of field operations for a research study at Georgetown University. Then I went abroad and I lived in Thailand and did international work for about 6 1/2 years in HIV and AIDS. I was on the U.N. AIDS board for about five years, representing the Asia Pacific. Then I moved back to San Francisco.\u003c/p>\n\u003cp>I didn’t want my current job [Director of Aging Services, SF AIDS Foundation] when it was presented. But after a while, I needed a job so I applied. I was about to go on food stamps and general assistance. It’s been nine years now and it’s probably one of the best jobs I’ve ever had. We serve people who survived the HIV/AIDS epidemic. So people are 50, 60 and 70. I’m on a bunch of policy committees too [Human Rights Commission, Dignity Fund, State Equity for Aging committee, etc.].\u003c/p>\n\u003cp>Additionally, I do a lot of work with younger people, which has been really a revelation to me because I didn’t have this when I was in my twenties. Like, people, we were too busy fighting for our lives!\u003c/p>\n\u003cp>Just to hang out with young people and hear them talk about and also see them with each other, you know, in a way that my generation wasn’t able to do. We didn’t have the term BIPOC then. There just always seemed to be a competition going on, you know?\u003c/p>\n\u003cp>I’m trying to live my life. I realize that there are many people who didn’t make it through the HIV AIDS epidemic. And so, I just feel that I owe it to them and to myself to live.\u003c/p>\n\u003cp>My partner and I moved back to San Francisco from New York in November of 1990, and my partner at the time, his name was Jesse Solomon, he passed away on October 6th, 1991. I got a call from somebody saying that they were going to plant a tree for Jesse in the Grove. I didn’t think too much about it.\u003c/p>\n\u003cp>And then when I got this job, I’d bring my group of 50+ network to the Grove, for events, work days. It had been a seed that was planted in 1991. And I realized, like, my God, I never thought the tree would be here! It was really emotional. I didn’t think I was going to be here, be alive. There’s a lot of names that engraved in the Circle of Friends. I think Jesse’s name is there, and another friend, Joel.\u003c/p>\n\u003cp>In 2018, we got this family, Al and Jane Nakatani and their sons. My generation of folks, we raised money to engrave all the names of the whole family. Initially, they thought they could only afford to do the sons. But we put the whole family’s name there. Jane had come from Hawaii and when she saw it, she gasped and burst into tears because she didn’t expect to see her name. And she said, “This is the first time our family has been together in public.”\u003c/p>\n\u003cp>In 1997 I brought the quilt to Guam.\u003c/p>\n\u003cp>I had lived in New York in the eighties and I had this aerobics instructor who I adored. When I was on my way to Guam I stopped in NYC and went by the gym, just to see it. It had gone out of business.\u003c/p>\n\u003cp>Anyway, we arrived in Guam and I met this young lady and she said to me, “Excuse me, can you help me? I’m looking for my brother’s quilt panel.” I said, I’m sure we can help you, tell me about your brother. And she says, “He was an aerobics director in New York.” And he was my aerobics instructor! We became instant friends and that was amazing. There are these incredible coincidences or synchronicities, but they just kind of happen. That’s the magic of the world.\u003c/p>\n\u003chr>\n\u003ch2>Ellen Shepherd\u003c/h2>\n\u003cp>\u003cem>Early volunteer\u003c/em>\u003c/p>\n\u003cp>[dropcap]I[/dropcap]‘m living in Sonoma and I’ve been living up here since 1994. I have a fairly active life, for my age. I turned 91 in May.\u003c/p>\n\u003cp>Our second daughter, Kathy, passed from AIDS. It began when I got a phone call from Kathy saying her boyfriend had been taken to the hospital and was very ill. They made her have a blood test and told her that he was in throws of AIDS and that she was HIV positive. She said, “I don’t know what I’m going to do. I’m leaving him in the hospital. His brother’s going to come and take care of him. I just can’t do it anymore. He’s been sick and I’ve been taking care of him for months.”\u003c/p>\n\u003cp>She wasn’t sick, but she was very depressed to discover that she had HIV. Nobody up here in Sonoma really knew very much about it. Nobody knew much about taking care of women anyway, because there just weren’t that many women infected that we knew about.\u003c/p>\n\u003cp>I think probably she would’ve been better off in San Francisco where the doctors had a little bit more experience. She stayed with us for about a year, and then she moved up to Guerneville on the Russian River. With her permission, I talked to the doctor that she had in Guerneville, and he said, “She’s one of those patients that always agrees with you when you say, ‘You’ve got to do this.’ And then she goes out and does what she wants anyway.” And I said, “Listen, she’s been like that all her life. Never argued with us, never gave us a bit of sass or anything, like some of the other kids.” But I said, “You have to go in and clean your room.” And she’d say, “Okay,” and go in and do something else entirely.\u003c/p>\n\u003cp>Her regime was to take her medications when she kind of got around to it, instead of as the doctor had prescribed. And she was drinking.\u003c/p>\n\u003cp>She was showing signs of really getting ill. Her complexion was very bad, and her eyesight was terrible. She had been driving my car when she lived here with us, but as her eyesight deteriorated, that was one of the signs that things were getting worse.\u003c/p>\n\u003cp>We took her back to Guerneville, and that very night she called her sister Diana and said, “I’m so sick. I think I have to go to the hospital.” This was not the first time. But this time Diana took her to the hospital in Sebastopol, and they kept her. And the next day, my husband and I went up and they essentially told us, if there’s somebody you need to notify, you better do it now.\u003c/p>\n\u003cp>We laughed with her. We had a wonderful evening, and she was very, very weak, but she seemed to have her wits about her. That was Sunday evening. Monday morning I got a call from the hospital that she had died.\u003c/p>\n\u003cp>That was right around the 4th of July. I just couldn’t come to grips with it. I don’t have any place to really mourn her. Then I remembered reading something from the time we lived in San Francisco. There was something in the Chronicle about a memorial grove somewhere for AIDS and I thought it was in Golden Gate Park.\u003c/p>\n\u003cp>So I called one of the daughters who was living in San Francisco and said, “Do you know anything about it?” She lived right close by. She called me back in a couple of hours and said, “There is this beautiful place there. It’s called the Redwood AIDS Memorial Grove. I think you should call them. There’s a phone number.”\u003c/p>\n\u003cp>I did call, and I talked to a lady there, Sue Ellen. I said, “Would it be possible to plant a tree there?” And she said, “We have a volunteer day coming up and we would like to invite you to come to that day, and then we could do it right afterwards.” And so the whole family, my son, of course, my husband and I, and all four of the girls who were left, we all came to the volunteer day in September of 2000.\u003c/p>\n\u003cp>We planted the tree, a little redwood tree, up in the De LaVega Dell. The tree was maybe five inches shorter than I was, so a little over five feet, which now 23 years later, is so tall you can’t see the top of it. That tree became so special and so sacred to us that both my husband and I said, “Boy, when we die, we’d like our ashes scattered there.”\u003c/p>\n\u003cp>It is a wonderful thing that there is a place where people are not worried about the fact that they may be a patient themselves. We just share in our grief, but we share also in our joy. We don’t go there and cry because it’s so sad, we go there because we want to work and make something beautiful and also so we don’t forget.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Ahead of our upcoming Bay Curious walking tours in the grove, read a collection of excerpts from in-depth interviews with the activists, survivors and loved ones who are integral to the sanctuary.",
