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"content": "\u003cp>For decades, lunchtime at Roy Mejia’s downtown \u003ca href=\"https://www.kqed.org/news/tag/oakland\">Oakland\u003c/a> bar meant a steady stream of Kaiser Permanente workers.\u003c/p>\n\u003cp>Doctors, nurses and office staff from nearby buildings would stop in for a soda or a sandwich.\u003c/p>\n\u003cp>“They’d come in, have a soda, bring a sandwich,” recalled Mejia, adding that he was “surrounded by Kaiser.” “We all got along. It was beautiful.”\u003c/p>\n\u003cp>Now, Mejia looks out at blocks of empty storefronts — and far fewer customers.\u003c/p>\n\u003cp>“And every day there’s one more,” he said. “One more, one more.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Mejia arrived in Oakland from Sacramento in 1970. By January 1992, he opened his 19th Street Station, a bar in the heart of downtown.\u003c/p>\n\u003cp>“ I fell in love with Oakland,” Mejia said. “It was a beautiful city back then.”\u003c/p>\n\u003cp>For decades, his bar had thrived on a stream of \u003ca href=\"https://www.kqed.org/news/tag/kaiser\">Kaiser Permanente employees\u003c/a> who worked nearby.\u003c/p>\n\u003cfigure id=\"attachment_12076762\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12076762\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260317-KAISER-RETREATS-MD-08-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260317-KAISER-RETREATS-MD-08-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260317-KAISER-RETREATS-MD-08-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260317-KAISER-RETREATS-MD-08-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Roy Mejia tends bar at 19th Street Station in Oakland on March 16, 2026. Mejia says he’s able to keep costs down by not employing others to work at the bar. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Kaiser Permanente — long one of downtown Oakland’s largest employers — has been steadily shrinking its local office presence in recent years.\u003c/p>\n\u003cp>The health care giant has relocated workers to suburban offices, reduced its real estate footprint and laid off hundreds of employees across California, changes that economists say are contributing to quieter streets and struggling small businesses in the city’s core.\u003c/p>\n\u003cp>Kaiser Permanente, once an anchor of downtown Oakland’s office workforce, has in recent years pulled workers out of the city’s core.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"Kaiser Layoffs by County in California\" aria-label=\"Column Chart\" id=\"datawrapper-chart-bE2I4\" src=\"https://datawrapper.dwcdn.net/bE2I4/3/\" scrolling=\"no\" frameborder=\"0\" style=\"width: 0; min-width: 100% !important; border: none;\" height=\"553\" data-external=\"1\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>In 2024, Kaiser relocated over 1,000 members of its Oakland workforce to a suburban hub, citing “changes in how and where employees have been working since the COVID-19 pandemic.” Not too long after, they issued \u003ca href=\"https://www.ktvu.com/news/kaiser-to-oakland-workers-stay-inside-for-work-and-lunch\">a memo\u003c/a> directing downtown Oakland employees to stay inside for lunch due to safety concerns.\u003c/p>\n\u003cp>And in 2025, Kaiser laid off over 400 employees across 16 California counties. Alameda County — home to Oakland, the company’s national headquarters, and the Kaiser Pleasanton campus — accounts for nearly half of these layoffs.\u003c/p>\n\u003cp>But in a written statement, a spokesperson from Kaiser said that it “remains committed to the City of Oakland, which is an integral part of Kaiser Permanente’s history and future.”\u003c/p>\n\u003cp>The layoffs coincided with Kaiser’s decreasing real estate footprint in Oakland, a trend that followed the COVID-19 pandemic. In 2020, the Kaiser Center at 300 Lakeside Drive was \u003ca href=\"https://www.tmgpartners.com/news/tmg-partners-acquires-future-oakland-pge-headquarters\">sold to TMG Partners\u003c/a>, and Kaiser terminated their occupancy in the building.\u003c/p>\n\u003cfigure id=\"attachment_12076765\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12076765\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260317-KAISER-RETREATS-MD-12-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260317-KAISER-RETREATS-MD-12-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260317-KAISER-RETREATS-MD-12-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260317-KAISER-RETREATS-MD-12-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">An empty storefront at 19th Street and Harrison Street in Oakland on March 16, 2026. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Similar acquisitions happened in 2024: Kaiser’s 2000 Broadway building was sold to BART, the office tower and garage on Franklin Street went to Behring Companies, and 10% of Kaiser’s Oakland-based employees were moved to Pleasanton.\u003c/p>\n\u003cp>An \u003ca href=\"https://www.sec.gov/Archives/edgar/data/908311/000090831125000007/cmct-20250108.htm\">SEC filing\u003c/a> shows that in January 2025, Kaiser extended its lease for 236,692 square feet of the Ordway building through 2027. The space, listed as Kaiser’s corporate office on Google Maps, is down from the 366,000 square feet that Kaiser occupied in 2024, according to the \u003ca href=\"https://www.sfchronicle.com/bayarea/article/kaiser-oakland-19932710.php\">\u003cem>San Francisco Chronicle\u003c/em>.\u003c/a>\u003c/p>\n\u003cp>“The broader health care sector remains one of Oakland’s few stable pillars supported by the presence of hospitals, clinics and social service providers,” said Christopher Skerritt, an economist at\u003ca href=\"https://kweconomics.com/services/health-economics/california/oakland\"> Kincaid Wolstein\u003c/a>. “But office consolidation and telehealth adoption have limited in-city job growth.”\u003c/p>\n\u003cp>As a result, big cities like Oakland and San Francisco are losing commercial real estate to suburban hubs like Pleasanton and Walnut Creek, which have seen comparatively faster rates of economic recovery since the pandemic, according to Skerritt.\u003c/p>\n\u003cfigure id=\"attachment_12076764\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12076764\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260317-KAISER-RETREATS-MD-11-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260317-KAISER-RETREATS-MD-11-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260317-KAISER-RETREATS-MD-11-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260317-KAISER-RETREATS-MD-11-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Empty storefronts along 19th Street in Oakland on March 16, 2026. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Many of the health care workers who remain in the city are remote or hybrid employees, Skerritt said, a change that, combined with Kaiser’s downsized office footprint, has contributed to downtown Oakland’s quieter streets.\u003c/p>\n\u003cp>“The shift has cut daytime population density, reducing spending at restaurants, coffee shops, small retailers that depend on office workers for business,” Skerritt said.\u003c/p>\n\u003cp>Small businesses in downtown Oakland have felt these effects. Tierra Mia Coffee, a six-minute walk from 1 Kaiser Plaza, has “most definitely” seen a drop in business since early 2024, according to its supervisor, Odiseo Castrejon.[aside postID=news_12076753 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260318-KAISER-MENTAL-HEALTH-STRIKE-MD-07-KQED-1.jpg']Since Kaiser’s early 2024 decision to move part of its Oakland workforce to Pleasanton, its sales have shrunk by more than a quarter, according to Castrejon. Before, customers wearing scrubs or hospital badges were noticeable, Castrejon said. Now, not so much.\u003c/p>\n\u003cp>This obvious decrease in foot traffic can be felt all throughout the downtown area. Nearly 38% of office space in Oakland’s central business district is vacant, according to \u003ca href=\"https://assets.cushmanwakefield.com/-/media/cw/marketbeat-pdfs/2025/q3/us-reports/office/eastbayoakland_americas_marketbeat_office_q3_2025.pdf?rev=f9920db83ed249778a3790b110e88270&_gl=1*1pz1tnl*_gcl_au*ODM3MjQxMTU5LjE3NjE1Mjg5Mjc\">a report\u003c/a> by commercial real estate services firm Cushman & Wakefield.\u003c/p>\n\u003cp>“COVID has really changed the way that people work, and companies’ need for space,” said Cushman & Wakefield’s East Bay research manager, Wescott Owen, who authored the report.\u003c/p>\n\u003cp>Small business owners like Mejia are hit hard by these changes. On a recent afternoon, he stood behind the bar he opened more than three decades ago, watching pedestrians pass by outside.\u003c/p>\n\u003cp>Many of the nearby offices are quieter than they once were.\u003c/p>\n\u003cp>“I’ve got 32 years here,” he said. “I don’t know how much longer I’m going to hang in there.”\u003c/p>\n\u003cp>\u003ca href=\"https://cjlab.stanford.edu/projects/big-local-news/\">\u003cem>Big Local News\u003c/em>\u003c/a>\u003cem> is a data-sharing platform and collaborative at Stanford University that supports local journalism. \u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"headline": "As Kaiser’s Presence in Downtown Oakland Dwindles, So Does Foot Traffic",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>For decades, lunchtime at Roy Mejia’s downtown \u003ca href=\"https://www.kqed.org/news/tag/oakland\">Oakland\u003c/a> bar meant a steady stream of Kaiser Permanente workers.\u003c/p>\n\u003cp>Doctors, nurses and office staff from nearby buildings would stop in for a soda or a sandwich.\u003c/p>\n\u003cp>“They’d come in, have a soda, bring a sandwich,” recalled Mejia, adding that he was “surrounded by Kaiser.” “We all got along. It was beautiful.”\u003c/p>\n\u003cp>Now, Mejia looks out at blocks of empty storefronts — and far fewer customers.\u003c/p>\n\u003cp>“And every day there’s one more,” he said. “One more, one more.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Mejia arrived in Oakland from Sacramento in 1970. By January 1992, he opened his 19th Street Station, a bar in the heart of downtown.\u003c/p>\n\u003cp>“ I fell in love with Oakland,” Mejia said. “It was a beautiful city back then.”\u003c/p>\n\u003cp>For decades, his bar had thrived on a stream of \u003ca href=\"https://www.kqed.org/news/tag/kaiser\">Kaiser Permanente employees\u003c/a> who worked nearby.\u003c/p>\n\u003cfigure id=\"attachment_12076762\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12076762\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260317-KAISER-RETREATS-MD-08-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260317-KAISER-RETREATS-MD-08-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260317-KAISER-RETREATS-MD-08-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260317-KAISER-RETREATS-MD-08-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Roy Mejia tends bar at 19th Street Station in Oakland on March 16, 2026. Mejia says he’s able to keep costs down by not employing others to work at the bar. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Kaiser Permanente — long one of downtown Oakland’s largest employers — has been steadily shrinking its local office presence in recent years.\u003c/p>\n\u003cp>The health care giant has relocated workers to suburban offices, reduced its real estate footprint and laid off hundreds of employees across California, changes that economists say are contributing to quieter streets and struggling small businesses in the city’s core.\u003c/p>\n\u003cp>Kaiser Permanente, once an anchor of downtown Oakland’s office workforce, has in recent years pulled workers out of the city’s core.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" title=\"Kaiser Layoffs by County in California\" aria-label=\"Column Chart\" id=\"datawrapper-chart-bE2I4\" src=\"https://datawrapper.dwcdn.net/bE2I4/3/\" scrolling=\"no\" frameborder=\"0\" style=\"width: 0; min-width: 100% !important; border: none;\" height=\"553\" data-external=\"1\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>In 2024, Kaiser relocated over 1,000 members of its Oakland workforce to a suburban hub, citing “changes in how and where employees have been working since the COVID-19 pandemic.” Not too long after, they issued \u003ca href=\"https://www.ktvu.com/news/kaiser-to-oakland-workers-stay-inside-for-work-and-lunch\">a memo\u003c/a> directing downtown Oakland employees to stay inside for lunch due to safety concerns.\u003c/p>\n\u003cp>And in 2025, Kaiser laid off over 400 employees across 16 California counties. Alameda County — home to Oakland, the company’s national headquarters, and the Kaiser Pleasanton campus — accounts for nearly half of these layoffs.\u003c/p>\n\u003cp>But in a written statement, a spokesperson from Kaiser said that it “remains committed to the City of Oakland, which is an integral part of Kaiser Permanente’s history and future.”\u003c/p>\n\u003cp>The layoffs coincided with Kaiser’s decreasing real estate footprint in Oakland, a trend that followed the COVID-19 pandemic. In 2020, the Kaiser Center at 300 Lakeside Drive was \u003ca href=\"https://www.tmgpartners.com/news/tmg-partners-acquires-future-oakland-pge-headquarters\">sold to TMG Partners\u003c/a>, and Kaiser terminated their occupancy in the building.\u003c/p>\n\u003cfigure id=\"attachment_12076765\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12076765\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260317-KAISER-RETREATS-MD-12-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260317-KAISER-RETREATS-MD-12-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260317-KAISER-RETREATS-MD-12-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260317-KAISER-RETREATS-MD-12-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">An empty storefront at 19th Street and Harrison Street in Oakland on March 16, 2026. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Similar acquisitions happened in 2024: Kaiser’s 2000 Broadway building was sold to BART, the office tower and garage on Franklin Street went to Behring Companies, and 10% of Kaiser’s Oakland-based employees were moved to Pleasanton.\u003c/p>\n\u003cp>An \u003ca href=\"https://www.sec.gov/Archives/edgar/data/908311/000090831125000007/cmct-20250108.htm\">SEC filing\u003c/a> shows that in January 2025, Kaiser extended its lease for 236,692 square feet of the Ordway building through 2027. The space, listed as Kaiser’s corporate office on Google Maps, is down from the 366,000 square feet that Kaiser occupied in 2024, according to the \u003ca href=\"https://www.sfchronicle.com/bayarea/article/kaiser-oakland-19932710.php\">\u003cem>San Francisco Chronicle\u003c/em>.\u003c/a>\u003c/p>\n\u003cp>“The broader health care sector remains one of Oakland’s few stable pillars supported by the presence of hospitals, clinics and social service providers,” said Christopher Skerritt, an economist at\u003ca href=\"https://kweconomics.com/services/health-economics/california/oakland\"> Kincaid Wolstein\u003c/a>. “But office consolidation and telehealth adoption have limited in-city job growth.”\u003c/p>\n\u003cp>As a result, big cities like Oakland and San Francisco are losing commercial real estate to suburban hubs like Pleasanton and Walnut Creek, which have seen comparatively faster rates of economic recovery since the pandemic, according to Skerritt.\u003c/p>\n\u003cfigure id=\"attachment_12076764\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12076764\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260317-KAISER-RETREATS-MD-11-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260317-KAISER-RETREATS-MD-11-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260317-KAISER-RETREATS-MD-11-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260317-KAISER-RETREATS-MD-11-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Empty storefronts along 19th Street in Oakland on March 16, 2026. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Many of the health care workers who remain in the city are remote or hybrid employees, Skerritt said, a change that, combined with Kaiser’s downsized office footprint, has contributed to downtown Oakland’s quieter streets.\u003c/p>\n\u003cp>“The shift has cut daytime population density, reducing spending at restaurants, coffee shops, small retailers that depend on office workers for business,” Skerritt said.\u003c/p>\n\u003cp>Small businesses in downtown Oakland have felt these effects. Tierra Mia Coffee, a six-minute walk from 1 Kaiser Plaza, has “most definitely” seen a drop in business since early 2024, according to its supervisor, Odiseo Castrejon.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Since Kaiser’s early 2024 decision to move part of its Oakland workforce to Pleasanton, its sales have shrunk by more than a quarter, according to Castrejon. Before, customers wearing scrubs or hospital badges were noticeable, Castrejon said. Now, not so much.\u003c/p>\n\u003cp>This obvious decrease in foot traffic can be felt all throughout the downtown area. Nearly 38% of office space in Oakland’s central business district is vacant, according to \u003ca href=\"https://assets.cushmanwakefield.com/-/media/cw/marketbeat-pdfs/2025/q3/us-reports/office/eastbayoakland_americas_marketbeat_office_q3_2025.pdf?rev=f9920db83ed249778a3790b110e88270&_gl=1*1pz1tnl*_gcl_au*ODM3MjQxMTU5LjE3NjE1Mjg5Mjc\">a report\u003c/a> by commercial real estate services firm Cushman & Wakefield.\u003c/p>\n\u003cp>“COVID has really changed the way that people work, and companies’ need for space,” said Cushman & Wakefield’s East Bay research manager, Wescott Owen, who authored the report.\u003c/p>\n\u003cp>Small business owners like Mejia are hit hard by these changes. On a recent afternoon, he stood behind the bar he opened more than three decades ago, watching pedestrians pass by outside.\u003c/p>\n\u003cp>Many of the nearby offices are quieter than they once were.\u003c/p>\n\u003cp>“I’ve got 32 years here,” he said. “I don’t know how much longer I’m going to hang in there.”\u003c/p>\n\u003cp>\u003ca href=\"https://cjlab.stanford.edu/projects/big-local-news/\">\u003cem>Big Local News\u003c/em>\u003c/a>\u003cem> is a data-sharing platform and collaborative at Stanford University that supports local journalism. \u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "northern-california-kaiser-therapists-hold-1-day-strike-over-ai-patient-care-concerns",
"title": "Northern California Kaiser Therapists Hold 1-Day Strike Over AI, Patient Care Concerns",
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"headTitle": "Northern California Kaiser Therapists Hold 1-Day Strike Over AI, Patient Care Concerns | KQED",
