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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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"headline": "‘It’s Just Cruel’: Bay Area Parents Say Sutter Health Is Set to Halt Trans Youth Care",
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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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"title": "Kaiser Strike Ends Sunday as Union and Management Plan to Resume Wage Talks | KQED",
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"headline": "Kaiser Strike Ends Sunday as Union and Management Plan to Resume Wage Talks",
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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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"slug": "kaiser-strike-hits-several-bay-area-locations-as-thousands-walk-off-the-job",
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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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"excerpt": "Up to 46,000 Kaiser Permanente workers represented by an alliance of unions across multiple states plan to join picket lines over wages and staffing levels.",
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"title": "Kaiser Strike Hits Several Bay Area Locations as Thousands Walk Off the Job | KQED",
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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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"slug": "california-kaiser-health-care-workers-reaching-breaking-point-set-to-strike-next-week",
"title": "California Kaiser Health Care Workers, Reaching ‘Breaking Point,’ Set to Strike Next Week",
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"headTitle": "California Kaiser Health Care Workers, Reaching ‘Breaking Point,’ Set to Strike Next Week | KQED",
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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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"slug": "kaiser-to-lay-off-nearly-25-of-outpatient-nurses-in-san-rafael",
"title": "Kaiser to Lay Off Dozens of Outpatient Nurses in San Rafael",
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"content": "\u003cp>Nurses at \u003ca href=\"https://www.kqed.org/news/tag/kaiser-permanente\">Kaiser Permanente\u003c/a>’s outpatient clinics in San Rafael are raising concerns about potential delays to patient care as the company plans to lay off dozens of nurses working there.\u003c/p>\n\u003cp>The 41 registered nurses and nurse practitioners who would be laid off work in 14 departments, including prenatal care, dermatology and medical procedures, according to the California Nurses Association.\u003c/p>\n\u003cp>“They are targeting the outpatient nurses,” said Pam Cronin, a pediatric nurse at Kaiser in San Rafael. “These nurses work in specialty clinics. Many of them keep patients out of the hospital — they’re the ones that triage and catch the problems before they become life-threatening.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>CNA, which represents about 500 registered nurses at Kaiser facilities in San Rafael, said patients in the health system are already experiencing long wait times. Layoffs would risk further delaying care, the union argued, causing “potentially deadly consequences.”\u003c/p>\n\u003cp>“These are pregnant women with concerns about their unborn children,” Cronin said. “They want access to a nurse that can reassure them.”\u003c/p>\n\u003cfigure id=\"attachment_12053049\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12053049\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250820-KAISER-SAN-RAFAEL-MD-03-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250820-KAISER-SAN-RAFAEL-MD-03-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250820-KAISER-SAN-RAFAEL-MD-03-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250820-KAISER-SAN-RAFAEL-MD-03-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The Kaiser Permanente hospital in San Rafael on Aug. 20, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Nurses with CNA said patients have shared stories of \u003ca href=\"https://www.kqed.org/science/1991871/systemic-neglect-how-staffing-shortages-in-nursing-homes-leave-patients-trapped-in-hospitals\">delays in care\u003c/a>, long hold times and struggles for older patients using more recent internet-based appointment systems. When told of the planned cuts, Cronin said, patients are shocked.\u003c/p>\n\u003cp>“Most people recognize that Kaiser is a very large health care provider,” she said.