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"title": "'A Healing Place': Stories From the National AIDS Memorial Grove | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A \u003ca href=\"https://www.kqed.org/podcasts/baycurious/\">Bay Curious\u003c/a> listener asked about the history of the National AIDS Memorial Grove in Golden Gate Park. It’s a beautiful, verdant place filled with ferns, redwood trees and a stone centerpiece engraved with the names of the many people lost to HIV/AIDS and the names of their friends and family members.\u003c/p>\n\u003cp>To answer the listener’s question, we created a theatrical walking tour into the stories behind the memorial garden. You can attend one of the tours on Nov. 4-5. They run at 1 p.m., 2 p.m. and 3 p.m. \u003ca href=\"https://www.kqed.org/event/3582\">Full information and tickets here. \u003c/a>\u003c/p>\n\u003cp>KQED led in-depth interviews with activists, survivors and loved ones who are integral to the grove. Their stories are reflected in the dances and music you’ll see during the tour.\u003c/p>\n\u003cp>Below are excerpts from those interviews. All photos are courtesy of the people interviewed.\u003c/p>\n\u003chr>\n\u003cfigure id=\"attachment_11965279\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/John-Cunningham.jpeg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11965279\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/John-Cunningham-800x800.jpeg\" alt=\"Portrait of John Cunningham.\" width=\"800\" height=\"800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/John-Cunningham-800x800.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/John-Cunningham-1020x1020.jpeg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/John-Cunningham-160x160.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/John-Cunningham-1536x1536.jpeg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/John-Cunningham-2048x2048.jpeg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/John-Cunningham-1920x1920.jpeg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">John Cunningham\u003c/figcaption>\u003c/figure>\n\u003ch2>John Cunningham\u003c/h2>\n\u003cp>\u003cem>CEO of the National AIDS Memorial Grove\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">T\u003c/span>\u003c/p>\u003cp>he space is a geographic bowl. I believe it’s a holder of energy. It’s the only space in public land in San Francisco where it’s legal to deposit urns or spread ashes. It is the final resting place for hundreds of individuals. We often avail to families and loved ones a tree or some sort of plant for them so that they can create life out of death and then oftentimes return to visit.\u003c/p>\n\u003cp>In 1998, I learned that I was HIV positive. I contracted the virus during a four or five-year stint of addiction, which I’ve conquered, which gave me the opportunity to rebuild my life. I have two Chinese symbols tattooed on my left shoulder, which are perseverance and longevity, or harnessing the energy of our life’s events to gain strength, perspective, wisdom. Because if we don’t go down that path, we tend to go down the dark path of being victims and jaded and negative. So I’ve tried to use that event in my life for other events in my life to create positive outcomes.\u003c/p>\n\u003cp>After coming off of disability from HIV, I re-entered the workforce and ended up working for a nonprofit called Positive Resource Center (PRC). They joined in the efforts to create the Grove.\u003c/p>\n\u003cp>So many individuals were cast aside or away from their communities, their homes, their places of worship, their churches. And I believe that many have found this to be that space, that sanctuary and the circle of friends.\u003c/p>\n\u003cp>Albeit the gay community was significantly adversely impacted, it was not the most significantly impacted single demographic. That would have been the hemophilia community.\u003c/p>\n\u003cp>The hemophilia community lost so many of their own members because of the injustice of a tainted blood supply that the government knew was tainted. They hoped they would find a cure, which we still don’t have.\u003c/p>\n\u003cp>Half the hemophiliacs in America died in the 10-year period. It was a tragedy. And they said, “You know, if it wasn’t for you gay people, we would have gotten help.” It wasn’t right, but they were [correct] because of the stigma that was projected upon one segment of the population, i.e., gays. No one got help. And that is just a tragedy. But it speaks to how corrosive to a society prejudice and stigma and discrimination can be when you’re projecting against a health crisis.\u003c/p>\n\u003cp>They wanted to create their own AIDS memorial. And Jenny White, \u003ca href=\"https://en.wikipedia.org/wiki/Ryan_White\">Ryan White\u003c/a>’s mother said, “You’ve got one. It’s the National AIDS Memorial.” We worked and bridged some real chasms inside their community. The Hemophilia Circle was completed in 2017.\u003c/p>\n\u003cp>About 90% of those that are affected by bleeding disorders are men or boys. If you had one boy, you had three boys that all had hemophilia. And back in those days, they were probably all being transfused at the same center. So when you lost one, you lost them all. Most of the hemophilia community didn’t seek support within the gay community because the gay community was the only place that was really trying to do something. You were then alone. And your book of grieving was closed and you had nowhere to go.\u003c/p>\n\u003cp>So the grove was also a project that helped people open that book of grieving again and come together. On the day the space was dedicated, there were about 250 to 300 individuals representing the National Hemophilia Foundation, the Hemophilia Federation of America, the community of 10,000 and family members from across the country.\u003c/p>\n\u003cp>Hemophilia creates joint issues because it has blood pooling in ankles and knees. During the dedication these fathers, many with mobility issues, fell into other men’s arms crying and holding each other. When we welcomed them and stood here, it was clear they were all standing across from the circle, alone in the back. And I said to them, “We are one family. We were in one boat tragically connected. Come together, come in.” And we came together and shared.\u003c/p>\n\u003chr>\n\u003cfigure id=\"attachment_11965417\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2024/10/Dana-Francis.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11965417\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2024/10/Dana-Francis-800x825.jpg\" alt=\"\" width=\"800\" height=\"825\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/Dana-Francis-800x825.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/Dana-Francis-160x165.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/Dana-Francis.jpg 1000w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Dana Francis\u003c/figcaption>\u003c/figure>\n\u003ch2>Dana Francis\u003c/h2>\n\u003cp>\u003cem>Social Worker with hemophiliacs\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">I\u003c/span>\u003c/p>\u003cp> worked at UCSF at the Hemophilia Treatment Center for over 20 years. I think at the beginning a lot of people felt that the gay community gave this to the hemophilia community by donating blood. The blood products that were made to control their hemophilia infected them.\u003c/p>\n\u003cp>Before they knew what HIV was, the bloodmobile would come to 18th and Castro. Guys would line up and donate, but they didn’t know that their blood was infected. The gay community was one of the greatest civic players.\u003c/p>\n\u003cp>My role as a social worker has been to say for years, “This is nobody’s fault.” A big part of my job was to get the guys with bleeding disorders to think about this whole thing differently. Some of them were already there, a lot of them weren’t. We worked at it slowly and carefully.\u003c/p>\n\u003cp>It ended up being my calling in a way to do this work. I’ve always wanted to help other men think more broadly about their own humanity and their own emotional life. Nothing is going to get you into that position like having a chronic and life-threatening illness. I love helping men help themselves and help each other. It doesn’t sound like much, but it’s huge because men don’t do that.\u003c/p>\n\u003cp>Most people don’t even know what hemophilia is. I didn’t when I started the job. They think they’ve heard maybe that if you cut yourself shaving, you bleed to death. Which you don’t! People with hemophilia bleed longer, not faster. So if they cut themselves shaving, they’re going to be changing a Band-Aid a couple of times that day. They’re missing a protein in their blood that we have and the clots are blood, but they don’t have it. So they bleed into their joints, knees, ankles, hips, elbows mostly. They have internal bleeding.