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"content": "\u003cp>Up to 2,400 mental health professionals at \u003ca href=\"https://www.kqed.org/news/tag/kaiser-permanente\">Kaiser Permanente\u003c/a> in Northern California are set to hold a one-day strike on Wednesday over what they warn is the company’s increasing use of artificial intelligence to the detriment of patient care and, potentially, of their jobs.\u003c/p>\n\u003cp>Unions representing tens of thousands of \u003ca href=\"https://www.nationalnursesunited.org/press/kaiser-nurses-to-hold-24-hour-sympathy-strike-in-solidarity-with-kaiser-mental-health-workers\">nurses\u003c/a>, as well as hospital and facility maintenance professionals, announced they will join picket lines in support of the therapists, including psychologists and social workers, in the Bay Area, Central Valley and Sacramento regions.\u003c/p>\n\u003cp>During monthslong labor contract negotiations, Kaiser has proposed making it easier to lay off therapists and has resisted language stating that the company won’t \u003ca href=\"https://www.kqed.org/science/1999553/will-ai-replace-your-therapist-kaiser-wont-say-no\">use AI to replace them\u003c/a>, according to the National Union of Healthcare Professionals, which represents the striking mental health employees.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“It’s really sad that this is how they are choosing to behave,” said Leemore Federman, a Kaiser therapist in San Leandro who specializes in post-traumatic stress disorder and anxiety and is part of the union’s bargaining team. “If Kaiser wanted to, they have abundant resources to make the mental health department at Kaiser the best, and instead they’re doing everything to make it the worst.”\u003c/p>\n\u003cp>The Oakland-based health care giant, which has been under pressure to improve timely access to mental health and substance use disorder services, denies that AI makes any medical or care decisions or is being used to replace therapists.\u003c/p>\n\u003cp>Kaiser said it has invested nearly $2 billion since 2020 to expand mental health facilities, hire and train clinicians, and grow its provider network so its more than 9 million California health plan enrollees can get care faster.\u003c/p>\n\u003cfigure id=\"attachment_12076878\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12076878\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260318-KAISER-MENTAL-HEALTH-STRIKE-MD-02-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260318-KAISER-MENTAL-HEALTH-STRIKE-MD-02-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260318-KAISER-MENTAL-HEALTH-STRIKE-MD-02-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260318-KAISER-MENTAL-HEALTH-STRIKE-MD-02-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Mental health workers strike at the Kaiser Oakland Medical Facility in Oakland on March 18, 2026. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We are growing our workforce, not shrinking it, and our commitment to building a pipeline of trained therapists is unquestionable,” the company said in a statement. “We see technology — and AI, in particular — as a way to support our clinicians in managing their practice and provide them with tools that facilitate greater access to care and connection with patients — all to achieve the best possible outcomes for our patients.”\u003c/p>\n\u003cp>“We believe AI can be helpful when it supports clinicians — by reducing administrative work or improving efficiency — but it does not replace clinical judgment or human assessment,” Kaiser said.\u003c/p>\n\u003cp>As the AI boom advances with few guardrails, workers in health care and other industries are feeling anxiety about how their employers may use the technology, said Adam Horwitz, an assistant professor at the University of Michigan’s Department of Psychiatry.\u003c/p>\n\u003cp>So far, health care companies have introduced AI tools mostly for administrative support tasks, such as note-taking during appointments or patient scheduling, rather than direct patient care. But company decisions to roll out the technology are often happening at high-level meetings behind closed doors without much worker input, which fuels mistrust, he said.[aside postID=news_12072837 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/020926_KAISERSTRIKE_8137B-KQED.jpg']“It’s connected to the broader anxiety that we just don’t know where all this is going,” said Horwitz, who studies how digital technologies, including AI, can improve access to care. “Across industries, there’s a lot of like, ‘Well, wait a minute, having these AI things definitely makes money for people at the top at the expense of workers doing the jobs. Why are we all getting in line to just try to keep propelling this forward without having a thoughtful approach to it?’”\u003c/p>\n\u003cp>On Wednesday morning, therapists walked off their jobs and headed to picket lines outside Kaiser facilities in Oakland, Sacramento, Santa Rosa, Santa Clara and Fresno.\u003c/p>\n\u003cp>In Oakland, Harimandir Khalsa, 55, said her team of clinicians who screen patients seeking mental health services in the Walnut Creek area has been reduced by two-thirds. Instead, Kaiser is increasingly using telephone operators and online surveys or questionnaires that use AI to screen patients.\u003c/p>\n\u003cp>“I have seen firsthand patients who were screened by a telephone service operator and sent to an external referral network. In some cases, they were self-harming … they should never have been sent out, they should have talked to a clinician to assess risk, to come up with safety planning and get them a more urgent appointment,” Khalsa told KQED.\u003c/p>\n\u003cp>This latest walkout comes about a month after the \u003ca href=\"https://www.kqed.org/news/12074265/widespread-kaiser-strike-to-end-after-4-weeks-with-no-deal-yet\">end of a four-week strike\u003c/a> that initially involved up to 31,000 nurses, physician assistants, physical therapists, optometrists and other health care employees in California and Hawaii. Those workers are currently voting on whether to ratify tentative agreements the union said included wage increases, as well as staffing and AI protections.\u003c/p>\n\u003cp>In 2022, therapists at Kaiser represented by the same union \u003ca href=\"https://www.kqed.org/news/11923034/were-drowning-why-kaiser-mental-health-workers-are-striking\">went on strike for 10 weeks\u003c/a>, over concerns about patient care delays, workloads, understaffing and other issues.\u003c/p>\n\u003cfigure id=\"attachment_12076877\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12076877 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260318-KAISER-MENTAL-HEALTH-STRIKE-MD-01-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260318-KAISER-MENTAL-HEALTH-STRIKE-MD-01-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260318-KAISER-MENTAL-HEALTH-STRIKE-MD-01-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260318-KAISER-MENTAL-HEALTH-STRIKE-MD-01-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Mental health workers strike at the Kaiser Oakland Medical Facility in Oakland on March 18, 2026. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Kaiser has agreed to multimillion-dollar settlements with state and federal regulators in recent years related to long wait times for patients seeking mental health services. Last month, the U.S. Department of Labor \u003ca href=\"https://www.dol.gov/newsroom/releases/ebsa/ebsa20260210\">announced \u003c/a>the company will pay a $2.8 million penalty, and at least $28.3 million to reimburse patients who sought out-of-network care after Kaiser delayed or improperly denied care.\u003c/p>\n\u003cp>In 2023, the state’s largest health plan said it would invest $150 million over five years to improve behavioral health for its patients and pay a $50 million fine to resolve a California Department of Managed Health Care \u003ca href=\"https://wpso.dmhc.ca.gov/enfactions/docs/4367/1697136977902.pdf\">investigation\u003c/a>.\u003c/p>\n\u003cp>A spokesperson for the agency, which oversees mental health services in the state, said it is monitoring Kaiser’s progress and investigating a union \u003ca href=\"https://nuhw.org/wp-content/uploads/NUHW-Complaint_DMHC_NorCalTriageServices_2025.docx-1.pdf\">complaint\u003c/a> alleging that Kaiser is flouting a state law requiring licensed health care professionals to initially assess patients to determine what care they need.\u003c/p>\n\u003cp>UNHW maintains that beginning in 2024, Kaiser changed how it screens patients when they call or go online seeking care. The company unilaterally replaced many trained clinicians with unqualified telephone operators and an online questionnaire with AI to make recommendations on next steps, according to the union, which considers the move an unfair labor practice.\u003c/p>\n\u003cfigure id=\"attachment_12076882\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12076882\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260318-KAISER-MENTAL-HEALTH-STRIKE-MD-06-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260318-KAISER-MENTAL-HEALTH-STRIKE-MD-06-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260318-KAISER-MENTAL-HEALTH-STRIKE-MD-06-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260318-KAISER-MENTAL-HEALTH-STRIKE-MD-06-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Mental health workers strike at the Kaiser Oakland Medical Facility in Oakland on March 18, 2026. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Federman, the therapist in San Leandro, said the new system is missing high-risk patients, making them wait longer than recommended to see a provider.\u003c/p>\n\u003cp>“I’m seeing a lot of people, where it’s like, ‘wow, they’re really acute,’ and by the time triage [sends them], it’s been a month that they’ve waited — and that’s really dangerous,” she said.\u003c/p>\n\u003cp>The therapists’ contract with Kaiser ended last September. During bargaining, the company has sought to eliminate current workload limits that allow therapists to have enough time to care for existing patients, Federman said. She worries that the employer may seek to lay off in-house therapists and increasingly refer patients to outside contractors, who won’t offer the same quality of integrated care Kaiser advertises.\u003c/p>\n\u003cp>The nonprofit health organization countered that it is seeking flexibility to adjust to a “higher than ever” demand for its services, and does not plan to eliminate therapists’ jobs.\u003c/p>\n\u003cp>“Our contract proposals are aimed at achieving the flexibility we and our therapists need to improve mental health access for our members even as patient needs continue to rise,” the company’s statement said. “We have nearly doubled our mental health workforce over the last 10 years and have never had a reduction-in-force of mental health clinicians in Northern California.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Kaiser Permanente mental health workers in Northern California will stage a one-day strike over AI use, patient care concerns, staffing levels and job security, with support from thousands of health care employees.",
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"title": "Northern California Kaiser Therapists Hold 1-Day Strike Over AI, Patient Care Concerns | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Up to 2,400 mental health professionals at \u003ca href=\"https://www.kqed.org/news/tag/kaiser-permanente\">Kaiser Permanente\u003c/a> in Northern California are set to hold a one-day strike on Wednesday over what they warn is the company’s increasing use of artificial intelligence to the detriment of patient care and, potentially, of their jobs.\u003c/p>\n\u003cp>Unions representing tens of thousands of \u003ca href=\"https://www.nationalnursesunited.org/press/kaiser-nurses-to-hold-24-hour-sympathy-strike-in-solidarity-with-kaiser-mental-health-workers\">nurses\u003c/a>, as well as hospital and facility maintenance professionals, announced they will join picket lines in support of the therapists, including psychologists and social workers, in the Bay Area, Central Valley and Sacramento regions.\u003c/p>\n\u003cp>During monthslong labor contract negotiations, Kaiser has proposed making it easier to lay off therapists and has resisted language stating that the company won’t \u003ca href=\"https://www.kqed.org/science/1999553/will-ai-replace-your-therapist-kaiser-wont-say-no\">use AI to replace them\u003c/a>, according to the National Union of Healthcare Professionals, which represents the striking mental health employees.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It’s really sad that this is how they are choosing to behave,” said Leemore Federman, a Kaiser therapist in San Leandro who specializes in post-traumatic stress disorder and anxiety and is part of the union’s bargaining team. “If Kaiser wanted to, they have abundant resources to make the mental health department at Kaiser the best, and instead they’re doing everything to make it the worst.”\u003c/p>\n\u003cp>The Oakland-based health care giant, which has been under pressure to improve timely access to mental health and substance use disorder services, denies that AI makes any medical or care decisions or is being used to replace therapists.\u003c/p>\n\u003cp>Kaiser said it has invested nearly $2 billion since 2020 to expand mental health facilities, hire and train clinicians, and grow its provider network so its more than 9 million California health plan enrollees can get care faster.\u003c/p>\n\u003cfigure id=\"attachment_12076878\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12076878\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260318-KAISER-MENTAL-HEALTH-STRIKE-MD-02-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260318-KAISER-MENTAL-HEALTH-STRIKE-MD-02-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260318-KAISER-MENTAL-HEALTH-STRIKE-MD-02-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260318-KAISER-MENTAL-HEALTH-STRIKE-MD-02-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Mental health workers strike at the Kaiser Oakland Medical Facility in Oakland on March 18, 2026. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We are growing our workforce, not shrinking it, and our commitment to building a pipeline of trained therapists is unquestionable,” the company said in a statement. “We see technology — and AI, in particular — as a way to support our clinicians in managing their practice and provide them with tools that facilitate greater access to care and connection with patients — all to achieve the best possible outcomes for our patients.”\u003c/p>\n\u003cp>“We believe AI can be helpful when it supports clinicians — by reducing administrative work or improving efficiency — but it does not replace clinical judgment or human assessment,” Kaiser said.\u003c/p>\n\u003cp>As the AI boom advances with few guardrails, workers in health care and other industries are feeling anxiety about how their employers may use the technology, said Adam Horwitz, an assistant professor at the University of Michigan’s Department of Psychiatry.\u003c/p>\n\u003cp>So far, health care companies have introduced AI tools mostly for administrative support tasks, such as note-taking during appointments or patient scheduling, rather than direct patient care. But company decisions to roll out the technology are often happening at high-level meetings behind closed doors without much worker input, which fuels mistrust, he said.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“It’s connected to the broader anxiety that we just don’t know where all this is going,” said Horwitz, who studies how digital technologies, including AI, can improve access to care. “Across industries, there’s a lot of like, ‘Well, wait a minute, having these AI things definitely makes money for people at the top at the expense of workers doing the jobs. Why are we all getting in line to just try to keep propelling this forward without having a thoughtful approach to it?’”\u003c/p>\n\u003cp>On Wednesday morning, therapists walked off their jobs and headed to picket lines outside Kaiser facilities in Oakland, Sacramento, Santa Rosa, Santa Clara and Fresno.\u003c/p>\n\u003cp>In Oakland, Harimandir Khalsa, 55, said her team of clinicians who screen patients seeking mental health services in the Walnut Creek area has been reduced by two-thirds. Instead, Kaiser is increasingly using telephone operators and online surveys or questionnaires that use AI to screen patients.\u003c/p>\n\u003cp>“I have seen firsthand patients who were screened by a telephone service operator and sent to an external referral network. In some cases, they were self-harming … they should never have been sent out, they should have talked to a clinician to assess risk, to come up with safety planning and get them a more urgent appointment,” Khalsa told KQED.\u003c/p>\n\u003cp>This latest walkout comes about a month after the \u003ca href=\"https://www.kqed.org/news/12074265/widespread-kaiser-strike-to-end-after-4-weeks-with-no-deal-yet\">end of a four-week strike\u003c/a> that initially involved up to 31,000 nurses, physician assistants, physical therapists, optometrists and other health care employees in California and Hawaii. Those workers are currently voting on whether to ratify tentative agreements the union said included wage increases, as well as staffing and AI protections.\u003c/p>\n\u003cp>In 2022, therapists at Kaiser represented by the same union \u003ca href=\"https://www.kqed.org/news/11923034/were-drowning-why-kaiser-mental-health-workers-are-striking\">went on strike for 10 weeks\u003c/a>, over concerns about patient care delays, workloads, understaffing and other issues.\u003c/p>\n\u003cfigure id=\"attachment_12076877\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12076877 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260318-KAISER-MENTAL-HEALTH-STRIKE-MD-01-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260318-KAISER-MENTAL-HEALTH-STRIKE-MD-01-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260318-KAISER-MENTAL-HEALTH-STRIKE-MD-01-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260318-KAISER-MENTAL-HEALTH-STRIKE-MD-01-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Mental health workers strike at the Kaiser Oakland Medical Facility in Oakland on March 18, 2026. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Kaiser has agreed to multimillion-dollar settlements with state and federal regulators in recent years related to long wait times for patients seeking mental health services. Last month, the U.S. Department of Labor \u003ca href=\"https://www.dol.gov/newsroom/releases/ebsa/ebsa20260210\">announced \u003c/a>the company will pay a $2.8 million penalty, and at least $28.3 million to reimburse patients who sought out-of-network care after Kaiser delayed or improperly denied care.\u003c/p>\n\u003cp>In 2023, the state’s largest health plan said it would invest $150 million over five years to improve behavioral health for its patients and pay a $50 million fine to resolve a California Department of Managed Health Care \u003ca href=\"https://wpso.dmhc.ca.gov/enfactions/docs/4367/1697136977902.pdf\">investigation\u003c/a>.\u003c/p>\n\u003cp>A spokesperson for the agency, which oversees mental health services in the state, said it is monitoring Kaiser’s progress and investigating a union \u003ca href=\"https://nuhw.org/wp-content/uploads/NUHW-Complaint_DMHC_NorCalTriageServices_2025.docx-1.pdf\">complaint\u003c/a> alleging that Kaiser is flouting a state law requiring licensed health care professionals to initially assess patients to determine what care they need.\u003c/p>\n\u003cp>UNHW maintains that beginning in 2024, Kaiser changed how it screens patients when they call or go online seeking care. The company unilaterally replaced many trained clinicians with unqualified telephone operators and an online questionnaire with AI to make recommendations on next steps, according to the union, which considers the move an unfair labor practice.\u003c/p>\n\u003cfigure id=\"attachment_12076882\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12076882\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260318-KAISER-MENTAL-HEALTH-STRIKE-MD-06-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260318-KAISER-MENTAL-HEALTH-STRIKE-MD-06-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260318-KAISER-MENTAL-HEALTH-STRIKE-MD-06-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/260318-KAISER-MENTAL-HEALTH-STRIKE-MD-06-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Mental health workers strike at the Kaiser Oakland Medical Facility in Oakland on March 18, 2026. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Federman, the therapist in San Leandro, said the new system is missing high-risk patients, making them wait longer than recommended to see a provider.\u003c/p>\n\u003cp>“I’m seeing a lot of people, where it’s like, ‘wow, they’re really acute,’ and by the time triage [sends them], it’s been a month that they’ve waited — and that’s really dangerous,” she said.\u003c/p>\n\u003cp>The therapists’ contract with Kaiser ended last September. During bargaining, the company has sought to eliminate current workload limits that allow therapists to have enough time to care for existing patients, Federman said. She worries that the employer may seek to lay off in-house therapists and increasingly refer patients to outside contractors, who won’t offer the same quality of integrated care Kaiser advertises.\u003c/p>\n\u003cp>The nonprofit health organization countered that it is seeking flexibility to adjust to a “higher than ever” demand for its services, and does not plan to eliminate therapists’ jobs.\u003c/p>\n\u003cp>“Our contract proposals are aimed at achieving the flexibility we and our therapists need to improve mental health access for our members even as patient needs continue to rise,” the company’s statement said. “We have nearly doubled our mental health workforce over the last 10 years and have never had a reduction-in-force of mental health clinicians in Northern California.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "kaiser-strike-sees-thousands-walk-out-in-california-this-time-with-no-end-in-sight",