\u003c/p>\n\u003cp>Kaiser pushed back on the assertion that patient care would be affected, saying in a statement that “none of these changes will impact the quality of Kaiser Permanente’s patient care and services.”\u003c/p>\n\u003cp>The nonprofit healthcare giant said the staff reductions were made as the volume of care had dropped at its outpatient facilities in San Rafael post-pandemic.[aside postID=news_12051862 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250418-SFUSD-04-BL_qed.jpg']“To match staffing and care needs, we are rebalancing resources,” the company said.\u003c/p>\n\u003cp>Nurses pointed to Kaiser’s \u003ca href=\"https://about.kaiserpermanente.org/news/press-release-archive/kaiser-foundation-health-plan-hospitals-risant-health-report-2024-financial-results\">net income in 2024\u003c/a>, arguing the company’s justification for the cuts doesn’t hold up.\u003c/p>\n\u003cp>“It’s absolutely unacceptable that Kaiser made $13 billion last year, yet is cutting staff,” Colleen Gibbons, a medical-surgical nurse at Kaiser San Rafael and the chief nurse representative, said in a statement.\u003c/p>\n\u003cp>CNA received notice of the proposed layoffs at the end of June, and they are set to take effect Oct. 14.\u003c/p>\n\u003cp>For the nurses left after the layoffs take effect, the workload will only grow, Cronin said.\u003c/p>\n\u003cp>“The work doesn’t go away just because the nurses go away,” Cronin said. “There’s still these patients that paid for access to quality medical care … and the nurses will continue to try to provide it despite how Kaiser continues to tie our hands.”\u003c/p>\n\u003cp>Forty-two workers in San Rafael were initially slated for layoffs, but negotiations with CNA spared a position, reducing the total to 41.\u003c/p>\n\u003cp>Kaiser said the number of total affected positions may change as bargaining with the union continues.\u003c/p>\n\u003cp>The company pointed to 400 open nursing positions across Kaiser locations in Northern California, saying it wants to “help transition impacted employees to available inpatient positions that are closest to where they live.”\u003c/p>\n\u003cp>Nurses plan to picket the layoffs on Thursday outside Kaiser’s downtown San Rafael clinic.\u003c/p>\n\u003cp>\u003cem>Clarification, Sept. 24: A previous version of this story said nearly a quarter of nurses at Kaiser’s outpatient clinics in San Rafael would be laid off. Kaiser and the California Nurses Association dispute the impact of the proposed layoffs, with Kaiser saying the cuts would affect 18% of outpatient nurses in San Rafael and the union estimating closer to 23%.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Nurses at \u003ca href=\"https://www.kqed.org/news/tag/kaiser-permanente\">Kaiser Permanente\u003c/a>’s outpatient clinics in San Rafael are raising concerns about potential delays to patient care as the company plans to lay off dozens of nurses working there.\u003c/p>\n\u003cp>The 41 registered nurses and nurse practitioners who would be laid off work in 14 departments, including prenatal care, dermatology and medical procedures, according to the California Nurses Association.\u003c/p>\n\u003cp>“They are targeting the outpatient nurses,” said Pam Cronin, a pediatric nurse at Kaiser in San Rafael. “These nurses work in specialty clinics. Many of them keep patients out of the hospital — they’re the ones that triage and catch the problems before they become life-threatening.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>CNA, which represents about 500 registered nurses at Kaiser facilities in San Rafael, said patients in the health system are already experiencing long wait times. Layoffs would risk further delaying care, the union argued, causing “potentially deadly consequences.”\u003c/p>\n\u003cp>“These are pregnant women with concerns about their unborn children,” Cronin said. “They want access to a nurse that can reassure them.”\u003c/p>\n\u003cfigure id=\"attachment_12053049\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12053049\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250820-KAISER-SAN-RAFAEL-MD-03-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250820-KAISER-SAN-RAFAEL-MD-03-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250820-KAISER-SAN-RAFAEL-MD-03-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250820-KAISER-SAN-RAFAEL-MD-03-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The Kaiser Permanente hospital in San Rafael on Aug. 20, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Nurses with CNA said patients have shared stories of \u003ca href=\"https://www.kqed.org/science/1991871/systemic-neglect-how-staffing-shortages-in-nursing-homes-leave-patients-trapped-in-hospitals\">delays in care\u003c/a>, long hold times and struggles for older patients using more recent internet-based appointment systems. When told of the planned cuts, Cronin said, patients are shocked.