\u003c/p>\n\u003cp>Although the treatment is much, much better than it used to be, and it’s getting better all the time, thank goodness, a lot of older folks are in wheelchairs because their knees are wrecked. So the ramps here at the grove are even for people to walk as much as they are for chairs. That’s perfect for this community.\u003c/p>\n\u003chr>\n\u003cfigure id=\"attachment_11965280\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11965280\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/Steve-Sagaser-800x800.jpeg\" alt=\"Portrait of Steve Sagaser.\" width=\"800\" height=\"800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Steve-Sagaser-800x800.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Steve-Sagaser-1020x1020.jpeg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Steve-Sagaser-160x160.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Steve-Sagaser-1536x1536.jpeg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Steve-Sagaser-2048x2048.jpeg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Steve-Sagaser-1920x1920.jpeg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Steve Sagaser\u003c/figcaption>\u003c/figure>\n\u003ch2>Steve Sagaser\u003c/h2>\n\u003cp>\u003cem>Senior Manager, Programs, AIDS Memorial Grove\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">M\u003c/span>\u003c/p>\u003cp>y name is Steve Sagaser. I’m 57 years old. I am an HIV-positive gay male.\u003c/p>\n\u003cp>A few years after we graduated from UC Berkeley, my partner Sergio died, in 1993. It was very traumatic and devastating for me. I very much wanted to avoid the topic of HIV and AIDS as much as possible. I lived in our apartment for some time with all of his belongings there. I needed that. When he died I believed that I was going to be next. The thought of being tested terrified me. If I were tested, my death sentence would be confirmed. Just hearing about HIV/AIDS terrified me.\u003c/p>\n\u003cp>Five years after Sergio died I finally went to be tested. I was negative. It was several years later when I became positive, while I was addicted to meth. Many people become infected while using crystal meth.\u003c/p>\n\u003cp>We’ve all heard the expression “sick and tired of being sick and tired.” We use that a lot in the recovery community. That happened to me. I recall walking through Dolores Park one afternoon on my way home after using meth all night long. I was seeing all the people doing seemingly healthy things — going to work, or just enjoying the park. And there I was, on my way home to figure out how to get more meth, after walking the city like a rat in the night. And I remember, in that moment, thinking about, and missing, all the wonderful people in my life before I had become a drug addict.\u003c/p>\n\u003cp>So I decided to endure the long and terrible withdrawal. I started going to a lot of anonymous meetings and some AA meetings. In doing that, I was able to find a little group of friends. One of those friends became my partner of 18 years.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>I was exhausted from the constant chasing, of missing the people that I loved, all of whom were there waiting for me when I finally got my shit together. I always feel so blessed that they never abandoned me.\u003c/p>\n\u003cp>The most meaningful place to me in the grove is the Circle of Friends, where the name of Sergio’s nephew, Daniel, is located. He was only five years old when Sergio and I went to visit his family and we had taken him to Universal Studios. We never stayed in touch. But Daniel, some 16 years later, was able to find me. He’s my nephew now, and this is one of the gifts Sergio gave me.\u003c/p>\n\u003cp>In the Circle of Friends are the names of people who have died from AIDS or people who have been impacted by AIDS. And Daniel is certainly one of those people. His family didn’t talk about what happened to Uncle Sergio. But Daniel is very intuitive and at a young age he started putting things together. One of those reasons is that Daniel is a gay man.\u003c/p>\n\u003cp>I had Daniel’s name engraved in there so that it was close to Sergio’s name.\u003c/p>\n\u003chr>\n\u003cfigure id=\"attachment_11965607\" class=\"wp-caption alignright\" style=\"max-width: 1400px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/Daniel-Villa-for-post.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11965607\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/Daniel-Villa-for-post.jpg\" alt=\"A headshot of a Latino man.\" width=\"1400\" height=\"1245\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Daniel-Villa-for-post.jpg 1400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Daniel-Villa-for-post-800x711.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Daniel-Villa-for-post-1020x907.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Daniel-Villa-for-post-160x142.jpg 160w\" sizes=\"(max-width: 1400px) 100vw, 1400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Daniel Villa\u003c/figcaption>\u003c/figure>\n\u003ch2>Daniel Villa\u003c/h2>\n\u003cp>\u003cem>Steve’s Nephew\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">T\u003c/span>\u003c/p>\u003cp>he first time my uncle Sergio brought his partner Steve from Berkeley to our house was when I was five years old. I remember — I love telling Steve this now — “Staring at you because you were so pale and so different looking from my family!” He had shoulder-length blond hair. They took me to Universal Studios that day. I don’t remember any of the trips, but I remember the car ride, sitting in the back seat, feeling that there was something between them. And at the time I didn’t call it gay, but I felt something, even though they didn’t kiss in front of me or anything.\u003c/p>\n\u003cp>My family wasn’t very accepting of people being gay. So they were distant from Sergio. I always had questions about him and I was left with no answers.\u003c/p>\n\u003cp>And then one day when I was around 14 or 15, my mom gave me Sergio’s thesis. He went to Berkeley, and he wrote a thesis about AIDS. I started to read it and there were way too many big words and phrases that I just could not understand. I put it in my closet for years.\u003c/p>\n\u003cp>My coming out was kind of dramatic. I called my mom after one of my first breakups, crying. And I was really embarrassed to tell her. And she said, “I already knew.” I sobbed, “Oh, you did?” She said, “Yes, don’t freak me out like that. I thought you were going to die or something!” My family then became very accepting.\u003c/p>\n\u003cp>Years later, I picked up the thesis again. And I noticed that at the end it said, ‘I dedicate this to my lover and best friend, Steven Sager.’ I had forgotten his name but always wondered about Sergio’s friend… I was so excited. I didn’t have the courage to actually search for him just yet. Because what if he was also dead?\u003c/p>\n\u003cp>I don’t know how to explain, but it’s almost like Sergio was with me. I felt very much like he was guiding me to Steven in some way, and I would think about his name a lot and that image of him when I was five. It went like that for a while.\u003c/p>\n\u003cp>And then one day I was driving. And I had this feeling that I’ve never felt before like somebody was pushing you to do something, where you wanted to \u003ci>do\u003c/i> something. I pulled over, I wasn’t even home yet. It was like Sergio was forcing me to pull over.\u003c/p>\n\u003cp>I never told Steven this because this whole story sounds crazy.\u003c/p>\n\u003cp>I got on Google. I searched Steven’s name. The first thing that came up was an AIDS nonprofit he worked for. And I go, “Oh my God, this has to be it. My uncle died of AIDS, and here he is working in it. This has to be him!”\u003c/p>\n\u003cp>I called the number on the website and I was shaking so much because I wasn’t sure if it was going to be him. It goes straight to voicemail and I say, “My name is Daniel and I don’t know if you remember me, but I was five years old last time you saw me. And I’m the nephew of Sergio.” I must have been stuttering. It was so scary and exciting. And I get a phone call, like, maybe, 5 minutes later. And it was him.\u003c/p>\n\u003cp>I finally got to talk to Sergio through him and obviously, he was just so excited to hear me. It was magical.