"title": "Kaiser Strike Sees Thousands Walk Out in California, This Time With No End in Sight",
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"headTitle": "Kaiser Strike Sees Thousands Walk Out in California, This Time With No End in Sight | KQED",
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"content": "\u003cp>A monthslong labor dispute over staffing and compensation at \u003ca href=\"https://www.kqed.org/news/tag/kaiser-permanente\">Kaiser Permanente\u003c/a> escalated into an open-ended strike beginning Monday, threatening to disrupt operations at dozens of hospitals and clinics across California and Hawaii.\u003c/p>\n\u003cp>Thousands of nurses, physical therapists, midwives and other health professionals voted to \u003ca href=\"https://www.kqed.org/news/12070263/union-of-31000-kaiser-workers-to-go-on-indefinite-strike\">walk off their jobs\u003c/a> for days or even weeks to pressure California’s largest private employer to concede ground on top union demands, at a time the industry faces financial headwinds.\u003c/p>\n\u003cp>The United Nurses Associations of California/Union of Health Care Professionals, which represents about 31,000 employees, accuses Kaiser of squeezing patient care and staffing for revenue as it expanded to other states — a claim that the nonprofit organization denies, arguing it meets all staffing and safety requirements.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Picketers on Monday morning outside Kaiser’s Oakland Medical Center, near the employer’s headquarters, said wages need to keep up with inflation and the cost of living after they accepted smaller pay raises during the pandemic. Many also participated in a larger \u003ca href=\"https://www.kqed.org/news/12060288/kaiser-strike-ends-sunday-as-union-and-management-plan-to-resume-wage-talks\">five-day strike\u003c/a> in several states in October as part of the Alliance of Healthcare Unions and a one-day walkout in September.\u003c/p>\n\u003cp>“We’re fighting for our livelihoods, we’re fighting for patient care,” said Jessica Servin, a nurse anesthetist in San Francisco. She said patients are facing long waitlists for appointments and surgeries and struggling to get necessary care in a timely manner.\u003c/p>\n\u003cfigure id=\"attachment_12071030\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260126-KAISER-STRIKE-BEGINS-MD-01-KQED.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12071030\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260126-KAISER-STRIKE-BEGINS-MD-01-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260126-KAISER-STRIKE-BEGINS-MD-01-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260126-KAISER-STRIKE-BEGINS-MD-01-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260126-KAISER-STRIKE-BEGINS-MD-01-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Workers strike at Kaiser Oakland Medical Center in Oakland on Jan. 26, 2026. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I believed their values and their mission statement,” said Servin, who joined Kaiser as a nurse almost 20 years ago. “It feels like they’re deviating from the foundation of why Kaiser was built. It feels kind of sad to be here and realize that Kaiser is choosing profit over patients.”\u003c/p>\n\u003cp>Kaiser said its health care workers earn more on average than those at other employers and dismissed claims that the quality of its patient care is at risk, pointing to a turnover rate that the organization said is much lower than it is for the rest of the industry. Executives said they aim to balance managing growing payroll costs with keeping care affordable for more than 12 million people Kaiser serves, most of them in California.\u003c/p>\n\u003cp>“These negotiations come at a time when health care costs are rising, and millions of Americans are at risk of losing access to health coverage,” Lionel Sims, senior vice president of human resources at Kaiser Northern California, said in a statement. “This underscores our responsibility to deliver fair, competitive pay for employees while protecting access and affordability for our members. We’re doing both.”\u003c/p>\n\u003cp>Hospitals, emergency rooms, pharmacies and nearly all medical offices will remain open during the strike, while patients will be contacted in advance if their care is affected, according to Kaiser. The employer plans to reschedule some surgeries and other procedures.\u003c/p>\n\u003cp>Disruptions could be larger in Southern California, where about 28,000 UNAC/UHCP members are based, making up the vast majority. The union represents just 2,800 members in Northern California, including physician assistants and speech therapists, and 200 in Hawaii.[aside postID=news_12070138 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/StoneWorkerGetty2.jpg']For months, the union has sought a 25% pay increase over a four-year contract, but management has stuck to its offer to raise wages by 21.5%, calling it the strongest compensation package in Kaiser’s national bargaining history. Since the October walkout, the employer said it reached tentative agreements with other Alliance unions, strengthening staffing and scheduling.\u003c/p>\n\u003cp>“It is disheartening that UNAC/UHCP leaders continue to talk about improving care, when this strike, and their actions over the past several months, are really all about higher wages,” Sims said.\u003c/p>\n\u003cp>Kaiser, founded in 1945 in Oakland, employs more than 180,000 people in nine states and the District of Columbia. As a nonprofit health plan and care provider, Kaiser said it reinvests its revenue into running and improving its hospitals, clinics and community programs, emphasizing preventive medicine.\u003c/p>\n\u003cp>The company rebounded from a net loss of about $4.5 billion in 2022 to positive net income from operations and investments in later years, posting nearly $13 billion in 2024 and $8 billion for the first three quarters of 2025, according to its most recent financial results.\u003c/p>\n\u003cp>This month, the U.S. Department of Justice announced Kaiser agreed to pay \u003ca href=\"https://www.justice.gov/opa/pr/kaiser-permanente-affiliates-pay-556m-resolve-false-claims-act-allegations\">$556 million\u003c/a> to settle allegations that it defrauded Medicare to increase reimbursements by pressuring doctors in California and Colorado to alter medical records and add diagnoses after patient visits.\u003c/p>\n\u003cp>Brian Mason, UNAC/UHCP’s lead negotiator, said the company floated cutting retirement and health care benefits for newer union members, which would neutralize higher wages. He said management has also refused to bargain on proposals that would allow workers to give patients the care and time they need, though Kaiser disputes that.\u003c/p>\n\u003cdiv class=\"mceTemp\">\u003c/div>\n\u003cp>“Nobody wants to go to an appointment when you’re sick and feel like you’re being rushed because your provider has to get to the next patient and the next,” Mason said. “This strike is to ensure that patient care continues to be the best that it can be and that Kaiser doesn’t continue down this financial-lies path where they’re treating health care like a hedge fund.”\u003c/p>\n\u003cfigure id=\"attachment_12071036\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260126-KAISER-STRIKE-BEGINS-MD-08-KQED.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12071036\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260126-KAISER-STRIKE-BEGINS-MD-08-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260126-KAISER-STRIKE-BEGINS-MD-08-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260126-KAISER-STRIKE-BEGINS-MD-08-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260126-KAISER-STRIKE-BEGINS-MD-08-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sanne Jacobsen attends the strike at Kaiser Oakland Medical Center in Oakland on Jan. 26, 2026. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Sanne Jacobsen, a nurse anesthetist in Oakland, said providers are overbooked and left out of scheduling conversations. She said that the company has struggled to recruit and retain staff.\u003c/p>\n\u003cp>“It’s delayed appointments, delayed surgeries… and in places like the clinics where people are getting physical therapy, those physical therapists don’t have adequate time to actually treat the patients well,” Jacobsen said.\u003c/p>\n\u003cp>Staffing ratios and wages became top concerns for health care workers as the sector has increasingly consolidated and executive pay has soared, according to labor experts.\u003c/p>\n\u003cp>More than 15,000 nurses at three major hospitals in \u003ca href=\"https://apnews.com/article/nursing-strike-new-york-5647ac366a8d067785b9cb4005204878\">New York\u003c/a> went on strike this month, and hundreds more in Grand Blanc, Michigan, remained at the picket line under freezing conditions. Nurses in five other states are threatening walkouts, according to the website \u003ca href=\"https://nurse.org/articles/nurse-strikes-list/\">nurse.org\u003c/a>.\u003c/p>\n\u003cp>One factor in Kaiser’s reluctance to commit to additional payroll costs is an uncertain financial forecast under the Trump administration, said John Logan, who chairs the labor and employment studies program at San Francisco State University. Federal policies that are expected to increase the number of uninsured Americans could affect Kaiser’s bottom line.[aside postID=news_12069984 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-06-KQED.jpg']“Kaiser management wants to give itself as much flexibility and wants to avoid making concrete, enforceable commitments to the union in terms of staffing levels and working conditions that it might see are going to be a huge liability in that changing environment,” Logan said.\u003c/p>\n\u003cp>The union points to Kaiser’s $66 billion in reserves as proof that it can afford improved staffing and benefits, though the company said that the funds are for long-term commitments such as pensions and building maintenance, not ongoing payroll increases.\u003c/p>\n\u003cp>Still, frontline employees want executives to invest more of the nonprofit organization’s financial income on its workforce and patient care, said Rebecca Givan, an associate professor in the School of Management and Labor Relations at Rutgers University.\u003c/p>\n\u003cp>“It’s clearly the case that Kaiser, by any metric, is taking in a lot of money,” Givan said. “It has very highly paid executives and the leaders of Kaiser are making choices about where to invest their money. And these frontline workers feel that a little bit more should be on the frontline and not elsewhere.”\u003c/p>\n\u003cp>Jacobsen, who’s a member of the union’s bargaining team, said the company’s negotiating behavior felt like “an investment bank that poses as a health care organization.”\u003c/p>\n\u003cp>“For them to say that they can’t afford to pay us fair wages? I think we know where the greed is,” she said on the picket line on Monday. “It’s not out here on the line. It’s way up there in the corporate office.”\u003c/p>\n\u003cp>National negotiations that started in May were paused by Kaiser last month, after executives said the union threatened to release damning information about the company. The union then published \u003ca href=\"https://unacuhcp.org/caregivers/\">a report\u003c/a> on Kaiser’s financials, including linking the employer’s investments to Geo Group and CoreCivic, private prison companies that also run many immigration detention centers. Kaiser slammed the findings as a “collection of misrepresentation of facts.”\u003c/p>\n\u003cp>Over the weekend, Kaiser and the union met for negotiations, but workers said they weren’t productive and the strike will continue. The employer said it’s onboarding nurses, clinicians and other staff to work during the walkout, and reassigning some employees to work at strike locations.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/kdebenedetti\">\u003cem>Katie DeBenedetti\u003c/em>\u003c/a>\u003cem> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"title": "Kaiser Strike Sees Thousands Walk Out in California, This Time With No End in Sight | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A monthslong labor dispute over staffing and compensation at \u003ca href=\"https://www.kqed.org/news/tag/kaiser-permanente\">Kaiser Permanente\u003c/a> escalated into an open-ended strike beginning Monday, threatening to disrupt operations at dozens of hospitals and clinics across California and Hawaii.\u003c/p>\n\u003cp>Thousands of nurses, physical therapists, midwives and other health professionals voted to \u003ca href=\"https://www.kqed.org/news/12070263/union-of-31000-kaiser-workers-to-go-on-indefinite-strike\">walk off their jobs\u003c/a> for days or even weeks to pressure California’s largest private employer to concede ground on top union demands, at a time the industry faces financial headwinds.\u003c/p>\n\u003cp>The United Nurses Associations of California/Union of Health Care Professionals, which represents about 31,000 employees, accuses Kaiser of squeezing patient care and staffing for revenue as it expanded to other states — a claim that the nonprofit organization denies, arguing it meets all staffing and safety requirements.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Picketers on Monday morning outside Kaiser’s Oakland Medical Center, near the employer’s headquarters, said wages need to keep up with inflation and the cost of living after they accepted smaller pay raises during the pandemic. Many also participated in a larger \u003ca href=\"https://www.kqed.org/news/12060288/kaiser-strike-ends-sunday-as-union-and-management-plan-to-resume-wage-talks\">five-day strike\u003c/a> in several states in October as part of the Alliance of Healthcare Unions and a one-day walkout in September.\u003c/p>\n\u003cp>“We’re fighting for our livelihoods, we’re fighting for patient care,” said Jessica Servin, a nurse anesthetist in San Francisco. She said patients are facing long waitlists for appointments and surgeries and struggling to get necessary care in a timely manner.\u003c/p>\n\u003cfigure id=\"attachment_12071030\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260126-KAISER-STRIKE-BEGINS-MD-01-KQED.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12071030\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260126-KAISER-STRIKE-BEGINS-MD-01-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260126-KAISER-STRIKE-BEGINS-MD-01-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260126-KAISER-STRIKE-BEGINS-MD-01-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260126-KAISER-STRIKE-BEGINS-MD-01-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Workers strike at Kaiser Oakland Medical Center in Oakland on Jan. 26, 2026. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I believed their values and their mission statement,” said Servin, who joined Kaiser as a nurse almost 20 years ago. “It feels like they’re deviating from the foundation of why Kaiser was built. It feels kind of sad to be here and realize that Kaiser is choosing profit over patients.”\u003c/p>\n\u003cp>Kaiser said its health care workers earn more on average than those at other employers and dismissed claims that the quality of its patient care is at risk, pointing to a turnover rate that the organization said is much lower than it is for the rest of the industry. Executives said they aim to balance managing growing payroll costs with keeping care affordable for more than 12 million people Kaiser serves, most of them in California.\u003c/p>\n\u003cp>“These negotiations come at a time when health care costs are rising, and millions of Americans are at risk of losing access to health coverage,” Lionel Sims, senior vice president of human resources at Kaiser Northern California, said in a statement. “This underscores our responsibility to deliver fair, competitive pay for employees while protecting access and affordability for our members. We’re doing both.”\u003c/p>\n\u003cp>Hospitals, emergency rooms, pharmacies and nearly all medical offices will remain open during the strike, while patients will be contacted in advance if their care is affected, according to Kaiser. The employer plans to reschedule some surgeries and other procedures.\u003c/p>\n\u003cp>Disruptions could be larger in Southern California, where about 28,000 UNAC/UHCP members are based, making up the vast majority. The union represents just 2,800 members in Northern California, including physician assistants and speech therapists, and 200 in Hawaii.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>For months, the union has sought a 25% pay increase over a four-year contract, but management has stuck to its offer to raise wages by 21.5%, calling it the strongest compensation package in Kaiser’s national bargaining history. Since the October walkout, the employer said it reached tentative agreements with other Alliance unions, strengthening staffing and scheduling.\u003c/p>\n\u003cp>“It is disheartening that UNAC/UHCP leaders continue to talk about improving care, when this strike, and their actions over the past several months, are really all about higher wages,” Sims said.\u003c/p>\n\u003cp>Kaiser, founded in 1945 in Oakland, employs more than 180,000 people in nine states and the District of Columbia. As a nonprofit health plan and care provider, Kaiser said it reinvests its revenue into running and improving its hospitals, clinics and community programs, emphasizing preventive medicine.\u003c/p>\n\u003cp>The company rebounded from a net loss of about $4.5 billion in 2022 to positive net income from operations and investments in later years, posting nearly $13 billion in 2024 and $8 billion for the first three quarters of 2025, according to its most recent financial results.\u003c/p>\n\u003cp>This month, the U.S. Department of Justice announced Kaiser agreed to pay \u003ca href=\"https://www.justice.gov/opa/pr/kaiser-permanente-affiliates-pay-556m-resolve-false-claims-act-allegations\">$556 million\u003c/a> to settle allegations that it defrauded Medicare to increase reimbursements by pressuring doctors in California and Colorado to alter medical records and add diagnoses after patient visits.