\u003c/p>\n\u003cp>“Most people recognize that Kaiser is a very large health care provider,” she said.\u003c/p>\n\u003cp>Kaiser pushed back on the assertion that patient care would be affected, saying in a statement that “none of these changes will impact the quality of Kaiser Permanente’s patient care and services.”\u003c/p>\n\u003cp>The nonprofit healthcare giant said the staff reductions were made as the volume of care had dropped at its outpatient facilities in San Rafael post-pandemic.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“To match staffing and care needs, we are rebalancing resources,” the company said.\u003c/p>\n\u003cp>Nurses pointed to Kaiser’s \u003ca href=\"https://about.kaiserpermanente.org/news/press-release-archive/kaiser-foundation-health-plan-hospitals-risant-health-report-2024-financial-results\">net income in 2024\u003c/a>, arguing the company’s justification for the cuts doesn’t hold up.\u003c/p>\n\u003cp>“It’s absolutely unacceptable that Kaiser made $13 billion last year, yet is cutting staff,” Colleen Gibbons, a medical-surgical nurse at Kaiser San Rafael and the chief nurse representative, said in a statement.\u003c/p>\n\u003cp>CNA received notice of the proposed layoffs at the end of June, and they are set to take effect Oct. 14.\u003c/p>\n\u003cp>For the nurses left after the layoffs take effect, the workload will only grow, Cronin said.\u003c/p>\n\u003cp>“The work doesn’t go away just because the nurses go away,” Cronin said. “There’s still these patients that paid for access to quality medical care … and the nurses will continue to try to provide it despite how Kaiser continues to tie our hands.”\u003c/p>\n\u003cp>Forty-two workers in San Rafael were initially slated for layoffs, but negotiations with CNA spared a position, reducing the total to 41.\u003c/p>\n\u003cp>Kaiser said the number of total affected positions may change as bargaining with the union continues.\u003c/p>\n\u003cp>The company pointed to 400 open nursing positions across Kaiser locations in Northern California, saying it wants to “help transition impacted employees to available inpatient positions that are closest to where they live.”\u003c/p>\n\u003cp>Nurses plan to picket the layoffs on Thursday outside Kaiser’s downtown San Rafael clinic.\u003c/p>\n\u003cp>\u003cem>Clarification, Sept. 24: A previous version of this story said nearly a quarter of nurses at Kaiser’s outpatient clinics in San Rafael would be laid off. Kaiser and the California Nurses Association dispute the impact of the proposed layoffs, with Kaiser saying the cuts would affect 18% of outpatient nurses in San Rafael and the union estimating closer to 23%.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "‘Nowhere Else to Go': SF Families Protest Kaiser’s New Limits on Gender-Affirming Care",
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"content": "\u003cp>Dozens of caregivers, nurses and allies rallied at Kaiser Permanente’s San Francisco Medical Center on Friday afternoon to mourn the loss of what they say is critical and life-affirming care for trans and gender-diverse youth.\u003c/p>\n\u003cp>Days earlier, the California health care giant said it was \u003ca href=\"https://www.kqed.org/news/12049555/kaiser-to-stop-gender-affirming-surgeries-for-minors-leaving-trans-kids-with-fewer-options\">pausing surgical treatment for gender dysphoria\u003c/a> for patients who are younger than 19, under mounting political pressure from the Trump administration. All other gender-affirming care, including non-surgical treatment for minors and surgeries for patients 19 and older, will continue, a Kaiser spokesperson said in a statement.\u003c/p>\n\u003cp>The move sent shockwaves through the Bay Area’s LGBTQ+ community, many of whom turned to Kaiser for gender-affirming care when there was nowhere else to go.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Sydney Simpson, a registered Kaiser nurse and member of the California Nurses Association, said they came to the Golden State from Alabama because of the services their employer formerly provided.\u003c/p>\n\u003cp>“I’ve heard questions like, ‘Well, where can we go instead?’ And the answer is, I don’t know. And I don’t know that there will be an answer any time soon,” Simpson said.\u003c/p>\n\u003cfigure id=\"attachment_12049935\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-7_qed.