\u003c/p>\n\u003cp>I always felt loved by Sergio when he would visit when I was little. He would bring me trolls, the tiny ones with colored hair. Sergio was kind and really, really funny and witty. And it sounds like we’ve become alike, in many ways. I’ve loved hearing little stories about Sergio. But Steven was always such a beautiful person, being around him was always enough for me.\u003c/p>\n\u003cp>I never knew how old Sergio was when he died. Steven said he was 21, and I thought it was so interesting that I found Steven at the age of 21.\u003c/p>\n\u003cp>I’ve known Steven for many years now since I found him. And I’m not in a hurry to know every single detail about Sergio because every time we see each other, we talk about him or I remember this or that. And it’s just nice.\u003c/p>\n\u003cp>My mom and John Cunningham — the CEO of the National AIDS Memorial Grove — coordinated a surprise for Steven. By this point my mom is very accepting, she loves me exactly for who I am. They engraved Steven’s name in the Circle of Friends by Sergio’s.\u003c/p>\n\u003cp>When my mom was dying, I remember looking at the Circle of Friends and thinking about Steven’s experience as a caregiver, since I saw my mom’s illness from beginning to end. I never said thank you to Steven for the hard work he did.\u003c/p>\n\u003chr>\n\u003cfigure id=\"attachment_11965274\" class=\"wp-caption alignright\" style=\"max-width: 687px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11965274 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/Gert-McMullin.jpeg\" alt=\"A portrait of Gert McMullin.\" width=\"687\" height=\"687\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Gert-McMullin.jpeg 687w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Gert-McMullin-160x160.jpeg 160w\" sizes=\"(max-width: 687px) 100vw, 687px\">\u003cfigcaption class=\"wp-caption-text\">Gert McMullin\u003c/figcaption>\u003c/figure>\n\u003ch2>Gert McMullin\u003c/h2>\n\u003cp>\u003cem>Quilt Conservator & Production Manager\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">M\u003c/span>\u003c/p>\u003cp>y given name is Cindy McMullin, but I gave myself the name Gert. I grew up in Oakland. I have been working with the quilt for 35, 36 years now. I’m the first volunteer that showed up at their first meeting. Cleve [Jones] didn’t even go to that meeting because he thought it was going to be a failure. But I’ve been working on sewing it ever since. I’ve made over 200 panels of my own and then helped thousands of people make what’s right behind me here. \u003cem>[Editor’s Note: This interview was conducted in the warehouse where the quilt is stored in Fremont.]\u003c/em>\u003c/p>\n\u003cp>My friends were the first to start dying in San Francisco and in the early 80s before they even knew. They didn’t even have a word for it — the first term was GRID [Gay Related Immune Deficiency]. Then it was just all the boys getting sick. By the time I started working with the quilt, I was about ready to flip it out. I just needed some place to put my energies that didn’t involve going to hospitals, because I was going to hospitals all the time visiting people. I needed to do something that was an action and activist-based thing. So that’s what got me. And I know how to sew.\u003c/p>\n\u003cp>I was at a party when a guy who knew Cleve, said, “I think you need to call this guy.” That would have been in April of 1987. He told me about the first meeting and I made my first two panels and I brought them. There were about four other people at that meeting. It was a failure in our eyes.\u003c/p>\n\u003cp>I just got involved out of a selfish need for me to be able to get my emotions in check and not kill myself, you know, because it just really, really bad then and nobody knew what it was.\u003c/p>\n\u003cp>My friend Roger Gail Lyon said, “I don’t want my epitaph to read: I died of red tape.” When he got sick I cared for him because his lover, David Case, had to work and I happened to have a lot of money then, so I didn’t have to worry about that. I really kind of fell in love with him during those months. And after he died, I found out about all the activism he had done. I was not an activist. But he changed me. My boyfriend had said to me at one point, “Well, if anybody deserves to know how this ends, Roger does”. And so through my eyes, I would let him see an end to it. So that’s why I got involved.\u003c/p>\n\u003cp>\u003cem>[Referring to the panels]\u003c/em> These are my boys. They’re all my friends on these walls and the people I’ve met and the things I’ve seen throughout my years keeps me here. I need the quilt as much as it needs me, if not more. Sometimes what “being involved” is being able to have this opportunity to help people a little through a bad time. I see a lot of pain in me and I put it into the quilt.\u003c/p>\n\u003cp>I think everybody should be so lucky to have a job like mine.\u003c/p>\n\u003cp>The quilt is about anger and activism. It’s about being a memorial, too. But the Grove is about hope. And so there is a big difference.\u003c/p>\n\u003chr>\n\u003cfigure id=\"attachment_11965377\" class=\"wp-caption alignright\" style=\"max-width: 640px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/Nan-and-Eugene-Tribuzio.jpeg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11965377 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/Nan-and-Eugene-Tribuzio.jpeg\" alt=\"An older man and woman in puffy black jackets smile at the camera while standing outdoors in front of a small pine tree decorated with Christmas ornaments. The man is holding a small brown dog that is wearing a Santa Claus jacket. \" width=\"640\" height=\"480\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Nan-and-Eugene-Tribuzio.jpeg 640w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Nan-and-Eugene-Tribuzio-160x120.jpeg 160w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Nan Tribuzio (right) and her husband Eugene.\u003c/figcaption>\u003c/figure>\n\u003ch2>Nan Tribuzio\u003c/h2>\n\u003cp>\u003cem>Early volunteer\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">M\u003c/span>\u003c/p>\u003cp>y name is Nan Tribuzio and I live in Morgan, Utah. I joined the Grove in 1995.\u003c/p>\n\u003cp>We were at a garden show at Fort Mason in San Francisco, and there was a group there from the grove. They had bay leaves and invitations to sign the names of people that you had lost to AIDS or were dealing with AIDS. At that time, my son’s partner died. So he put his name and added it to the basket. That’s how we found out about the grove.\u003c/p>\n\u003cp>When my son passed, a friend of his drove over to where the grove was. It still looked like a garbage dump then. He found out they had work days that you could volunteer at, so he contacted the office and asked if we could do a memorial at one of the work days for my son. And from then on, we were there every month. We were regular volunteers.\u003c/p>\n\u003cp>We kept my son in San Francisco as long as we could so he could be with his friends. And when he got too sick, we decided to bring him home. The big fear was that his friends wouldn’t be able to come. We just let them know they were welcome. Most every weekend we had a group at the house. They listened to music, interacted with us. They made my husband, [Eugene], an honorary gay because he was so friendly with them and treated them just like anybody else. And they were so thankful that we included them, instead of bringing Joe home and telling them they weren’t welcome.\u003c/p>\n\u003cp>We were included in a lot of the activities he had going on. Got to know all of his friends. The only thing he wouldn’t let me do is come to the gay pride parade. After he passed, that was one of the first things I did. I actually marched in the parade with a group from the grove, and I said, “I’m here, Joe.”\u003c/p>\n\u003cp>He passed in January 1995.\u003c/p>\n\u003cp>When I’m in the grove, I really feel Joe is with me. Joe did maintenance landscaping, so I know he would love the grove. The Circle of Friends is where I always gravitate. And even if we visit San Francisco when it’s not a work day, we go to the Grove and always go to the Circle of Friends. If it’s his birthday, we put flowers on his name. It’s just such a healing place, and everybody there has experienced losing someone to AIDS. So it’s easy to talk about. You just have so much in common. They’ve become family.