\u003c/p>\n\u003cp>Brian Mason, UNAC/UHCP’s lead negotiator, said the company floated cutting retirement and health care benefits for newer union members, which would neutralize higher wages. He said management has also refused to bargain on proposals that would allow workers to give patients the care and time they need, though Kaiser disputes that.\u003c/p>\n\u003cdiv class=\"mceTemp\">\u003c/div>\n\u003cp>“Nobody wants to go to an appointment when you’re sick and feel like you’re being rushed because your provider has to get to the next patient and the next,” Mason said. “This strike is to ensure that patient care continues to be the best that it can be and that Kaiser doesn’t continue down this financial-lies path where they’re treating health care like a hedge fund.”\u003c/p>\n\u003cfigure id=\"attachment_12071036\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260126-KAISER-STRIKE-BEGINS-MD-08-KQED.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12071036\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260126-KAISER-STRIKE-BEGINS-MD-08-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260126-KAISER-STRIKE-BEGINS-MD-08-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260126-KAISER-STRIKE-BEGINS-MD-08-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260126-KAISER-STRIKE-BEGINS-MD-08-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sanne Jacobsen attends the strike at Kaiser Oakland Medical Center in Oakland on Jan. 26, 2026. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Sanne Jacobsen, a nurse anesthetist in Oakland, said providers are overbooked and left out of scheduling conversations. She said that the company has struggled to recruit and retain staff.\u003c/p>\n\u003cp>“It’s delayed appointments, delayed surgeries… and in places like the clinics where people are getting physical therapy, those physical therapists don’t have adequate time to actually treat the patients well,” Jacobsen said.\u003c/p>\n\u003cp>Staffing ratios and wages became top concerns for health care workers as the sector has increasingly consolidated and executive pay has soared, according to labor experts.\u003c/p>\n\u003cp>More than 15,000 nurses at three major hospitals in \u003ca href=\"https://apnews.com/article/nursing-strike-new-york-5647ac366a8d067785b9cb4005204878\">New York\u003c/a> went on strike this month, and hundreds more in Grand Blanc, Michigan, remained at the picket line under freezing conditions. Nurses in five other states are threatening walkouts, according to the website \u003ca href=\"https://nurse.org/articles/nurse-strikes-list/\">nurse.org\u003c/a>.\u003c/p>\n\u003cp>One factor in Kaiser’s reluctance to commit to additional payroll costs is an uncertain financial forecast under the Trump administration, said John Logan, who chairs the labor and employment studies program at San Francisco State University. Federal policies that are expected to increase the number of uninsured Americans could affect Kaiser’s bottom line.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Kaiser management wants to give itself as much flexibility and wants to avoid making concrete, enforceable commitments to the union in terms of staffing levels and working conditions that it might see are going to be a huge liability in that changing environment,” Logan said.\u003c/p>\n\u003cp>The union points to Kaiser’s $66 billion in reserves as proof that it can afford improved staffing and benefits, though the company said that the funds are for long-term commitments such as pensions and building maintenance, not ongoing payroll increases.\u003c/p>\n\u003cp>Still, frontline employees want executives to invest more of the nonprofit organization’s financial income on its workforce and patient care, said Rebecca Givan, an associate professor in the School of Management and Labor Relations at Rutgers University.\u003c/p>\n\u003cp>“It’s clearly the case that Kaiser, by any metric, is taking in a lot of money,” Givan said. “It has very highly paid executives and the leaders of Kaiser are making choices about where to invest their money. And these frontline workers feel that a little bit more should be on the frontline and not elsewhere.”\u003c/p>\n\u003cp>Jacobsen, who’s a member of the union’s bargaining team, said the company’s negotiating behavior felt like “an investment bank that poses as a health care organization.”\u003c/p>\n\u003cp>“For them to say that they can’t afford to pay us fair wages? I think we know where the greed is,” she said on the picket line on Monday. “It’s not out here on the line. It’s way up there in the corporate office.”\u003c/p>\n\u003cp>National negotiations that started in May were paused by Kaiser last month, after executives said the union threatened to release damning information about the company. The union then published \u003ca href=\"https://unacuhcp.org/caregivers/\">a report\u003c/a> on Kaiser’s financials, including linking the employer’s investments to Geo Group and CoreCivic, private prison companies that also run many immigration detention centers. Kaiser slammed the findings as a “collection of misrepresentation of facts.”\u003c/p>\n\u003cp>Over the weekend, Kaiser and the union met for negotiations, but workers said they weren’t productive and the strike will continue. The employer said it’s onboarding nurses, clinicians and other staff to work during the walkout, and reassigning some employees to work at strike locations.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/kdebenedetti\">\u003cem>Katie DeBenedetti\u003c/em>\u003c/a>\u003cem> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "push-for-reparations-for-black-californians-continues-despite-setbacks",
"title": "Push For Reparations For Black Californians Continues Despite Setbacks",
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"headTitle": "Push For Reparations For Black Californians Continues Despite Setbacks | KQED",
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"content": "\u003cp>\u003cb>Here are the morning’s top stories on Monday, January 19, 2026\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400;\">\u003cspan style=\"font-weight: 400;\">As we celebrate and honor the life of Dr. Martin Luther King Jr. today, we wanted to take a closer look at some of the issues that are facing Black Californians. In particular, \u003ca href=\"https://www.kqed.org/reparations\">the state’s reparations efforts.\u003c/a> While lawmakers approved a handful of measures meant to ensure reparative justice for Black Californians, others have been tabled or vetoed by Governor Gavin Newsom. So where does it all stand?\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400;\">\u003cspan style=\"font-weight: 400;\">\u003ca href=\"https://www.gov.ca.gov/2026/01/16/governor-newsom-issues-proclamation-declaring-special-election-for-ca-congressional-district-1/\">A special election\u003c/a> is happening in Northern California this year that could further chip away at Republicans’ slim majority in the House of Representatives.\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400;\">\u003cspan style=\"font-weight: 400;\">For the second time in four months, \u003ca href=\"https://www.kqed.org/news/12070263/union-of-31000-kaiser-workers-to-go-on-indefinite-strike\">a group of Kaiser workers are going out on an open-ended strike\u003c/a> at hospitals and clinics across California and Hawaii.\u003c/span>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003cstrong>Reparation Efforts To Continue In 2026\u003c/strong>\u003c/h2>\n\u003cp>Gov. Gavin Newsom vetoed a handful of bills advancing the cause of \u003ca href=\"https://www.kqed.org/news/12027903/california-lawmakers-target-historical-harm-to-black-residents-in-latest-bill-push\">reparations for Black Californians\u003c/a> last year, dealing the latest blow to a first-of-its-kind movement to atone for state-inflicted harms from slavery to the present day. Newsom rejected bills that would have \u003ca href=\"https://www.kqed.org/forum/2010101910326/checking-in-on-californias-reparations-effort\">allowed the \u003c/a>descendants of enslaved people to receive preference in university admissions, business licenses and loans for first-time homebuyers.\u003c/p>\n\u003cp>The measures were among several \u003ca href=\"https://www.kqed.org/reparations\">reparations-related bills\u003c/a> advanced last year by the California Legislative Black Caucus, following a shift in strategy to focus on \u003ca href=\"https://www.kqed.org/news/12046328/lineage-not-race-californias-strategy-to-advance-equity-for-descendants-of-slavery\">descendants of enslaved\u003c/a> people rather than race-based programs — an approach designed to withstand mounting legal challenges.\u003c/p>\n\u003cp>Lisa Holder is a civil rights attorney and was a member of the state’s Reparations Task Force. She’s also president of the non-profit Equal Justice Society. She said this is going to be a long process. “You can’t legislate yourself out of 400 years of inequality and injustice. You have to do an entire body of laws to change the systems that have been disparately affecting black folks for decades.” she said. “You now have to put many, many laws in place to change practically every system, whether you’re talking about systems of finance, housing. Laws that require equitable treatment, laws that require affirmative hiring sometimes in industries where Black people were affirmatively not hired,” she said.\u003c/p>\n\u003ch2>\u003cstrong>Governor Sets Special Election To Fill Congressman LaMalfa’s Seat\u003c/strong>\u003c/h2>\n\u003cp>Governor Gavin Newsom \u003ca href=\"https://www.gov.ca.gov/2026/01/16/governor-newsom-issues-proclamation-declaring-special-election-for-ca-congressional-district-1/\">has set a dat\u003c/a>e for the special election to replace Republican Congressman Doug LaMalfa, \u003ca href=\"https://www.kqed.org/news/12068742/northern-california-republican-congressman-doug-lamalfa-dies-at-65\">who passed away\u003c/a> suddenly on January 6.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The election will take place on August 4. That’s later than the June date many observers expected, which would have coincided with the state’s already scheduled primary election. And it leaves a currently safe Republican House seat vacant for at least the next six months.\u003c/p>\n\u003cp>The winner of the special election would serve for only a few months, before having to run in a newly redrawn congressional district.\u003c/p>\n\u003ch2 class=\"routes-Site-routes-Post-Title-__Title__title\">\u003ca href=\"https://www.kqed.org/news/12070263/union-of-31000-kaiser-workers-to-go-on-indefinite-strike\">Union Of 31,000 Kaiser Workers To Go On Indefinite Strike\u003c/a>\u003c/h2>\n\u003cp>The union representing 31,000 nurses, rehab therapists, pharmacists and other specialty health care professionals at \u003ca href=\"https://www.kqed.org/news/tag/kaiser-permanente\">Kaiser Permanente\u003c/a> plans to go on an open-ended strike at hospitals and clinics across California and Hawaii.\u003c/p>\n\u003cp>After both sides hit a wall in their months-long contract talks, the walkout is set to begin Jan. 26 at nearly 20 Kaiser hospitals and 200 clinics, with no end in sight. “We will be on strike until we reach an agreement,” said Brian Mason, a negotiator for the United Nurses Associations of California/Union of Health Care Professionals. He warned that the strike will likely cause delayed or canceled surgeries and appointments.\u003c/p>\n\u003cp>UNAC/UHCP is part of an alliance of health care unions negotiating with Kaiser for a new set of national and local contracts. In October, about 61,000 members of the alliance \u003ca href=\"https://www.kqed.org/news/12060288/kaiser-strike-ends-sunday-as-union-and-management-plan-to-resume-wage-talks\">staged a five-day, multi-state strike\u003c/a> to demand wage and staffing increases. Talks resumed after the walkout, but they broke down in mid-December when Kaiser negotiators accused UNAC/UHCP leaders of not bargaining in good faith.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In a \u003ca href=\"https://www.youtube.com/watch?v=FVpegM9XML4\">statement issued on YouTube\u003c/a>, chief human resources officer Greg Holmes said a union official threatened to release “evidence of illegal, unethical and reputationally damaging information about Kaiser Permanente” unless both sides reached an acceptable agreement.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cb>Here are the morning’s top stories on Monday, January 19, 2026\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400;\">\u003cspan style=\"font-weight: 400;\">As we celebrate and honor the life of Dr. Martin Luther King Jr. today, we wanted to take a closer look at some of the issues that are facing Black Californians. In particular, \u003ca href=\"https://www.kqed.org/reparations\">the state’s reparations efforts.\u003c/a> While lawmakers approved a handful of measures meant to ensure reparative justice for Black Californians, others have been tabled or vetoed by Governor Gavin Newsom. So where does it all stand?\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400;\">\u003cspan style=\"font-weight: 400;\">\u003ca href=\"https://www.gov.ca.gov/2026/01/16/governor-newsom-issues-proclamation-declaring-special-election-for-ca-congressional-district-1/\">A special election\u003c/a> is happening in Northern California this year that could further chip away at Republicans’ slim majority in the House of Representatives.\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400;\">\u003cspan style=\"font-weight: 400;\">For the second time in four months, \u003ca href=\"https://www.kqed.org/news/12070263/union-of-31000-kaiser-workers-to-go-on-indefinite-strike\">a group of Kaiser workers are going out on an open-ended strike\u003c/a> at hospitals and clinics across California and Hawaii.\u003c/span>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003cstrong>Reparation Efforts To Continue In 2026\u003c/strong>\u003c/h2>\n\u003cp>Gov. Gavin Newsom vetoed a handful of bills advancing the cause of \u003ca href=\"https://www.kqed.org/news/12027903/california-lawmakers-target-historical-harm-to-black-residents-in-latest-bill-push\">reparations for Black Californians\u003c/a> last year, dealing the latest blow to a first-of-its-kind movement to atone for state-inflicted harms from slavery to the present day. Newsom rejected bills that would have \u003ca href=\"https://www.kqed.org/forum/2010101910326/checking-in-on-californias-reparations-effort\">allowed the \u003c/a>descendants of enslaved people to receive preference in university admissions, business licenses and loans for first-time homebuyers.\u003c/p>\n\u003cp>The measures were among several \u003ca href=\"https://www.kqed.org/reparations\">reparations-related bills\u003c/a> advanced last year by the California Legislative Black Caucus, following a shift in strategy to focus on \u003ca href=\"https://www.kqed.org/news/12046328/lineage-not-race-californias-strategy-to-advance-equity-for-descendants-of-slavery\">descendants of enslaved\u003c/a> people rather than race-based programs — an approach designed to withstand mounting legal challenges.\u003c/p>\n\u003cp>Lisa Holder is a civil rights attorney and was a member of the state’s Reparations Task Force. She’s also president of the non-profit Equal Justice Society. She said this is going to be a long process. “You can’t legislate yourself out of 400 years of inequality and injustice. You have to do an entire body of laws to change the systems that have been disparately affecting black folks for decades.” she said. “You now have to put many, many laws in place to change practically every system, whether you’re talking about systems of finance, housing. Laws that require equitable treatment, laws that require affirmative hiring sometimes in industries where Black people were affirmatively not hired,” she said.\u003c/p>\n\u003ch2>\u003cstrong>Governor Sets Special Election To Fill Congressman LaMalfa’s Seat\u003c/strong>\u003c/h2>\n\u003cp>Governor Gavin Newsom \u003ca href=\"https://www.gov.ca.gov/2026/01/16/governor-newsom-issues-proclamation-declaring-special-election-for-ca-congressional-district-1/\">has set a dat\u003c/a>e for the special election to replace Republican Congressman Doug LaMalfa, \u003ca href=\"https://www.kqed.org/news/12068742/northern-california-republican-congressman-doug-lamalfa-dies-at-65\">who passed away\u003c/a> suddenly on January 6.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The election will take place on August 4. That’s later than the June date many observers expected, which would have coincided with the state’s already scheduled primary election. And it leaves a currently safe Republican House seat vacant for at least the next six months.\u003c/p>\n\u003cp>The winner of the special election would serve for only a few months, before having to run in a newly redrawn congressional district.\u003c/p>\n\u003ch2 class=\"routes-Site-routes-Post-Title-__Title__title\">\u003ca href=\"https://www.kqed.org/news/12070263/union-of-31000-kaiser-workers-to-go-on-indefinite-strike\">Union Of 31,000 Kaiser Workers To Go On Indefinite Strike\u003c/a>\u003c/h2>\n\u003cp>The union representing 31,000 nurses, rehab therapists, pharmacists and other specialty health care professionals at \u003ca href=\"https://www.kqed.org/news/tag/kaiser-permanente\">Kaiser Permanente\u003c/a> plans to go on an open-ended strike at hospitals and clinics across California and Hawaii.\u003c/p>\n\u003cp>After both sides hit a wall in their months-long contract talks, the walkout is set to begin Jan. 26 at nearly 20 Kaiser hospitals and 200 clinics, with no end in sight. “We will be on strike until we reach an agreement,” said Brian Mason, a negotiator for the United Nurses Associations of California/Union of Health Care Professionals. He warned that the strike will likely cause delayed or canceled surgeries and appointments.\u003c/p>\n\u003cp>UNAC/UHCP is part of an alliance of health care unions negotiating with Kaiser for a new set of national and local contracts. In October, about 61,000 members of the alliance \u003ca href=\"https://www.kqed.org/news/12060288/kaiser-strike-ends-sunday-as-union-and-management-plan-to-resume-wage-talks\">staged a five-day, multi-state strike\u003c/a> to demand wage and staffing increases. Talks resumed after the walkout, but they broke down in mid-December when Kaiser negotiators accused UNAC/UHCP leaders of not bargaining in good faith.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In a \u003ca href=\"https://www.youtube.com/watch?v=FVpegM9XML4\">statement issued on YouTube\u003c/a>, chief human resources officer Greg Holmes said a union official threatened to release “evidence of illegal, unethical and reputationally damaging information about Kaiser Permanente” unless both sides reached an acceptable agreement.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The union representing 31,000 nurses, rehab therapists, pharmacists and other specialty health care professionals at \u003ca href=\"https://www.kqed.org/news/tag/kaiser-permanente\">Kaiser Permanente\u003c/a> plans to go on an open-ended strike at hospitals and clinics across California and Hawaii, it said this week.\u003c/p>\n\u003cp>After both sides hit a wall in their months-long contract talks, the walkout is set to begin Jan. 26 at nearly 20 Kaiser hospitals and 200 clinics, with no end in sight.