\u003c/p>\n\u003cp>Many times when somebody will say, “How many children do you have?” I’ll say, two, but I lost my son. And then there is just this silence and they don’t know what to say. At the grove, I can talk about it and nobody’s uncomfortable. I think that’s the most healing thing for me. I have one friend that sends me a Mother’s Day card every year from Joe.\u003c/p>\n\u003cp>Someday I’ll probably scatter Joe’s ashes at the grove, but I have them here with me now. I combined his partner’s ashes and his ashes. He’s always with me. It was just his birthday the other day. He would have been 61. I see his friends who are his age, and it’s like, okay, that’s what he would look like. Yeah. Turned out great.\u003c/p>\n\u003chr>\n\u003cfigure id=\"attachment_11965282\" class=\"wp-caption alignright\" style=\"max-width: 704px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11965282\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/tomjenson.jpeg\" alt=\"Portrait of Tom Jenson.\" width=\"704\" height=\"704\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/tomjenson.jpeg 704w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/tomjenson-160x160.jpeg 160w\" sizes=\"(max-width: 704px) 100vw, 704px\">\u003cfigcaption class=\"wp-caption-text\">Tom Jenson\u003c/figcaption>\u003c/figure>\n\u003ch2>Tom Jenson\u003c/h2>\n\u003cp>\u003cem>Early volunteer, board member, garden expert\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">I\u003c/span>\u003c/p>\u003cp> believe scent and movement invoke memory. Not even floral, but nature and wet ground. Or the moisture of something dank inside the redwood grove in the darkness, where there’s non-movement and the chance to be with yourself.\u003c/p>\n\u003cp>So when Ray [former head gardener] came to me years ago and said “I want to plant a thousand lavenders on the North Slope,” I was like, you have no argument from me because it’s bringing scent and movement.\u003c/p>\n\u003cp>I became a gardener because I was a child seeking love from my father. My father was an aspiring landscape architect but was an engineer who then had five children, so decided he couldn’t go back to school and become what he wanted. His life was always gardening, planting, building. And I just sat there looking at the Sunset Western Garden guide and looking at plants and learning about plants. I probably would have naturally veered that way anyway. But it was a good way to spend time with my dad since I didn’t want to dribble basketballs with him.\u003c/p>\n\u003cp>My partner died on Memorial Day in 2000, and by June, I was at the grove for my first work day. I said, “You have to.”\u003c/p>\n\u003cp>You have to understand —I was in high caregiving mode. I said to myself, “You have to go volunteer on the weekend because if you lay in bed and grieve, Monday morning, you’ll be calling in sick to work because you’ll get further and further under the covers.” So I came here.\u003c/p>\n\u003cp>At the time, I was not social. My partner and I were both introverts, but also I grew up as a shy child, which is why I looked through the books of flowers and plants and read those. So coming here was intimidating to me because I’m like, oh, a group of people. And it’s outdoors. It’s not like just going to the hotline for the AIDS Foundation, which I did for a while, where you have your own little cubicle and your book of answers. I’m going to have to relate to people. I just convinced myself to just come here and I know what I’m doing in terms of weeds.\u003c/p>\n\u003cp>When I left, I said, “I’ll see you next week.” And they’re like, “Oh, we only do this once a month.” And I was like, oh, no. I need this once a week.\u003c/p>\n\u003cp>I started asking this other volunteer questions. Like, what’s a board of directors? Why did they plant these? Why are these native plants in the sand dunes? I’m using the Latin names as I say those words because I read them in the book. I know about California plants, Western plants. And at some point, he said, “Do you want to join a committee?” Yeah! So I joined the Workday committee, which was designed to plan for the workdays.\u003c/p>\n\u003cp>Then I moved to the planning committee. We developed a very tight site committee that met with the gardener, and talked about: What are we doing next year? What are your ideas about improvements? What do you think needs to be done in three years? What should we be preparing for? Because it helps us raise funds too, letting people know something’s happening, and what’s going on with maintenance.\u003c/p>\n\u003chr>\n\u003cfigure id=\"attachment_11965283\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11965283\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/Vince-Crisostomo-800x557.jpeg\" alt=\"Portrait of Vince Crisostomo.\" width=\"800\" height=\"557\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Vince-Crisostomo-800x557.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Vince-Crisostomo-1020x710.jpeg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Vince-Crisostomo-160x111.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/Vince-Crisostomo.jpeg 1150w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Vince Crisostomo\u003c/figcaption>\u003c/figure>\n\u003ch2>Vincent Crisostomo\u003c/h2>\n\u003cp>\u003cem>Director of Aging Services, SFAF\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">I\u003c/span>\u003c/p>\u003cp>’ve been living with HIV since 1985, and so it’s been a long time.\u003c/p>\n\u003cp>I am originally from Guam, and I was there for a couple of years doing HIV work. I opened the first organization funded to do HIV work in the Pacific. Then I went to DC and I was the director of field operations for a research study at Georgetown University. Then I went abroad and I lived in Thailand and did international work for about 6 1/2 years in HIV and AIDS. I was on the U.N. AIDS board for about five years, representing the Asia Pacific. Then I moved back to San Francisco.\u003c/p>\n\u003cp>I didn’t want my current job [Director of Aging Services, SF AIDS Foundation] when it was presented. But after a while, I needed a job so I applied. I was about to go on food stamps and general assistance. It’s been nine years now and it’s probably one of the best jobs I’ve ever had. We serve people who survived the HIV/AIDS epidemic. So people are 50, 60 and 70. I’m on a bunch of policy committees too [Human Rights Commission, Dignity Fund, State Equity for Aging committee, etc.].\u003c/p>\n\u003cp>Additionally, I do a lot of work with younger people, which has been really a revelation to me because I didn’t have this when I was in my twenties. Like, people, we were too busy fighting for our lives!\u003c/p>\n\u003cp>Just to hang out with young people and hear them talk about and also see them with each other, you know, in a way that my generation wasn’t able to do. We didn’t have the term BIPOC then. There just always seemed to be a competition going on, you know?\u003c/p>\n\u003cp>I’m trying to live my life. I realize that there are many people who didn’t make it through the HIV AIDS epidemic. And so, I just feel that I owe it to them and to myself to live.\u003c/p>\n\u003cp>My partner and I moved back to San Francisco from New York in November of 1990, and my partner at the time, his name was Jesse Solomon, he passed away on October 6th, 1991. I got a call from somebody saying that they were going to plant a tree for Jesse in the Grove. I didn’t think too much about it.\u003c/p>\n\u003cp>And then when I got this job, I’d bring my group of 50+ network to the Grove, for events, work days. It had been a seed that was planted in 1991. And I realized, like, my God, I never thought the tree would be here! It was really emotional. I didn’t think I was going to be here, be alive. There’s a lot of names that engraved in the Circle of Friends. I think Jesse’s name is there, and another friend, Joel.\u003c/p>\n\u003cp>In 2018, we got this family, Al and Jane Nakatani and their sons. My generation of folks, we raised money to engrave all the names of the whole family. Initially, they thought they could only afford to do the sons. But we put the whole family’s name there. Jane had come from Hawaii and when she saw it, she gasped and burst into tears because she didn’t expect to see her name. And she said, “This is the first time our family has been together in public.”\u003c/p>\n\u003cp>In 1997 I brought the quilt to Guam.