\u003c/p>\n\u003cp>“We will be on strike until we reach an agreement,” said Brian Mason, a negotiator for the United Nurses Associations of California/Union of Health Care Professionals. He warned that the strike will likely cause delayed or canceled surgeries and appointments.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>UNAC/UHCP is part of an alliance of health care unions negotiating with Kaiser for a new set of national and local contracts. In October, about 61,000 members of the alliance \u003ca href=\"https://www.kqed.org/news/12060288/kaiser-strike-ends-sunday-as-union-and-management-plan-to-resume-wage-talks\">staged a five-day, multi-state strike\u003c/a> to demand wage and staffing increases.\u003c/p>\n\u003cp>Talks resumed after the walkout, but they broke down in mid-December when Kaiser negotiators accused UNAC/UHCP leaders of not bargaining in good faith.\u003c/p>\n\u003cp>In a \u003ca href=\"https://www.youtube.com/watch?v=FVpegM9XML4\">statement issued on YouTube\u003c/a>, chief human resources officer Greg Holmes said a union official threatened to release “evidence of illegal, unethical and reputationally damaging information about Kaiser Permanente” unless both sides reached an acceptable agreement.\u003c/p>\n\u003cfigure id=\"attachment_11963437\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11963437\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-OAKLAND-MD-13-KQED.jpg\" alt=\"A large group of people line the sidewalk in front of a large building.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-OAKLAND-MD-13-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-OAKLAND-MD-13-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-OAKLAND-MD-13-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-OAKLAND-MD-13-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-OAKLAND-MD-13-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-OAKLAND-MD-13-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Kaiser workers strike in front of a sign at 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 \u003ca href=\"https://about.kaiserpermanente.org/who-we-are/labor-relations/alliance-national-bargaining/media-statements/kaiser-permanente-statement-on-a-path-forward-in-alliance-bargaining\">proposed moving forward\u003c/a> with contract negotiations at a local level with other unions in the alliance — a move that prompted UNAC/UHCP to file an unfair labor practice charge at the National Labor Relations Board.\u003c/p>\n\u003cp>The union accused Kaiser of trying to bypass the agreed-upon national bargaining process.\u003c/p>\n\u003cp>On Thursday, it posted \u003ca href=\"https://unacuhcp.org/wp-content/uploads/2026/01/ProfitsOverPatients_2026.pdf\">a report online\u003c/a> alleging that the Kaiser Permanente Group Trust, which manages pension funds for employees, invested in CoreCivic and the GEO Group, private prison companies that run detention centers for Immigration and Customs Enforcement.[aside postID=news_12069414 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/011326_SOLANO-COUNTY-STRIKE-_GH_022-KQED.jpg']“When Kaiser claims it cannot afford meaningful improvements and summarily rejects proposals that would enhance patient care and health care provider well-being, its financial priorities merit detailed scrutiny,” the report said.\u003c/p>\n\u003cp>Kaiser has not replied to an email message seeking questions about the union’s claim and its financial investments. Other unions in the alliance are not participating in the upcoming strike.\u003c/p>\n\u003cp>The alliance has been seeking a 25% wage boost over four years for employees, saying they are underpaid. Kaiser, which maintains that workers already earn above-market wages, has drawn the line at 21.5%.\u003c/p>\n\u003cp>The difference, which adds up to roughly $300 million a year in salary costs, is what Kaiser said could force it to raise rates among its 12.6 million members, most of them in California.\u003c/p>\n\u003cp>Union representatives maintain that Kaiser can meet their demands given its profits and an estimated $66 billion in reserves.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>UNAC/UHCP is part of an alliance of health care unions negotiating with Kaiser for a new set of national and local contracts. In October, about 61,000 members of the alliance \u003ca href=\"https://www.kqed.org/news/12060288/kaiser-strike-ends-sunday-as-union-and-management-plan-to-resume-wage-talks\">staged a five-day, multi-state strike\u003c/a> to demand wage and staffing increases.\u003c/p>\n\u003cp>Talks resumed after the walkout, but they broke down in mid-December when Kaiser negotiators accused UNAC/UHCP leaders of not bargaining in good faith.\u003c/p>\n\u003cp>In a \u003ca href=\"https://www.youtube.com/watch?v=FVpegM9XML4\">statement issued on YouTube\u003c/a>, chief human resources officer Greg Holmes said a union official threatened to release “evidence of illegal, unethical and reputationally damaging information about Kaiser Permanente” unless both sides reached an acceptable agreement.\u003c/p>\n\u003cfigure id=\"attachment_11963437\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11963437\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-OAKLAND-MD-13-KQED.jpg\" alt=\"A large group of people line the sidewalk in front of a large building.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-OAKLAND-MD-13-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-OAKLAND-MD-13-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-OAKLAND-MD-13-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-OAKLAND-MD-13-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-OAKLAND-MD-13-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-OAKLAND-MD-13-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Kaiser workers strike in front of a sign at 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 \u003ca href=\"https://about.kaiserpermanente.org/who-we-are/labor-relations/alliance-national-bargaining/media-statements/kaiser-permanente-statement-on-a-path-forward-in-alliance-bargaining\">proposed moving forward\u003c/a> with contract negotiations at a local level with other unions in the alliance — a move that prompted UNAC/UHCP to file an unfair labor practice charge at the National Labor Relations Board.\u003c/p>\n\u003cp>The union accused Kaiser of trying to bypass the agreed-upon national bargaining process.\u003c/p>\n\u003cp>On Thursday, it posted \u003ca href=\"https://unacuhcp.org/wp-content/uploads/2026/01/ProfitsOverPatients_2026.pdf\">a report online\u003c/a> alleging that the Kaiser Permanente Group Trust, which manages pension funds for employees, invested in CoreCivic and the GEO Group, private prison companies that run detention centers for Immigration and Customs Enforcement.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“When Kaiser claims it cannot afford meaningful improvements and summarily rejects proposals that would enhance patient care and health care provider well-being, its financial priorities merit detailed scrutiny,” the report said.\u003c/p>\n\u003cp>Kaiser has not replied to an email message seeking questions about the union’s claim and its financial investments. Other unions in the alliance are not participating in the upcoming strike.\u003c/p>\n\u003cp>The alliance has been seeking a 25% wage boost over four years for employees, saying they are underpaid. Kaiser, which maintains that workers already earn above-market wages, has drawn the line at 21.5%.\u003c/p>\n\u003cp>The difference, which adds up to roughly $300 million a year in salary costs, is what Kaiser said could force it to raise rates among its 12.6 million members, most of them in California.\u003c/p>\n\u003cp>Union representatives maintain that Kaiser can meet their demands given its profits and an estimated $66 billion in reserves.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "its-just-cruel-bay-area-parents-say-sutter-health-is-set-to-halt-trans-youth-care",
"title": "‘It’s Just Cruel’: Bay Area Parents Say Sutter Health Is Set to Halt Trans Youth Care",
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"content": "\u003cp>After six months of \u003ca href=\"https://www.kqed.org/news/12050618/california-sues-trump-administration-over-efforts-to-deny-gender-affirming-health-care\">gender-affirming care\u003c/a> and a first puberty blocker shot for her 10-year-old son in September, Julie noticed him carrying himself differently. His back was straight, he was no longer hiding his body, and he was confident with eye contact.\u003c/p>\n\u003cp>But last Friday, the East Bay parent received a call and an email from a \u003ca href=\"https://www.kqed.org/news/tag/sutter-health\">Sutter Health\u003c/a> caregiver that she’s afraid to tell her son about. She asked KQED to use only her first name because she is afraid of retribution against her and her son’s caregiver.\u003c/p>\n\u003cp>The day prior, on Transgender Day of Remembrance, hospital higher-ups informed Julie’s son’s caregiver that they would no longer offer gender-affirming care to patients younger than 19. That care could stop as soon as Dec. 10, they said, according to the caregiver’s messages.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>That left Julie with just over two weeks, including a major holiday, to find a new physician for her son.\u003c/p>\n\u003cp>“It’s just cruel, and I continue to be heartbroken, overwhelmed and livid,” Julie said. “It’s the week of Thanksgiving. Everyone’s gone, and they knew that that was going to be the case.”\u003c/p>\n\u003cfigure id=\"attachment_12030056\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030056\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Sutter Health CPMC Davies Campus in San Francisco on Feb. 8, 2024. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Julie isn’t the only parent gutted by the potential decision. At least 10 families are working through the emotions and the looming reality of finding new care for their kids, according to \u003ca href=\"https://www.rainbowfamiliesaction.org/about\">Rainbow Families Action\u003c/a>, a group made up of parents and allies of trans youth. More than a dozen advocacy groups are pressuring Sutter Health, a nonprofit health care system serving more than 3.5 million Californians, to provide more details about the information their children’s physicians relayed to them.\u003c/p>\n\u003cp>Sutter Health would not confirm or deny what parents told KQED. In a statement on Tuesday, a spokesperson wrote that the hospital network is “working to ensure compliance with recent federal actions” and remains “committed to approaching this with compassion, physician guidance, and compliance with applicable requirements.”\u003c/p>\n\u003cp>Like other hospital groups, the network had already halted gender-affirming surgeries for patients under 19, and officials are now prioritizing “open and thoughtful conversations between physicians and their patients to determine the best path forward for individual care plans,” the statement said.\u003c/p>\n\u003cp>If the decision is true, Sutter Health would join a growing list of health care providers moving to limit care for trans youth under building pressure from the Trump administration. In June, Stanford Medicine \u003ca href=\"https://www.kqed.org/science/1997491/stanford-scales-back-trans-care-for-minors-amid-federal-crackdown\">paused gender-affirming surgeries\u003c/a> and stopped prescribing puberty blockers to youth. In July, Oakland-based Kaiser Permanente, which serves more than 12 million people across eight states, announced it \u003ca href=\"https://www.kqed.org/news/12049666/nowhere-else-to-go-sf-families-protest-kaisers-new-limits-on-gender-affirming-care\">stopped offering surgical gender-affirming treatments\u003c/a> for trans minors.\u003c/p>\n\u003cp>Advocacy groups sent a \u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/Rainbow-Families-Action-Letter-to-Sutter-Health.pdf\">letter on \u003c/a>\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/Rainbow-Families-Action-Letter-to-Sutter-Health.pdf\">Tuesday to Sutter Health\u003c/a>, demanding that the network “reverse course on this decision immediately” and provide a meeting between leaders and families, a commitment to “not pre-capitulate before it’s legally necessary,” as well as a formal plan if the network ends gender-affirming care for youth.[aside postID=news_12053773 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/20250725_KaiserTransProtest_GC-14_qed.jpg']\u003c/p>\n\u003cp>“We refuse to stand by while Sutter pre-emptively bows to political pressure instead of standing up for our kids,” Rainbow Families Action wrote.\u003c/p>\n\u003cp>Arne Johnson, a lead advocate with the group, said parents and allies are planning a series of actions to protest the potential cessation and have asked Sutter Health leadership “to clarify before this becomes a much bigger thing.”\u003c/p>\n\u003cp>“We are offering to have those conversations because they are saying we’re going to do this in thoughtful consideration, but they have not actually done that,” Johnson said. “We are going to consider that an invitation, and assume that they are in fact going to meet with patients and families and make a real plan for their care.”\u003c/p>\n\u003cp>Johnson said the group has also reached out to California Attorney General Rob Bonta over the legality of the potential decision. State law prohibits health care discrimination on the basis of sexual orientation or gender identity, and earlier this month, the attorney general’s office \u003ca href=\"https://oag.ca.gov/news/press-releases/know-your-rights-attorney-general-bonta-issues-guidance-gender-affirming-care\">issued a guidance\u003c/a> reminding Californians that they “have the right to receive medically necessary gender-affirming care or any other medically necessary healthcare without discrimination.”\u003c/p>\n\u003cp>Another mother, Nikki, also from the East Bay, found out on her 14-year-old son’s birthday that his care could end. A caregiver said they would return from vacation early to ensure Julie’s son had at least one more visit before the cutoff. She also asked KQED to only use her first name.\u003c/p>\n\u003cp>“It’s terrifying, and I haven’t told my son because the news came on his birthday,” Nikki said. “Psychologically, it makes you not trust your doctors. It makes you not trust the government.”\u003c/p>\n\u003cp>Nikki is angry that the move would come after open enrollment, when the family could have joined another health care network to ensure her son could continue to receive his weekly medication.\u003c/p>\n\u003cp>As a queer person who sought the Bay Area more than two decades ago as a place of refuge, Nikki said she is flabbergasted by the potential decision.\u003c/p>\n\u003cp>“I’m kind of frozen,” she said. “I don’t know that I’m moving forward other than making some phone calls right before the holidays, just [to] desperately see what doctors can help us.”\u003c/p>\n\u003cp>Julie said she hasn’t been able to reach any new doctors yet in her search for a new care team for her son.\u003c/p>\n\u003cp>“They have taken away our ability to have care that goes in alignment with my doctor’s recommendation,” Julie said. “I have to move forward. We have to find another doctor, and who is that going to be with? I don’t know of anyone who is going to take this kid. And that sucks.”\u003c/p>\n\u003cp>She sees this as a sign that other care for the general public could be next on the chopping block.\u003c/p>\n\u003cp>“If they can take evidence-based care that is legal in the state of California and is medically necessary, lifesaving care for my child, what the f— is next?” Julie said. “It’s just a slippery slope.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>After six months of \u003ca href=\"https://www.kqed.org/news/12050618/california-sues-trump-administration-over-efforts-to-deny-gender-affirming-health-care\">gender-affirming care\u003c/a> and a first puberty blocker shot for her 10-year-old son in September, Julie noticed him carrying himself differently. His back was straight, he was no longer hiding his body, and he was confident with eye contact.\u003c/p>\n\u003cp>But last Friday, the East Bay parent received a call and an email from a \u003ca href=\"https://www.kqed.org/news/tag/sutter-health\">Sutter Health\u003c/a> caregiver that she’s afraid to tell her son about. She asked KQED to use only her first name because she is afraid of retribution against her and her son’s caregiver.\u003c/p>\n\u003cp>The day prior, on Transgender Day of Remembrance, hospital higher-ups informed Julie’s son’s caregiver that they would no longer offer gender-affirming care to patients younger than 19. That care could stop as soon as Dec. 10, they said, according to the caregiver’s messages.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>That left Julie with just over two weeks, including a major holiday, to find a new physician for her son.\u003c/p>\n\u003cp>“It’s just cruel, and I continue to be heartbroken, overwhelmed and livid,” Julie said. “It’s the week of Thanksgiving. Everyone’s gone, and they knew that that was going to be the case.”\u003c/p>\n\u003cfigure id=\"attachment_12030056\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030056\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Sutter Health CPMC Davies Campus in San Francisco on Feb. 8, 2024. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Julie isn’t the only parent gutted by the potential decision. At least 10 families are working through the emotions and the looming reality of finding new care for their kids, according to \u003ca href=\"https://www.rainbowfamiliesaction.org/about\">Rainbow Families Action\u003c/a>, a group made up of parents and allies of trans youth. More than a dozen advocacy groups are pressuring Sutter Health, a nonprofit health care system serving more than 3.5 million Californians, to provide more details about the information their children’s physicians relayed to them.\u003c/p>\n\u003cp>Sutter Health would not confirm or deny what parents told KQED. In a statement on Tuesday, a spokesperson wrote that the hospital network is “working to ensure compliance with recent federal actions” and remains “committed to approaching this with compassion, physician guidance, and compliance with applicable requirements.”\u003c/p>\n\u003cp>Like other hospital groups, the network had already halted gender-affirming surgeries for patients under 19, and officials are now prioritizing “open and thoughtful conversations between physicians and their patients to determine the best path forward for individual care plans,” the statement said.\u003c/p>\n\u003cp>If the decision is true, Sutter Health would join a growing list of health care providers moving to limit care for trans youth under building pressure from the Trump administration. In June, Stanford Medicine \u003ca href=\"https://www.kqed.org/science/1997491/stanford-scales-back-trans-care-for-minors-amid-federal-crackdown\">paused gender-affirming surgeries\u003c/a> and stopped prescribing puberty blockers to youth. In July, Oakland-based Kaiser Permanente, which serves more than 12 million people across eight states, announced it \u003ca href=\"https://www.kqed.org/news/12049666/nowhere-else-to-go-sf-families-protest-kaisers-new-limits-on-gender-affirming-care\">stopped offering surgical gender-affirming treatments\u003c/a> for trans minors.\u003c/p>\n\u003cp>Advocacy groups sent a \u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/Rainbow-Families-Action-Letter-to-Sutter-Health.pdf\">letter on \u003c/a>\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/Rainbow-Families-Action-Letter-to-Sutter-Health.pdf\">Tuesday to Sutter Health\u003c/a>, demanding that the network “reverse course on this decision immediately” and provide a meeting between leaders and families, a commitment to “not pre-capitulate before it’s legally necessary,” as well as a formal plan if the network ends gender-affirming care for youth.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We refuse to stand by while Sutter pre-emptively bows to political pressure instead of standing up for our kids,” Rainbow Families Action wrote.\u003c/p>\n\u003cp>Arne Johnson, a lead advocate with the group, said parents and allies are planning a series of actions to protest the potential cessation and have asked Sutter Health leadership “to clarify before this becomes a much bigger thing.”\u003c/p>\n\u003cp>“We are offering to have those conversations because they are saying we’re going to do this in thoughtful consideration, but they have not actually done that,” Johnson said. “We are going to consider that an invitation, and assume that they are in fact going to meet with patients and families and make a real plan for their care.”\u003c/p>\n\u003cp>Johnson said the group has also reached out to California Attorney General Rob Bonta over the legality of the potential decision. State law prohibits health care discrimination on the basis of sexual orientation or gender identity, and earlier this month, the attorney general’s office \u003ca href=\"https://oag.ca.gov/news/press-releases/know-your-rights-attorney-general-bonta-issues-guidance-gender-affirming-care\">issued a guidance\u003c/a> reminding Californians that they “have the right to receive medically necessary gender-affirming care or any other medically necessary healthcare without discrimination.”\u003c/p>\n\u003cp>Another mother, Nikki, also from the East Bay, found out on her 14-year-old son’s birthday that his care could end. A caregiver said they would return from vacation early to ensure Julie’s son had at least one more visit before the cutoff. She also asked KQED to only use her first name.\u003c/p>\n\u003cp>“It’s terrifying, and I haven’t told my son because the news came on his birthday,” Nikki said. “Psychologically, it makes you not trust your doctors. It makes you not trust the government.”\u003c/p>\n\u003cp>Nikki is angry that the move would come after open enrollment, when the family could have joined another health care network to ensure her son could continue to receive his weekly medication.\u003c/p>\n\u003cp>As a queer person who sought the Bay Area more than two decades ago as a place of refuge, Nikki said she is flabbergasted by the potential decision.\u003c/p>\n\u003cp>“I’m kind of frozen,” she said. “I don’t know that I’m moving forward other than making some phone calls right before the holidays, just [to] desperately see what doctors can help us.”\u003c/p>\n\u003cp>Julie said she hasn’t been able to reach any new doctors yet in her search for a new care team for her son.\u003c/p>\n\u003cp>“They have taken away our ability to have care that goes in alignment with my doctor’s recommendation,” Julie said. “I have to move forward. We have to find another doctor, and who is that going to be with? I don’t know of anyone who is going to take this kid. And that sucks.”\u003c/p>\n\u003cp>She sees this as a sign that other care for the general public could be next on the chopping block.\u003c/p>\n\u003cp>“If they can take evidence-based care that is legal in the state of California and is medically necessary, lifesaving care for my child, what the f— is next?” Julie said. “It’s just a slippery slope.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>As \u003ca href=\"https://www.kqed.org/news/12059890/kaiser-strike-hits-several-bay-area-locations-as-thousands-walk-off-the-job\">tens of thousands of Kaiser Permanente health care employees\u003c/a> approach the end of a five-day, multi-state walkout on Sunday, both sides said they’ll return to the bargaining table over the central dispute: how much of the union’s pay-hike demands the nonprofit’s executives will agree to.\u003c/p>\n\u003cp>The stakes are high for Kaiser, the \u003ca href=\"https://about.kaiserpermanente.org/expertise-and-impact/public-policy/our-impact/news-perspectives-on-public-policy-california#:~:text=Kaiser%20Permanente%20was%20founded%20in,with%20many%20top%2Drated%20hospitals.\">largest private employer\u003c/a> in the state. The national contract, \u003ca href=\"https://www.kqed.org/news/12059551/california-kaiser-health-care-workers-reaching-breaking-point-set-to-strike-next-week\">months in negotiation\u003c/a> with the Alliance of Healthcare Unions, covers nearly 61,000 nurses, physician assistants, pharmacists and other frontline workers — about a third of Kaiser’s workforce — though roughly a quarter of those represented declined to go on strike.\u003c/p>\n\u003cp>Experts say the organization must tread carefully in talks amid rising costs and economic headwinds.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We remain committed to reaching an agreement, if possible, that provides strong wage increases that are sustainable while balancing our obligation to deliver high-quality care that remains affordable,” Kaiser said in a statement.\u003c/p>\n\u003cp>The two sides appear close on paper. The Alliance seeks a 25% wage boost over four years for employees, it said are underpaid. Kaiser, which maintains that workers already earn above-market wages, has drawn the line at 21.5%. The difference, which adds up to roughly $300 million a year in salary costs, is what Kaiser said could force it to raise rates among its 12.6 million members, most of them in California.\u003c/p>\n\u003cp>“It’s the traditional labor-management battle,” said Dr. Robert Pearl, a former top executive at Kaiser who now teaches at Stanford University’s medicine and business schools. “My own view is that’s not the best thing for patients, this strike … It’s a sign of failure to not be able to work together for the good of all.”\u003c/p>\n\u003cfigure id=\"attachment_12059848\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12059848\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-04-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-04-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-04-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-04-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Workers strike outside of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 14, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Since Tuesday, Kaiser has hired thousands of temporary nurses, clinicians and other staff to minimize disruptions in California, Hawaii and Oregon. In Northern California, only 3% of all appointments, surgeries and procedures were rescheduled, according to Kaiser. Medical centers, offices and pharmacies remain open.\u003c/p>\n\u003cp>The walkout caused more disruptions in Southern California, temporarily closing pharmacies in Riverside and Ventura Canyon, as well as laboratories and target clinics in San Bernardino and Riverside. The union said dozens of pharmacies were shuttered in Los Angeles, Orange, Kern and other counties. Ambulances were diverted from Kaiser to nearby hospitals in Irvine and San Diego, according to picketers.\u003c/p>\n\u003cp>Temporary nurses and other professionals brought in from across the country posted on social media about being stranded in buses and hotels for many hours. Their staffing company, AMN Healthcare, later apologized over “logistical and communication breakdowns over the last few days [that] created regrettable delays, stress, and confusion for the AMN teams supporting the Kaiser Permanente strike in SoCal,” according to a letter shared with KQED.[aside postID=news_12059890 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-03-KQED-1.jpg']The company did not respond to requests for comment but offered a $1,200 bonus for those who covered out-of-pocket travel or lodging expenses.\u003c/p>\n\u003cp>Union representatives maintain that Kaiser, which has expanded to other states in recent years, can meet their demands given its profits and an estimated $66 billion in reserves. Workers say colleagues are leaving for better pay and lighter workloads, straining those who remain.\u003c/p>\n\u003cp>“They’re sitting on a lot of money. And that money seems to be not meant for their staff that are currently out here today,” said Jeff Cathcart, a nurse anesthetist at Kaiser San Francisco who is in the union’s bargaining team and joined the picket line outside the Oakland Medical Center. “This pay increase is pretty vital.”\u003c/p>\n\u003cp>Union leaders say many workers accepted smaller raises during the pandemic and need to catch up with inflation and the high cost of living. Their latest proposal would boost wages by 9% in the first year, 5% in the second, 7% in the third and 4% in the fourth.\u003c/p>\n\u003cp>“Kaiser Permanente can absolutely not only afford it based off of the money they have in the bank and the revenues they have coming in — I would say that Kaiser Permanente cannot afford not to do it,” said Jane Carter, research director for the United Nurses Associations of California/Union of Health Care Professionals, the largest of 23 unions in the Alliance.\u003c/p>\n\u003cfigure id=\"attachment_12059845\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12059845\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-01-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-01-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-01-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-01-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Workers strike outside of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 14, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“If they want to continue to be the standard bearer and the gold standard of care delivery in this country, then they have to make sure that they pay to get the healthcare professionals that can properly do the care,” she said.\u003c/p>\n\u003cp>Kaiser’s top Medicare rating fell from five stars in 2023 to 4.5 last year, which the union blames on staffing shortages. The drop matters because five-star plans receive higher government payments and can enroll members for longer each year.\u003c/p>\n\u003cp>Kaiser Permanente was founded in California in 1945. As a nonprofit, Kaiser said it reinvests most of its insurance income into its hospital and clinic operations, instead of generating returns for shareholders as for-profit companies aim to do. Its 3% operating income margin — about $2 billion in the first half of this year — is lower than that of other major health systems.\u003c/p>\n\u003cp>That makes its warning that higher wages could lead to higher consumer costs plausible, said Joanne Spetz, a health economist and labor expert at UCSF.\u003c/p>\n\u003cp>“They don’t have as much wiggle room as one might think when you look at how large their operating revenue and expenses are,” said Spetz, noting Kaiser’s 2024 operating revenue of $115.8 billion and expenses of $115.2 billion, a \u003ca href=\"https://about.kaiserpermanente.org/news/press-release-archive/kaiser-foundation-health-plan-hospitals-risant-health-report-2024-financial-results\">0.5%\u003c/a> income margin.\u003c/p>\n\u003cfigure id=\"attachment_12060095\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12060095\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-05-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-05-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-05-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-05-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Workers strike outside of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 14, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Kaiser claims that its $66 billion in reserves are earmarked for employee pensions, building maintenance and other obligations and financial stability. Organizations of its size — with 180,000 employees across eight states and Washington, D.C., should have a financial cushion to weather unexpected challenges, according to Pearl.\u003c/p>\n\u003cp>“Let’s say the markets will go into a recession for the next five years. You can’t build the hospitals you need. You can’t buy the machines that you need. So you want to make sure you have reserves,” Pearl said. “If I were the CEO of the whole organization, I would basically say my job is to make sure I never have to compromise care and never tell a worker I can’t pay you.”\u003c/p>\n\u003cp>Kaiser said any wage hikes for Alliance members must come from the operating income, not investments. The union disputes that, accusing Kaiser of hoarding cash while expanding. Kaiser acquired hospital systems in Pennsylvania and North Carolina in recent years and announced an expansion to Nevada next year.\u003c/p>\n\u003cfigure id=\"attachment_11963409\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11963409\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED.jpg\" alt='A large modern building with the words \"Kaiser Permanente\" across the top.' width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The Kaiser Permanente Oakland Medical Center in Oakland on Oct. 4, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Traditionally seen as a West Coast institution, Kaiser is now seeking national influence against competitors such as Amazon, CVS and Walmart, which are spending billions to buy health care companies, according to Pearl.\u003c/p>\n\u003cp>“If you don’t have a national presence, it’s hard to convince legislators to pass laws that are gonna be better for the members of Kaiser Permanente,” he said. “I don’t mean the providers, I mean the patients of Kaiser Permanente.”\u003c/p>\n\u003cp>The negotiations come as the Trump administration moves to restrict Medicare eligibility and Congress debates whether to renew subsidies central to the current government funding fight. Without them, health insurance prices are expected to rise for lower- and middle-income families. Kaiser could face reduced earnings as consumers drop coverage, Spetz said.\u003c/p>\n\u003cp>“They might also be concerned that they’re going to have some increased costs that could come from emergency care,” she said. “I suspect that losing revenue because of people dropping health insurance is the much bigger risk for them.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As \u003ca href=\"https://www.kqed.org/news/12059890/kaiser-strike-hits-several-bay-area-locations-as-thousands-walk-off-the-job\">tens of thousands of Kaiser Permanente health care employees\u003c/a> approach the end of a five-day, multi-state walkout on Sunday, both sides said they’ll return to the bargaining table over the central dispute: how much of the union’s pay-hike demands the nonprofit’s executives will agree to.\u003c/p>\n\u003cp>The stakes are high for Kaiser, the \u003ca href=\"https://about.kaiserpermanente.org/expertise-and-impact/public-policy/our-impact/news-perspectives-on-public-policy-california#:~:text=Kaiser%20Permanente%20was%20founded%20in,with%20many%20top%2Drated%20hospitals.\">largest private employer\u003c/a> in the state. The national contract, \u003ca href=\"https://www.kqed.org/news/12059551/california-kaiser-health-care-workers-reaching-breaking-point-set-to-strike-next-week\">months in negotiation\u003c/a> with the Alliance of Healthcare Unions, covers nearly 61,000 nurses, physician assistants, pharmacists and other frontline workers — about a third of Kaiser’s workforce — though roughly a quarter of those represented declined to go on strike.\u003c/p>\n\u003cp>Experts say the organization must tread carefully in talks amid rising costs and economic headwinds.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We remain committed to reaching an agreement, if possible, that provides strong wage increases that are sustainable while balancing our obligation to deliver high-quality care that remains affordable,” Kaiser said in a statement.\u003c/p>\n\u003cp>The two sides appear close on paper. The Alliance seeks a 25% wage boost over four years for employees, it said are underpaid. Kaiser, which maintains that workers already earn above-market wages, has drawn the line at 21.5%. The difference, which adds up to roughly $300 million a year in salary costs, is what Kaiser said could force it to raise rates among its 12.6 million members, most of them in California.\u003c/p>\n\u003cp>“It’s the traditional labor-management battle,” said Dr. Robert Pearl, a former top executive at Kaiser who now teaches at Stanford University’s medicine and business schools. “My own view is that’s not the best thing for patients, this strike … It’s a sign of failure to not be able to work together for the good of all.”\u003c/p>\n\u003cfigure id=\"attachment_12059848\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12059848\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-04-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-04-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-04-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-04-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Workers strike outside of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 14, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Since Tuesday, Kaiser has hired thousands of temporary nurses, clinicians and other staff to minimize disruptions in California, Hawaii and Oregon. In Northern California, only 3% of all appointments, surgeries and procedures were rescheduled, according to Kaiser. Medical centers, offices and pharmacies remain open.\u003c/p>\n\u003cp>The walkout caused more disruptions in Southern California, temporarily closing pharmacies in Riverside and Ventura Canyon, as well as laboratories and target clinics in San Bernardino and Riverside. The union said dozens of pharmacies were shuttered in Los Angeles, Orange, Kern and other counties. Ambulances were diverted from Kaiser to nearby hospitals in Irvine and San Diego, according to picketers.\u003c/p>\n\u003cp>Temporary nurses and other professionals brought in from across the country posted on social media about being stranded in buses and hotels for many hours. Their staffing company, AMN Healthcare, later apologized over “logistical and communication breakdowns over the last few days [that] created regrettable delays, stress, and confusion for the AMN teams supporting the Kaiser Permanente strike in SoCal,” according to a letter shared with KQED.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The company did not respond to requests for comment but offered a $1,200 bonus for those who covered out-of-pocket travel or lodging expenses.\u003c/p>\n\u003cp>Union representatives maintain that Kaiser, which has expanded to other states in recent years, can meet their demands given its profits and an estimated $66 billion in reserves. Workers say colleagues are leaving for better pay and lighter workloads, straining those who remain.\u003c/p>\n\u003cp>“They’re sitting on a lot of money. And that money seems to be not meant for their staff that are currently out here today,” said Jeff Cathcart, a nurse anesthetist at Kaiser San Francisco who is in the union’s bargaining team and joined the picket line outside the Oakland Medical Center. “This pay increase is pretty vital.”\u003c/p>\n\u003cp>Union leaders say many workers accepted smaller raises during the pandemic and need to catch up with inflation and the high cost of living. Their latest proposal would boost wages by 9% in the first year, 5% in the second, 7% in the third and 4% in the fourth.