\u003c/p>\n\u003cp>I had lived in New York in the eighties and I had this aerobics instructor who I adored. When I was on my way to Guam I stopped in NYC and went by the gym, just to see it. It had gone out of business.\u003c/p>\n\u003cp>Anyway, we arrived in Guam and I met this young lady and she said to me, “Excuse me, can you help me? I’m looking for my brother’s quilt panel.” I said, I’m sure we can help you, tell me about your brother. And she says, “He was an aerobics director in New York.” And he was my aerobics instructor! We became instant friends and that was amazing. There are these incredible coincidences or synchronicities, but they just kind of happen. That’s the magic of the world.\u003c/p>\n\u003chr>\n\u003ch2>Ellen Shepherd\u003c/h2>\n\u003cp>\u003cem>Early volunteer\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">I\u003c/span>\u003c/p>\u003cp>‘m living in Sonoma and I’ve been living up here since 1994. I have a fairly active life, for my age. I turned 91 in May.\u003c/p>\n\u003cp>Our second daughter, Kathy, passed from AIDS. It began when I got a phone call from Kathy saying her boyfriend had been taken to the hospital and was very ill. They made her have a blood test and told her that he was in throws of AIDS and that she was HIV positive. She said, “I don’t know what I’m going to do. I’m leaving him in the hospital. His brother’s going to come and take care of him. I just can’t do it anymore. He’s been sick and I’ve been taking care of him for months.”\u003c/p>\n\u003cp>She wasn’t sick, but she was very depressed to discover that she had HIV. Nobody up here in Sonoma really knew very much about it. Nobody knew much about taking care of women anyway, because there just weren’t that many women infected that we knew about.\u003c/p>\n\u003cp>I think probably she would’ve been better off in San Francisco where the doctors had a little bit more experience. She stayed with us for about a year, and then she moved up to Guerneville on the Russian River. With her permission, I talked to the doctor that she had in Guerneville, and he said, “She’s one of those patients that always agrees with you when you say, ‘You’ve got to do this.’ And then she goes out and does what she wants anyway.” And I said, “Listen, she’s been like that all her life. Never argued with us, never gave us a bit of sass or anything, like some of the other kids.” But I said, “You have to go in and clean your room.” And she’d say, “Okay,” and go in and do something else entirely.\u003c/p>\n\u003cp>Her regime was to take her medications when she kind of got around to it, instead of as the doctor had prescribed. And she was drinking.\u003c/p>\n\u003cp>She was showing signs of really getting ill. Her complexion was very bad, and her eyesight was terrible. She had been driving my car when she lived here with us, but as her eyesight deteriorated, that was one of the signs that things were getting worse.\u003c/p>\n\u003cp>We took her back to Guerneville, and that very night she called her sister Diana and said, “I’m so sick. I think I have to go to the hospital.” This was not the first time. But this time Diana took her to the hospital in Sebastopol, and they kept her. And the next day, my husband and I went up and they essentially told us, if there’s somebody you need to notify, you better do it now.\u003c/p>\n\u003cp>We laughed with her. We had a wonderful evening, and she was very, very weak, but she seemed to have her wits about her. That was Sunday evening. Monday morning I got a call from the hospital that she had died.\u003c/p>\n\u003cp>That was right around the 4th of July. I just couldn’t come to grips with it. I don’t have any place to really mourn her. Then I remembered reading something from the time we lived in San Francisco. There was something in the Chronicle about a memorial grove somewhere for AIDS and I thought it was in Golden Gate Park.\u003c/p>\n\u003cp>So I called one of the daughters who was living in San Francisco and said, “Do you know anything about it?” She lived right close by. She called me back in a couple of hours and said, “There is this beautiful place there. It’s called the Redwood AIDS Memorial Grove. I think you should call them. There’s a phone number.”\u003c/p>\n\u003cp>I did call, and I talked to a lady there, Sue Ellen. I said, “Would it be possible to plant a tree there?” And she said, “We have a volunteer day coming up and we would like to invite you to come to that day, and then we could do it right afterwards.” And so the whole family, my son, of course, my husband and I, and all four of the girls who were left, we all came to the volunteer day in September of 2000.\u003c/p>\n\u003cp>We planted the tree, a little redwood tree, up in the De LaVega Dell. The tree was maybe five inches shorter than I was, so a little over five feet, which now 23 years later, is so tall you can’t see the top of it. That tree became so special and so sacred to us that both my husband and I said, “Boy, when we die, we’d like our ashes scattered there.”\u003c/p>\n\u003cp>It is a wonderful thing that there is a place where people are not worried about the fact that they may be a patient themselves. We just share in our grief, but we share also in our joy. We don’t go there and cry because it’s so sad, we go there because we want to work and make something beautiful and also so we don’t forget.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Three years ago, California leaders passed legislation that promised \u003ca href=\"https://calmatters.org/health/2020/08/california-leader-mental-health/\">the most dramatic expansion \u003c/a>of mental health and addiction care coverage in decades.\u003c/p>\n\u003cp>As the state’s residents struggled with the stress and trauma of a raging pandemic and a record wildfire season, mental health advocates used words like “groundbreaking” to describe the new law. Finally, they said, California was poised to become a national leader in mental health.\u003c/p>\n\u003cp>Their optimism about that law, Senate Bill 855, has been fraying ever since. Advocates say health plans routinely fail to ensure enough mental health providers accept their coverage, making patients wait too long before being seen.\u003c/p>\n\u003cp>Case in point: Last week, the Department of Managed Health Care unveiled news of a historic $200 million settlement with Kaiser Permanente for failing to provide patients with\u003ca href=\"https://calmatters.org/health/2023/10/kaiser-permanente-california-behavioral-health-settlement/\"> timely mental health appointments\u003c/a>, among other issues.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Such issues will take center stage on Wednesday at a \u003ca href=\"https://www.senate.ca.gov/mental-health-and-addiction\">special oversight hearing\u003c/a> of the Senate Select Committee on Mental Health and Addiction.\u003c/p>\n\u003cp>Democratic state Sen. Scott Wiener of San Francisco, chair of the committee and author of the California Mental Health Parity Act, says he shares many of the mental health advocates’ concerns. [pullquote size=\"medium\" align=\"right\" citation=\"Sen. Scott Wiener, D-San Francisco\"]‘We know the plans have a long history of finding ways not to cover mental health treatment. The whole purpose of this law is to put an end to that.’[/pullquote] “We know the plans have a long history of finding ways not to cover mental health treatment,” he told CalMatters. “The whole purpose of this law is to put an end to that.”\u003c/p>\n\u003cp>Before the passage of the 2020 law, the state only required health plans to cover medically necessary treatment of nine serious mental illnesses. For years, mental health advocates have tried and failed to \u003ca href=\"https://calmatters.org/projects/california-mental-health-care-parity/\">expand that list\u003c/a>. With Wiener’s law, they were finally triumphant.\u003c/p>\n\u003cp>Beginning in January 2021, the state has required plans to pay for treatment of a much more extensive array of mental health issues, along with substance use disorder and addiction. This state law is separate from a \u003ca href=\"https://www.apa.org/topics/managed-care-insurance/parity-law-resources\">federal mental health parity\u003c/a> law passed in 2008. The concept of “parity” refers to requiring insurers to treat mental and physical health conditions equally.\u003c/p>\n\u003cp>Health plans say they “have been diligently working in good faith” to comply with these laws while facing industry-wide challenges like workforce shortages. They say they are navigating guidelines that are ambiguous and uneven while waiting for the Department of Managed Health Care to finalize regulations.\u003c/p>\n\u003cp>“This creates a situation of moving goalposts for plans, providers, and our enrollees,” said Mary Ellen Grant, spokesperson for the California Association of Health Plans, in an email.\u003c/p>\n\u003ch2>Mental health parity investigations\u003c/h2>\n\u003cp>Mental health advocates have also long criticized the Department of Managed Health Care, which oversees health plans in the state that receive monthly fees to provide health care for their members. And they, too, are concerned that it’s taking so long for the official rules to be decided.\u003c/p>\n\u003cp>This summer, more than a dozen advocacy groups signed a letter of concern to the department, questioning its commitment to enforcing some aspects of\u003ca href=\"https://steinberginstitute.org/wp-content/uploads/2023/08/Comments-to-DMHC-on-BH-Investigations_DRAFT.pdf\"> the new state parity law\u003c/a>. The organizations want the department to publish and publicize its investigations.\u003c/p>\n\u003cp>“It’s still a relatively secret process,” said Lauren Finke, a policy director at The Kennedy Forum, a national organization that cosponsored California’s parity legislation.\u003c/p>\n\u003cfigure id=\"attachment_11964805\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11964805\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-800x533.jpg\" alt=\"Kaiser workers on strike in front of a building.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1.jpg 1920w\" sizes=\"(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>The Department of Managed Health Care declined to make anyone available to speak with CalMatters until later this fall. In an email, a representative said the department “is committed to ensuring enrollees have appropriate access to behavioral health care when they need it.”\u003c/p>\n\u003cp>In response to advocates’ critiques that the department isn’t adequately analyzing and publicizing how well plans are complying with state parity law, the department said in a statement that it is evaluating health plans’ compliance in other ways; including that analysis in the behavioral health investigations would slow them down too much, the statement said. [pullquote size=\"medium\" align=\"right\" citation=\"Meiram Bendat, attorney and psychotherapist, Santa Barbara\"]‘The historic network inadequacy around the state and the lack of meaningful fines, that’s a real failure on the part of the department.’[/pullquote] Meiram Bendat, a Santa Barbara attorney and psychotherapist who focuses on mental health parity, says that the three-year-old state law has improved patients’ ability to receive mental health care by creating a uniform definition of what is considered “medically necessary.”\u003c/p>\n\u003cp>But when it comes to ensuring that health plans maintain adequate provider networks, he said, the department is “failing miserably.” Too often, plans offer their members only outdated lists of providers who then prove to be unavailable, Bendat said. The Department of Managed Health Care hasn’t adequately held plans accountable for this and other problematic practices, he said.\u003c/p>\n\u003cp>“The historic network inadequacy around the state and the lack of meaningful fines, that’s a real failure on the part of the department,” he said.\u003c/p>\n\u003ch2>Kaiser mental health settlement\u003c/h2>\n\u003cp>Finke, of The Kennedy Forum, called the Kaiser settlement “long overdue” and “a very important first step in the Department holding plans more accountable for their performance [or lack thereof].” The settlement includes a $50 million fine and corrective action plan as well as a commitment by Kaiser to invest an additional $150 million over five years to improve behavioral health services. [aside label='More on Around California' tag='california-law'] But Finke and others also said the settlement itself provides evidence of the department’s failures to enforce a previous \u003ca href=\"https://wpso.dmhc.ca.gov/enfactions/docs/2895/1500394196511.pdf\">settlement agreement\u003c/a> with Kaiser from 2017.\u003c/p>\n\u003cp>“Will DMHC do its job going forward? That’s the big question,” asked Fred Seavey, research director for the National Union of Healthcare Workers. The union represents 2,000 Kaiser mental health workers in Northern California who undertook a 10-week strike last year over heavy clinician workloads and long wait times for appointments.\u003c/p>\n\u003cp>He said he wrote complaints to the Department of Managed Health Care earlier this year, saying that Kaiser in Southern California has been illegally restricting the scope of behavioral health services.\u003c/p>\n\u003cp>Kaiser said, in an emailed statement, that “any accusation that we intentionally limit or restrict needed care is untrue.”\u003c/p>\n\u003cp>Southern California Kaiser members receive a wide range of behavioral health clinical offerings, the statement said. Despite a statewide shortage of clinicians, Kaiser is “doing all that we can” to expand its network of mental health providers.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Such issues will take center stage on Wednesday at a \u003ca href=\"https://www.senate.ca.gov/mental-health-and-addiction\">special oversight hearing\u003c/a> of the Senate Select Committee on Mental Health and Addiction.\u003c/p>\n\u003cp>Democratic state Sen. Scott Wiener of San Francisco, chair of the committee and author of the California Mental Health Parity Act, says he shares many of the mental health advocates’ concerns. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> “We know the plans have a long history of finding ways not to cover mental health treatment,” he told CalMatters. “The whole purpose of this law is to put an end to that.”\u003c/p>\n\u003cp>Before the passage of the 2020 law, the state only required health plans to cover medically necessary treatment of nine serious mental illnesses. For years, mental health advocates have tried and failed to \u003ca href=\"https://calmatters.org/projects/california-mental-health-care-parity/\">expand that list\u003c/a>. With Wiener’s law, they were finally triumphant.\u003c/p>\n\u003cp>Beginning in January 2021, the state has required plans to pay for treatment of a much more extensive array of mental health issues, along with substance use disorder and addiction. This state law is separate from a \u003ca href=\"https://www.apa.org/topics/managed-care-insurance/parity-law-resources\">federal mental health parity\u003c/a> law passed in 2008. The concept of “parity” refers to requiring insurers to treat mental and physical health conditions equally.\u003c/p>\n\u003cp>Health plans say they “have been diligently working in good faith” to comply with these laws while facing industry-wide challenges like workforce shortages. They say they are navigating guidelines that are ambiguous and uneven while waiting for the Department of Managed Health Care to finalize regulations.\u003c/p>\n\u003cp>“This creates a situation of moving goalposts for plans, providers, and our enrollees,” said Mary Ellen Grant, spokesperson for the California Association of Health Plans, in an email.\u003c/p>\n\u003ch2>Mental health parity investigations\u003c/h2>\n\u003cp>Mental health advocates have also long criticized the Department of Managed Health Care, which oversees health plans in the state that receive monthly fees to provide health care for their members. And they, too, are concerned that it’s taking so long for the official rules to be decided.\u003c/p>\n\u003cp>This summer, more than a dozen advocacy groups signed a letter of concern to the department, questioning its commitment to enforcing some aspects of\u003ca href=\"https://steinberginstitute.org/wp-content/uploads/2023/08/Comments-to-DMHC-on-BH-Investigations_DRAFT.pdf\"> the new state parity law\u003c/a>. The organizations want the department to publish and publicize its investigations.\u003c/p>\n\u003cp>“It’s still a relatively secret process,” said Lauren Finke, a policy director at The Kennedy Forum, a national organization that cosponsored California’s parity legislation.\u003c/p>\n\u003cfigure id=\"attachment_11964805\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11964805\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-800x533.jpg\" alt=\"Kaiser workers on strike in front of a building.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1.jpg 1920w\" sizes=\"(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>The Department of Managed Health Care declined to make anyone available to speak with CalMatters until later this fall. In an email, a representative said the department “is committed to ensuring enrollees have appropriate access to behavioral health care when they need it.”\u003c/p>\n\u003cp>In response to advocates’ critiques that the department isn’t adequately analyzing and publicizing how well plans are complying with state parity law, the department said in a statement that it is evaluating health plans’ compliance in other ways; including that analysis in the behavioral health investigations would slow them down too much, the statement said. \u003c/p>\u003c/div>",