\u003c/p>\n\u003cp>“Kaiser Permanente can absolutely not only afford it based off of the money they have in the bank and the revenues they have coming in — I would say that Kaiser Permanente cannot afford not to do it,” said Jane Carter, research director for the United Nurses Associations of California/Union of Health Care Professionals, the largest of 23 unions in the Alliance.\u003c/p>\n\u003cfigure id=\"attachment_12059845\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12059845\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-01-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-01-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-01-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-01-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Workers strike outside of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 14, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“If they want to continue to be the standard bearer and the gold standard of care delivery in this country, then they have to make sure that they pay to get the healthcare professionals that can properly do the care,” she said.\u003c/p>\n\u003cp>Kaiser’s top Medicare rating fell from five stars in 2023 to 4.5 last year, which the union blames on staffing shortages. The drop matters because five-star plans receive higher government payments and can enroll members for longer each year.\u003c/p>\n\u003cp>Kaiser Permanente was founded in California in 1945. As a nonprofit, Kaiser said it reinvests most of its insurance income into its hospital and clinic operations, instead of generating returns for shareholders as for-profit companies aim to do. Its 3% operating income margin — about $2 billion in the first half of this year — is lower than that of other major health systems.\u003c/p>\n\u003cp>That makes its warning that higher wages could lead to higher consumer costs plausible, said Joanne Spetz, a health economist and labor expert at UCSF.\u003c/p>\n\u003cp>“They don’t have as much wiggle room as one might think when you look at how large their operating revenue and expenses are,” said Spetz, noting Kaiser’s 2024 operating revenue of $115.8 billion and expenses of $115.2 billion, a \u003ca href=\"https://about.kaiserpermanente.org/news/press-release-archive/kaiser-foundation-health-plan-hospitals-risant-health-report-2024-financial-results\">0.5%\u003c/a> income margin.\u003c/p>\n\u003cfigure id=\"attachment_12060095\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12060095\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-05-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-05-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-05-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-05-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Workers strike outside of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 14, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Kaiser claims that its $66 billion in reserves are earmarked for employee pensions, building maintenance and other obligations and financial stability. Organizations of its size — with 180,000 employees across eight states and Washington, D.C., should have a financial cushion to weather unexpected challenges, according to Pearl.\u003c/p>\n\u003cp>“Let’s say the markets will go into a recession for the next five years. You can’t build the hospitals you need. You can’t buy the machines that you need. So you want to make sure you have reserves,” Pearl said. “If I were the CEO of the whole organization, I would basically say my job is to make sure I never have to compromise care and never tell a worker I can’t pay you.”\u003c/p>\n\u003cp>Kaiser said any wage hikes for Alliance members must come from the operating income, not investments. The union disputes that, accusing Kaiser of hoarding cash while expanding. Kaiser acquired hospital systems in Pennsylvania and North Carolina in recent years and announced an expansion to Nevada next year.\u003c/p>\n\u003cfigure id=\"attachment_11963409\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11963409\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED.jpg\" alt='A large modern building with the words \"Kaiser Permanente\" across the top.' width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The Kaiser Permanente Oakland Medical Center in Oakland on Oct. 4, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Traditionally seen as a West Coast institution, Kaiser is now seeking national influence against competitors such as Amazon, CVS and Walmart, which are spending billions to buy health care companies, according to Pearl.\u003c/p>\n\u003cp>“If you don’t have a national presence, it’s hard to convince legislators to pass laws that are gonna be better for the members of Kaiser Permanente,” he said. “I don’t mean the providers, I mean the patients of Kaiser Permanente.”\u003c/p>\n\u003cp>The negotiations come as the Trump administration moves to restrict Medicare eligibility and Congress debates whether to renew subsidies central to the current government funding fight. Without them, health insurance prices are expected to rise for lower- and middle-income families. Kaiser could face reduced earnings as consumers drop coverage, Spetz said.\u003c/p>\n\u003cp>“They might also be concerned that they’re going to have some increased costs that could come from emergency care,” she said. “I suspect that losing revenue because of people dropping health insurance is the much bigger risk for them.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/kaiser-permanente\">Kaiser Permanente\u003c/a> employees picketed outside several Bay Area locations on Tuesday, joining tens of thousands across multiple states in kicking off a planned \u003ca href=\"https://www.kqed.org/news/12059551/california-kaiser-health-care-workers-reaching-breaking-point-set-to-strike-next-week\">five-day strike\u003c/a> at the nonprofit health care organization.\u003c/p>\n\u003cp>Up to 46,000 workers represented by an alliance of unions plan to join picket lines throughout the week, demanding higher wages and increased staffing levels. The work stoppage, which is expected to end Sunday morning, could disrupt operations at hospitals, clinics and medical offices in California, Hawaii and Oregon.\u003c/p>\n\u003cp>The workers say soaring inflation has outpaced their wages, hurting retention rates and patient care.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We’re just wanting better patient care, better patient access. Also, we’re asking for [them to] pay us fairly,” said Lore Vanden Heuvel, a physical therapist based in Antioch.\u003c/p>\n\u003cp>Kaiser, which said it has already offered a “generous” wage hike, has been negotiating a new national contract since May with the Alliance of Healthcare Unions, a network of 23 unions that represent nearly 61,000 Kaiser employees. Some affiliated unions, including in the Bay Area, have been bargaining with the employer for longer, though not all of the unions involved in the ongoing contract negotiations are striking.\u003c/p>\n\u003cfigure id=\"attachment_12059851\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12059851\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-07-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-07-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-07-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-07-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Lore Vandenheuvel and other workers strike outside of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 14, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“The strike is designed to disrupt the lives of our patients — the very people we are all here to serve,” Kaiser \u003ca href=\"https://about.kaiserpermanente.org/who-we-are/labor-relations/alliance-national-bargaining/media-statements/our-statement-on-the-alliance-of-health-care-unions-strike\">said in a statement on Monday\u003c/a>, adding that the Oakland-based organization is prepared to maintain services for its patients, including about 8 million in California, by onboarding thousands of temporary nurses, clinicians and staff and reassigning others who have volunteered to work at strike locations.\u003c/p>\n\u003cp>Kaiser hospitals and most medical offices will remain open, but some appointments are being shifted to virtual settings. Certain elective surgeries and procedures could be rescheduled.\u003c/p>\n\u003cp>“For months, we’ve been preparing contingency plans to ensure our members will continue to receive safe, high-quality care,” Kaiser said. “We remain committed to an agreement that balances fair pay with affordable care.”[aside postID=news_12059551 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-29-BL-1020x680.jpg']Compensation has been a major sticking point in the negotiations between the Alliance of Healthcare Unions and Kaiser.\u003c/p>\n\u003cp>The alliance in May proposed a 38% wage increase over four years, though it has since lowered its ask to 25%. Kaiser’s most recent offer includes a 21.5% raise over four years, which it said builds on an already competitive pay scale. The proposal would improve health plans and retiree benefits for employees, according to Lionel Sims, the vice president of human resources for Kaiser Permanente in Northern California.\u003c/p>\n\u003cp>But union leaders say Kaiser’s offer does not sufficiently compensate for the much smaller raises workers agreed to during the COVID-19 pandemic, when Kaiser said it was struggling financially.\u003c/p>\n\u003cp>At the same time, Kaiser negotiated higher raises with other unions, according to Brian Mason, the representation director for one of the striking unions, the United Nurses Associations of California/Union of Health Care Professionals.\u003c/p>\n\u003cp>UNAC/UHCP, which represents about 31,000 registered nurses, pharmacists, physician assistants and other health care professionals largely based in California, said its members need larger pay bumps to catch up.\u003c/p>\n\u003cfigure id=\"attachment_12059848\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12059848\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-04-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-04-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-04-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-04-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Workers strike outside of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 14, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“They left us behind,” Mason said. “Now it’s our time. These are health care professionals who come to work every day who are committed to their patients and they’re out fighting for what they deserve.”\u003c/p>\n\u003cp>The alliance is also concerned that Kaiser’s proposal would actually cut some health benefits and pensions for some groups of workers, including physicians assistants, nurse anesthetists and midwives.\u003c/p>\n\u003cp>Without a significant increase in compensation, the unions said, Kaiser medical centers will continue to be understaffed.\u003c/p>\n\u003cp>“We’re lacking staffing left and right in all different disciplines and inpatient and outpatient everywhere,” Vanden Heuvel told KQED.\u003c/p>\n\u003cp>Jeff Cathcart, a certified registered nurse anesthetist who has been with Kaiser for 20 years, said that anesthetists have been bargaining for a contract for most of the two years since they unionized. In that time, they’ve lost more than 100 of their 400 CRNAs, he added.\u003c/p>\n\u003cp>“They’re leaving for better working conditions, an average increase in pay of about 25%,” Cathcart said. “When we have that problem with retention and recruitment, that leads to access to care issues for our patients. And that’s really what we’re out here fighting for.”\u003c/p>\n\u003cfigure id=\"attachment_12059850\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12059850\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-06-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-06-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-06-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-06-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Arezou Mansourian leads workers in chanting as they strike outside of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 14, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The short staffing is leading to burnout and hurting patient care by delaying appointment wait times, said Arezou Mansourian, who has worked as a physician assistant in orthopedics at Kaiser in Walnut Creek, Dublin and Antioch for 16 years.\u003c/p>\n\u003cp>“If you break your wrist, you’re going to have to wait one to two weeks to see us,” she told KQED. “Things like dermatology have six-month waits … you try to go in and even get your eyes checked, it’s three months; a colonoscopy, three to six months in most areas.”\u003c/p>\n\u003cp>“If you’re a post-op patient and need to be seen weekly, and your therapist has to tell you, ‘Sorry, I’m booking out for four weeks,’ that’s not really the best of care,” Vanden Heuvel added.\u003c/p>\n\u003cp>Kaiser has maintained that it meets or exceeds required state staffing levels.\u003c/p>\n\u003cp>Sims, the VP of human resources, said the unions’ focus on negotiating higher pay is disingenuous.\u003c/p>\n\u003cfigure id=\"attachment_12059845\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12059845\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-01-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-01-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-01-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-01-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Workers strike outside of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 14, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“They say their goal is to protect patients by ensuring better care and staffing, but the real issue is wages,” he told KQED last week in a statement. “Their claims about Kaiser Permanente’s quality and staffing don’t reflect the facts.”\u003c/p>\n\u003cp>Instead, Kaiser argues that offering a raise any higher than the 21.5% in its current proposal would force it to increase rates and potentially push people to “make the difficult choice to go without coverage.”\u003c/p>\n\u003cp>The union alliance said Kaiser maintains significant financial reserves, mostly accumulated during the pandemic, and posted higher operating revenue and income in the first half of 2025 than the same period last year.\u003c/p>\n\u003cp>Mason also pointed to the employer’s recent expansion into new states, \u003ca href=\"https://www.prnewswire.com/news-releases/kaiser-permanente-launches-in-nevada-in-2026-302552906.html\">partnering with Renown Health\u003c/a> in Nevada and purchasing medical groups on the East Coast.\u003c/p>\n\u003cp>“It’s kind of hard to feel sorry for Kaiser when they say they have to raise rates [while] they’re out buying new medical groups,” he said. “They’re sitting on a lot of money and that’s all profit that is made off the backs of the health care professionals who are currently on strike right now … that is a result of the work that they do.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/kaiser-permanente\">Kaiser Permanente\u003c/a> employees picketed outside several Bay Area locations on Tuesday, joining tens of thousands across multiple states in kicking off a planned \u003ca href=\"https://www.kqed.org/news/12059551/california-kaiser-health-care-workers-reaching-breaking-point-set-to-strike-next-week\">five-day strike\u003c/a> at the nonprofit health care organization.\u003c/p>\n\u003cp>Up to 46,000 workers represented by an alliance of unions plan to join picket lines throughout the week, demanding higher wages and increased staffing levels. The work stoppage, which is expected to end Sunday morning, could disrupt operations at hospitals, clinics and medical offices in California, Hawaii and Oregon.\u003c/p>\n\u003cp>The workers say soaring inflation has outpaced their wages, hurting retention rates and 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’re just wanting better patient care, better patient access. Also, we’re asking for [them to] pay us fairly,” said Lore Vanden Heuvel, a physical therapist based in Antioch.\u003c/p>\n\u003cp>Kaiser, which said it has already offered a “generous” wage hike, has been negotiating a new national contract since May with the Alliance of Healthcare Unions, a network of 23 unions that represent nearly 61,000 Kaiser employees. Some affiliated unions, including in the Bay Area, have been bargaining with the employer for longer, though not all of the unions involved in the ongoing contract negotiations are striking.\u003c/p>\n\u003cfigure id=\"attachment_12059851\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12059851\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-07-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-07-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-07-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-07-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Lore Vandenheuvel and other workers strike outside of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 14, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“The strike is designed to disrupt the lives of our patients — the very people we are all here to serve,” Kaiser \u003ca href=\"https://about.kaiserpermanente.org/who-we-are/labor-relations/alliance-national-bargaining/media-statements/our-statement-on-the-alliance-of-health-care-unions-strike\">said in a statement on Monday\u003c/a>, adding that the Oakland-based organization is prepared to maintain services for its patients, including about 8 million in California, by onboarding thousands of temporary nurses, clinicians and staff and reassigning others who have volunteered to work at strike locations.\u003c/p>\n\u003cp>Kaiser hospitals and most medical offices will remain open, but some appointments are being shifted to virtual settings. Certain elective surgeries and procedures could be rescheduled.\u003c/p>\n\u003cp>“For months, we’ve been preparing contingency plans to ensure our members will continue to receive safe, high-quality care,” Kaiser said. “We remain committed to an agreement that balances fair pay with affordable care.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Compensation has been a major sticking point in the negotiations between the Alliance of Healthcare Unions and Kaiser.\u003c/p>\n\u003cp>The alliance in May proposed a 38% wage increase over four years, though it has since lowered its ask to 25%. Kaiser’s most recent offer includes a 21.5% raise over four years, which it said builds on an already competitive pay scale. The proposal would improve health plans and retiree benefits for employees, according to Lionel Sims, the vice president of human resources for Kaiser Permanente in Northern California.\u003c/p>\n\u003cp>But union leaders say Kaiser’s offer does not sufficiently compensate for the much smaller raises workers agreed to during the COVID-19 pandemic, when Kaiser said it was struggling financially.\u003c/p>\n\u003cp>At the same time, Kaiser negotiated higher raises with other unions, according to Brian Mason, the representation director for one of the striking unions, the United Nurses Associations of California/Union of Health Care Professionals.\u003c/p>\n\u003cp>UNAC/UHCP, which represents about 31,000 registered nurses, pharmacists, physician assistants and other health care professionals largely based in California, said its members need larger pay bumps to catch up.\u003c/p>\n\u003cfigure id=\"attachment_12059848\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12059848\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-04-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-04-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-04-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-04-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Workers strike outside of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 14, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“They left us behind,” Mason said. “Now it’s our time. These are health care professionals who come to work every day who are committed to their patients and they’re out fighting for what they deserve.”\u003c/p>\n\u003cp>The alliance is also concerned that Kaiser’s proposal would actually cut some health benefits and pensions for some groups of workers, including physicians assistants, nurse anesthetists and midwives.\u003c/p>\n\u003cp>Without a significant increase in compensation, the unions said, Kaiser medical centers will continue to be understaffed.\u003c/p>\n\u003cp>“We’re lacking staffing left and right in all different disciplines and inpatient and outpatient everywhere,” Vanden Heuvel told KQED.\u003c/p>\n\u003cp>Jeff Cathcart, a certified registered nurse anesthetist who has been with Kaiser for 20 years, said that anesthetists have been bargaining for a contract for most of the two years since they unionized. In that time, they’ve lost more than 100 of their 400 CRNAs, he added.\u003c/p>\n\u003cp>“They’re leaving for better working conditions, an average increase in pay of about 25%,” Cathcart said. “When we have that problem with retention and recruitment, that leads to access to care issues for our patients. And that’s really what we’re out here fighting for.”\u003c/p>\n\u003cfigure id=\"attachment_12059850\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12059850\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-06-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-06-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-06-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-06-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Arezou Mansourian leads workers in chanting as they strike outside of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 14, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The short staffing is leading to burnout and hurting patient care by delaying appointment wait times, said Arezou Mansourian, who has worked as a physician assistant in orthopedics at Kaiser in Walnut Creek, Dublin and Antioch for 16 years.\u003c/p>\n\u003cp>“If you break your wrist, you’re going to have to wait one to two weeks to see us,” she told KQED. “Things like dermatology have six-month waits … you try to go in and even get your eyes checked, it’s three months; a colonoscopy, three to six months in most areas.”\u003c/p>\n\u003cp>“If you’re a post-op patient and need to be seen weekly, and your therapist has to tell you, ‘Sorry, I’m booking out for four weeks,’ that’s not really the best of care,” Vanden Heuvel added.\u003c/p>\n\u003cp>Kaiser has maintained that it meets or exceeds required state staffing levels.\u003c/p>\n\u003cp>Sims, the VP of human resources, said the unions’ focus on negotiating higher pay is disingenuous.\u003c/p>\n\u003cfigure id=\"attachment_12059845\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12059845\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-01-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-01-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-01-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-01-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Workers strike outside of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 14, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“They say their goal is to protect patients by ensuring better care and staffing, but the real issue is wages,” he told KQED last week in a statement. “Their claims about Kaiser Permanente’s quality and staffing don’t reflect the facts.”\u003c/p>\n\u003cp>Instead, Kaiser argues that offering a raise any higher than the 21.5% in its current proposal would force it to increase rates and potentially push people to “make the difficult choice to go without coverage.”\u003c/p>\n\u003cp>The union alliance said Kaiser maintains significant financial reserves, mostly accumulated during the pandemic, and posted higher operating revenue and income in the first half of 2025 than the same period last year.\u003c/p>\n\u003cp>Mason also pointed to the employer’s recent expansion into new states, \u003ca href=\"https://www.prnewswire.com/news-releases/kaiser-permanente-launches-in-nevada-in-2026-302552906.html\">partnering with Renown Health\u003c/a> in Nevada and purchasing medical groups on the East Coast.\u003c/p>\n\u003cp>“It’s kind of hard to feel sorry for Kaiser when they say they have to raise rates [while] they’re out buying new medical groups,” he said. “They’re sitting on a lot of money and that’s all profit that is made off the backs of the health care professionals who are currently on strike right now … that is a result of the work that they do.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Tens of thousands of \u003ca href=\"https://www.kqed.org/news/tag/kaiser-permanente\">Kaiser Permanente\u003c/a> nurses and employees plan to walk off the job on Tuesday over wage and staffing level concerns that they say have been unaddressed as the healthcare organization’s operations expand.\u003c/p>\n\u003cp>The walkout, which is expected to last five days, could bring disruptions to dozens of clinics and hospitals in California and Hawaii, according to one of the unions launching the strike.\u003c/p>\n\u003cp>Representatives for Kaiser, which employs about 180,000 people in California, said that in the event of a work stoppage, impacted facilities will remain open. Physicians will continue to see patients aided by trained managers and contingency staff, including licensed temporary nurses.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We take any threat to services seriously, and our patients remain our priority,” Lionel Sims, vice president of human resources at Kaiser Permanente in Northern California, said in a statement.\u003c/p>\n\u003cp>The standoff comes as Kaiser unveiled another round of layoffs targeting hundreds of workers in the state, including 184 employees primarily in IT and food services in Northern California who were notified recently, the organization said. The job losses and walkout are not connected, according to Kaiser.\u003c/p>\n\u003cfigure id=\"attachment_11963409\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11963409\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED.jpg\" alt='A large modern building with the words \"Kaiser Permanente\" across the top.' width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The Kaiser Permanente Oakland Medical Center in Oakland on Oct. 4, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Since May, the Alliance of Healthcare Unions and Kaiser have been negotiating a new nationwide labor contract covering nearly 61,000 employees. Several of the 23 unions that form the Alliance notified Kaiser about their intent to strike, including the \u003ca href=\"https://url.us.m.mimecastprotect.com/s/_Hb6C829m0uQljg8unfPuyed-I?domain=zwly9k6z.r.us-east-1.awstrack.me\">United Nurses Associations of California/Union of Health Care Professionals\u003c/a>, which represents about 31,000 registered nurses, pharmacists, physician assistants and other health care professionals largely based in California.\u003c/p>\n\u003cp>Union officials said the walkout, which is set to end at 7 a.m. on Sunday, is necessary to protect patients and their caregivers, who are struggling with short staffing and stagnant wages and benefits, as many professionals lack pensions. They warned that Kaiser’s failure to sufficiently invest in its workforce is leading to delays in appointments, treatment and recovery for patients.\u003c/p>\n\u003cp>“Our patients are waiting longer, and our caregivers are stretched to the breaking point, and Kaiser executives are sitting on billions,” Joe Guzynski, executive director at UNAC/UHCP and a lead negotiator, said in a statement.\u003c/p>\n\u003cp>Staffing levels remain a top concern for hospital employees nationwide due to burnout and turnover, especially for nurses, according\u003ca href=\"https://www.kqed.org/news/12011878/thousands-of-uc-san-francisco-workers-are-preparing-to-strike\"> to experts\u003c/a>.[aside postID=news_12058930 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/09/20250923_MEDICAIDDISABILITY_GC-15-KQED.jpg']Kaiser Permanente, headquartered in Oakland, posted $63.9 billion in operating revenue and nearly \u003ca href=\"https://about.kaiserpermanente.org/news/kaiser-permanente-and-risant-health-q2-2025-financial-update\">$2 billion\u003c/a> in operating income for the first half of 2025, slightly higher than for the same period last year. The health organization and its affiliates, with about 12.6 million members, have been \u003ca href=\"https://www.beckershospitalreview.com/finance/kaisers-risant-health-to-become-35b-system-in-5-years-14-things-to-know/\">acquiring hospital systems\u003c/a> in recent years, including in Pennsylvania and North Carolina.\u003c/p>\n\u003cp>Sims dismissed claims that Kaiser is putting the quality of patient care at risk, citing top ratings for its Medicare and commercial health plans. The threat of a walkout, he said, aims to pressure Kaiser to agree to union demands for a 25% pay increase over four years. The organization’s latest offer adds up to 21.5% and improves medical plans and retiree benefits, Sims said, showing that the private nonprofit health plan values its employees as it tries to keep care affordable for patients.\u003c/p>\n\u003cp>“They say their goal is to protect patients by ensuring better care and staffing, but the real issue is wages — they are demanding significantly higher increases than our 21.5% offer,” Sims said. “Their claims about Kaiser Permanente’s quality and staffing don’t reflect the facts.”\u003c/p>\n\u003cp>According to the employer, the organization meets and often exceeds California’s mandated nurse-to-patient ratios and staffing standards.\u003c/p>\n\u003cp>Kaiser’s offer includes gradual raises of 6.5% in 2025, 6.5% in 2026, 4% in 2027 and 3% in 2028, according \u003ca href=\"https://www.ahcunions.org/post/september-national-bargaining-update\">to the \u003c/a>Alliance. The union has proposed a boost of 13% in 2025, 6% in 2026, 4% in 2027 and 4% in 2028.\u003c/p>\n\u003cp>Peter Sidhu, UNAC/UHCP executive vice president, said the union agreed to much lower wage increases in contract negotiations during the COVID-19 pandemic, because Kaiser maintained it was struggling financially. As a result, he said, the union’s members were left behind as inflation soared and other employees who went on strike got bigger pay boosts.\u003c/p>\n\u003cp>“We’re not just negotiating for today’s needs. We’re negotiating for the inflation that our members have had,” Sidhu, who worked for Kaiser for more than 20 years as a critical care nurse, told KQED. “And during that time, we’ve lost a lot of staff. There’s been a mass exodus. So in order for us to catch up and be competitive in this market, we need more than what they’re offering.”\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/kevinstark\">\u003cem>Kevin Stark \u003c/em>\u003c/a>\u003cem>contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Tens of thousands of \u003ca href=\"https://www.kqed.org/news/tag/kaiser-permanente\">Kaiser Permanente\u003c/a> nurses and employees plan to walk off the job on Tuesday over wage and staffing level concerns that they say have been unaddressed as the healthcare organization’s operations expand.\u003c/p>\n\u003cp>The walkout, which is expected to last five days, could bring disruptions to dozens of clinics and hospitals in California and Hawaii, according to one of the unions launching the strike.\u003c/p>\n\u003cp>Representatives for Kaiser, which employs about 180,000 people in California, said that in the event of a work stoppage, impacted facilities will remain open. Physicians will continue to see patients aided by trained managers and contingency staff, including licensed temporary nurses.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We take any threat to services seriously, and our patients remain our priority,” Lionel Sims, vice president of human resources at Kaiser Permanente in Northern California, said in a statement.\u003c/p>\n\u003cp>The standoff comes as Kaiser unveiled another round of layoffs targeting hundreds of workers in the state, including 184 employees primarily in IT and food services in Northern California who were notified recently, the organization said. The job losses and walkout are not connected, according to Kaiser.\u003c/p>\n\u003cfigure id=\"attachment_11963409\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11963409\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED.jpg\" alt='A large modern building with the words \"Kaiser Permanente\" across the top.' width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The Kaiser Permanente Oakland Medical Center in Oakland on Oct. 4, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Since May, the Alliance of Healthcare Unions and Kaiser have been negotiating a new nationwide labor contract covering nearly 61,000 employees. Several of the 23 unions that form the Alliance notified Kaiser about their intent to strike, including the \u003ca href=\"https://url.us.m.mimecastprotect.com/s/_Hb6C829m0uQljg8unfPuyed-I?domain=zwly9k6z.r.us-east-1.awstrack.me\">United Nurses Associations of California/Union of Health Care Professionals\u003c/a>, which represents about 31,000 registered nurses, pharmacists, physician assistants and other health care professionals largely based in California.\u003c/p>\n\u003cp>Union officials said the walkout, which is set to end at 7 a.m. on Sunday, is necessary to protect patients and their caregivers, who are struggling with short staffing and stagnant wages and benefits, as many professionals lack pensions. They warned that Kaiser’s failure to sufficiently invest in its workforce is leading to delays in appointments, treatment and recovery for patients.\u003c/p>\n\u003cp>“Our patients are waiting longer, and our caregivers are stretched to the breaking point, and Kaiser executives are sitting on billions,” Joe Guzynski, executive director at UNAC/UHCP and a lead negotiator, said in a statement.\u003c/p>\n\u003cp>Staffing levels remain a top concern for hospital employees nationwide due to burnout and turnover, especially for nurses, according\u003ca href=\"https://www.kqed.org/news/12011878/thousands-of-uc-san-francisco-workers-are-preparing-to-strike\"> to experts\u003c/a>.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Kaiser Permanente, headquartered in Oakland, posted $63.9 billion in operating revenue and nearly \u003ca href=\"https://about.kaiserpermanente.org/news/kaiser-permanente-and-risant-health-q2-2025-financial-update\">$2 billion\u003c/a> in operating income for the first half of 2025, slightly higher than for the same period last year. The health organization and its affiliates, with about 12.6 million members, have been \u003ca href=\"https://www.beckershospitalreview.com/finance/kaisers-risant-health-to-become-35b-system-in-5-years-14-things-to-know/\">acquiring hospital systems\u003c/a> in recent years, including in Pennsylvania and North Carolina.\u003c/p>\n\u003cp>Sims dismissed claims that Kaiser is putting the quality of patient care at risk, citing top ratings for its Medicare and commercial health plans. The threat of a walkout, he said, aims to pressure Kaiser to agree to union demands for a 25% pay increase over four years. The organization’s latest offer adds up to 21.5% and improves medical plans and retiree benefits, Sims said, showing that the private nonprofit health plan values its employees as it tries to keep care affordable for patients.\u003c/p>\n\u003cp>“They say their goal is to protect patients by ensuring better care and staffing, but the real issue is wages — they are demanding significantly higher increases than our 21.5% offer,” Sims said. “Their claims about Kaiser Permanente’s quality and staffing don’t reflect the facts.”\u003c/p>\n\u003cp>According to the employer, the organization meets and often exceeds California’s mandated nurse-to-patient ratios and staffing standards.\u003c/p>\n\u003cp>Kaiser’s offer includes gradual raises of 6.5% in 2025, 6.5% in 2026, 4% in 2027 and 3% in 2028, according \u003ca href=\"https://www.ahcunions.org/post/september-national-bargaining-update\">to the \u003c/a>Alliance. The union has proposed a boost of 13% in 2025, 6% in 2026, 4% in 2027 and 4% in 2028.\u003c/p>\n\u003cp>Peter Sidhu, UNAC/UHCP executive vice president, said the union agreed to much lower wage increases in contract negotiations during the COVID-19 pandemic, because Kaiser maintained it was struggling financially. As a result, he said, the union’s members were left behind as inflation soared and other employees who went on strike got bigger pay boosts.\u003c/p>\n\u003cp>“We’re not just negotiating for today’s needs. We’re negotiating for the inflation that our members have had,” Sidhu, who worked for Kaiser for more than 20 years as a critical care nurse, told KQED. “And during that time, we’ve lost a lot of staff. There’s been a mass exodus. So in order for us to catch up and be competitive in this market, we need more than what they’re offering.”\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/kevinstark\">\u003cem>Kevin Stark \u003c/em>\u003c/a>\u003cem>contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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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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"marketplace": {
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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": "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": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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"possible": {
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"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"pri-the-world": {
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"radiolab": {
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"reveal": {
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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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"info": "Science Friday is a weekly science talk show, broadcast live over public radio stations nationwide. Each week, the show focuses on science topics that are in the news and tries to bring an educated, balanced discussion to bear on the scientific issues at hand. Panels of expert guests join host Ira Flatow, a veteran science journalist, to discuss science and to take questions from listeners during the call-in portion of the program.",
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"snap-judgment": {
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"title": "Snap Judgment",
"tagline": "Real stories with killer beats",
"info": "The Snap Judgment radio show and podcast mixes real stories with killer beats to produce cinematic, dramatic radio. Snap's musical brand of storytelling dares listeners to see the world through the eyes of another. This is storytelling... with a BEAT!! Snap first aired on public radio stations nationwide in July 2010. Today, Snap Judgment airs on over 450 public radio stations and is brought to the airwaves by KQED & PRX.",
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