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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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"excerpt": "Unions representing some 85,000 Kaiser frontline health care workers, who demanded wage hikes and more robust staffing, reached a tentative agreement with the industry giant, averting the threat of a longer strike next month.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>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>\u003c/p>\u003c/div>",
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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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"slug": "how-a-california-child-care-workers-union-fought-for-living-wages-and-won",
"title": "How a California Child Care Workers' Union Fought for Living Wages — and Won",
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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>\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>\u003c/p>\u003c/div>",
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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>\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>\u003c/p>\u003c/div>",
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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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"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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"title": "Kaiser Strike to End Saturday, but Negotiations Will Continue",
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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>“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.\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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"excerpt": "If the Kaiser strike goes ahead starting Wednesday, what do patients need to know? Here's what could be affected regarding appointments and care.",
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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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"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>\u003ci data-stringify-type=\"italic\">A full transcript will be available 1–2 workdays after the episode’s publication.\u003c/i>\u003c/p>\n\u003cdiv class=\"card card--enclosed grey\">\n\u003cp>\u003cspan style=\"font-weight: 400\">In this edition of The Bay’s monthly news roundup, Ericka, Maria and Alan talk about continued tensions between Martinez and the local refinery, a bill that would decriminalize certain psychedelics, and an effort to bring a WNBA team to the Bay Area.\u003c/span>\u003c/p>\n\u003cp id=\"embed-code\" class=\"inconsolata\">\n\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC8629741221&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\n\u003c/p>\n\u003cp>\u003cb>Links:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.eastbaytimes.com/2023/09/26/residents-skeptical-after-toxicology-report-finds-no-ill-effects-from-martinez-refinery-incident/?campaign=ebtbreakingalert&utm_email=A4A5B403457285D525DA14E7D1&g2i_eui=exmfql5iJxTSVxLnOrAB1DPcBdjg%2bsID&g2i_source=newsletter&active=no&lctg=A4A5B403457285D525DA14E7D1\" target=\"_blank\" rel=\"noopener\">Residents skeptical after toxicology report finds no ill effects from Martinez refinery incident\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.latimes.com/california/story/2023-09-07/california-magic-mushrooms-psychedelics-scott-wiener-psilocybin\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">California Decriminalizing Mushrooms and Other Psychedelics \u003c/span>\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://theathletic.com/4902855/2023/09/26/warriors-wnba-bay-area/\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">Warriors finalizing agreement to bring WNBA team to Bay Area: Sources\u003c/span>\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/div>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"excerpt": "In this September edition of The Bay’s monthly news roundup, Ericka, Maria and Alan talk about three different news stories in their radar this month. \r\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ci data-stringify-type=\"italic\">A full transcript will be available 1–2 workdays after the episode’s publication.\u003c/i>\u003c/p>\n\u003cdiv class=\"card card--enclosed grey\">\n\u003cp>\u003cspan style=\"font-weight: 400\">In this edition of The Bay’s monthly news roundup, Ericka, Maria and Alan talk about continued tensions between Martinez and the local refinery, a bill that would decriminalize certain psychedelics, and an effort to bring a WNBA team to the Bay Area.\u003c/span>\u003c/p>\n\u003cp id=\"embed-code\" class=\"inconsolata\">\n\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC8629741221&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\n\u003c/p>\n\u003cp>\u003cb>Links:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.eastbaytimes.com/2023/09/26/residents-skeptical-after-toxicology-report-finds-no-ill-effects-from-martinez-refinery-incident/?campaign=ebtbreakingalert&utm_email=A4A5B403457285D525DA14E7D1&g2i_eui=exmfql5iJxTSVxLnOrAB1DPcBdjg%2bsID&g2i_source=newsletter&active=no&lctg=A4A5B403457285D525DA14E7D1\" target=\"_blank\" rel=\"noopener\">Residents skeptical after toxicology report finds no ill effects from Martinez refinery incident\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.latimes.com/california/story/2023-09-07/california-magic-mushrooms-psychedelics-scott-wiener-psilocybin\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">California Decriminalizing Mushrooms and Other Psychedelics \u003c/span>\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://theathletic.com/4902855/2023/09/26/warriors-wnba-bay-area/\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">Warriors finalizing agreement to bring WNBA team to Bay Area: Sources\u003c/span>\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/div>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "when-should-i-get-2023-flu-shot-safe-with-new-covid-vaccine-rsv",
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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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"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": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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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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"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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"title": "Political Breakdown",
"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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"title": "Possible",
"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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"pri-the-world": {
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"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
"radiolab": {
"id": "radiolab",
"title": "Radiolab",
"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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},
"reveal": {
"id": "reveal",
"title": "Reveal",
"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
"airtime": "SAT 4pm-5pm",
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"officialWebsiteLink": "https://www.revealnews.org/episodes/",
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},
"rightnowish": {
"id": "rightnowish",
"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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"order": 16
},
"link": "/podcasts/rightnowish",
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