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-7_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" class=\"size-full wp-image-12049935\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-7_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-7_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-7_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Union nurses and community supporters rally outside of Kaiser Permanente, honoring transgender patients affected by Kaiser’s decision to halt gender-affirming care to minors, on July 25, 2025. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“There is nowhere else to go past San Francisco, past Northern California.”\u003c/p>\n\u003cp>The crowd, largely made up of Kaiser patients and their supporters, waved transgender pride flags, and carried signs saying, “Transgender rights are human rights.”\u003c/p>\n\u003cp>Jason Reiger is the parent of a transgender child who says the care they received at Kaiser helped save their life.\u003c/p>\n\u003cp>“My kid got the help they needed which they would not get today. But there are other kids who still need it because of Kaiser’s decision today and it is a dereliction of their medical, ethical, professional duties,” Reiger told KQED.[aside postID=news_12049555 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-1020x680.jpg']Oakland-based Kaiser Permanente, which serves more than 12 million people across eight states, called the decision to pause treatment a “difficult” one, citing “the significant risks being created for health systems, clinicians, and patients” in the evolving legal and regulatory environment.\u003c/p>\n\u003cp>The Trump administration has aggressively targeted gender-related health care for trans youth, beginning with a series of executive orders instructing federal agencies to restrict access to care and funding. Most recently, the U.S. Department of Justice issued more than 20 subpoenas to \u003ca href=\"https://www.theguardian.com/us-news/2025/jul/09/gender-affirming-care-minors\">doctors and clinics\u003c/a> providing gender-affirming care to minors.\u003c/p>\n\u003cp>While other states have passed laws limiting such care, California has doubled down on \u003ca href=\"https://www.kqed.org/news/11929233/california-becomes-first-sanctuary-state-for-transgender-youth-seeking-medical-care\">protecting medical services for youth\u003c/a>. And in February, California Attorney General Rob Bonta \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-reminds-hospitals-and-clinics-anti-discrimination-laws#:~:text=Electing%20to%20refuse%20services%20to,are%20protected%20under%20state%20laws.&text=California%20has%20a%20number%20of,Health%20Care%27s%20TGI%20Care%20webpage\">warned hospitals\u003c/a> that denying or pausing care for trans youth based on political pressure could violate state law.\u003c/p>\n\u003cp>“I understand that the President’s executive order on gender affirming care has created some confusion,” Bonta said in a statement. “Let me be clear: California law has not changed, and hospitals and clinics have a legal obligation to provide equal access to healthcare services.”\u003c/p>\n\u003cp>But Kaiser is not the only health care provider in the state to have caved to Trump’s pressure in recent weeks. Palo Alto-based Stanford Medicine scaled back \u003ca href=\"https://www.kqed.org/science/1997491/stanford-scales-back-trans-care-for-minors-amid-federal-crackdown\">gender-related surgical procedures\u003c/a> for minors last month. And this week, Children’s Hospital Los Angeles closed its \u003ca href=\"https://www.kqed.org/news/12049310/childrens-hospital-los-angeles-ends-transgender-care\">Center for Transyouth Health and Development\u003c/a>, which had been a leader in gender-affirming care for the last 30 years.\u003c/p>\n\u003cp>Democratic State Sen. Scott Wiener of San Francisco, who authored a \u003ca href=\"https://sd11.senate.ca.gov/news/senator-wieners-historic-bill-provide-refuge-trans-kids-and-their-families-signed-law\">2022 law to make California a safe refuge\u003c/a> for transgender youth seeking medical care, also attended the protest and called Kaiser’s decision illegal under state law.\u003c/p>\n\u003cfigure id=\"attachment_12049936\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-26_qed.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-26_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" class=\"size-full wp-image-12049936\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-26_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-26_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-26_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A counter protester, center, confronts a protester during a rally and vigil honoring transgender patients affected by Kaiser’s decision to halt gender-affirming care to minors, outside of Kaiser Permanente on July 25, 2025. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In a past interview, he acknowledged the challenges facing companies caught in between the needs of patients and the Trump administration’s pressure.\u003c/p>\n\u003cp>“It’s important for us not to just cave in to Donald Trump’s bullying. It’s hard and it’s scary, but this is how fascists succeed, when institutions start backing down and caving in and doing whatever the regime wants,” Wiener said.\u003c/p>\n\u003cp>A small group of counter-protesters stood mostly on the outskirts of the crowd, holding signs reading “No child can consent to be sterilized” and “No more profiting off of confused children.”\u003c/p>\n\u003cp>At certain points during the rally, counter-protesters interjected to shout down rally speakers, yelling, “Stop sterilizing children.” Tensions briefly escalated between the two sides when counter-protesters tried to move closer to the center of the rally, and advocates quickly moved to block them with their bodies. A brief shoving match ensued, and then quickly fizzled out.[aside postID=arts_13977595 hero='https://cdn.kqed.org/wp-content/uploads/sites/2/2025/06/2025.04.14_Middleton_SandyStone_15_qed.jpg']Medical interventions for transgender children and youth, which may include puberty blockers, hormones and, in rare cases, surgery, has become a lightning rod issue nationally and globally. Some parents, like Reiger, say that surgical medical care was lifesaving for their child.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.ama-assn.org/press-center/ama-press-releases/ama-states-stop-interfering-health-care-transgender-children\">American Medical Association\u003c/a> and the \u003ca href=\"https://publications.aap.org/aapnews/news/25340/AAP-reaffirms-gender-affirming-care-policy?autologincheck=redirected\">American Pediatrics Association\u003c/a> maintain that gender-affirming care, including surgeries in some cases, can be medically necessary for both children and adults. A 2022 study by researchers at Stanford University \u003ca href=\"https://med.stanford.edu/news/all-news/2022/01/mental-health-hormone-treatment-transgender-people.html\">found better mental health outcomes\u003c/a> for transgender people who started receiving hormone therapy as teens compared with those who waited until they were adults.\u003c/p>\n\u003cp>However, some medical experts have \u003ca href=\"https://bmjgroup.com/gender-dysphoria-is-rising-and-so-is-professional-disagreement/\">urged caution\u003c/a>, calling for greater scrutiny of evidence underpinning these treatments and raising concerns about the potential irreversibility of certain interventions.\u003c/p>\n\u003cp>Amid this professional debate, frontline providers like Simpson continue to find ways to support families grappling with these life-changing decisions in real time.\u003c/p>\n\u003cp>“I think our options just sort of dwindle and dwindle,” Simpson said.\u003c/p>\n\u003cp>“I just hugged a parent and said, ‘We’ll figure this out.’ We’re gonna have to get very creative, but we’ll figure this out because again, for a lot of these kids, the option is death. And people don’t wanna talk about that, but it’s the truth.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "The rally at Kaiser Permanente’s San Francisco Medical Center came after the California health care giant said it was pausing gender-affirming surgeries for patients younger than 19.\r\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Dozens of caregivers, nurses and allies rallied at Kaiser Permanente’s San Francisco Medical Center on Friday afternoon to mourn the loss of what they say is critical and life-affirming care for trans and gender-diverse youth.\u003c/p>\n\u003cp>Days earlier, the California health care giant said it was \u003ca href=\"https://www.kqed.org/news/12049555/kaiser-to-stop-gender-affirming-surgeries-for-minors-leaving-trans-kids-with-fewer-options\">pausing surgical treatment for gender dysphoria\u003c/a> for patients who are younger than 19, under mounting political pressure from the Trump administration. All other gender-affirming care, including non-surgical treatment for minors and surgeries for patients 19 and older, will continue, a Kaiser spokesperson said in a statement.\u003c/p>\n\u003cp>The move sent shockwaves through the Bay Area’s LGBTQ+ community, many of whom turned to Kaiser for gender-affirming care when there was nowhere else to go.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Sydney Simpson, a registered Kaiser nurse and member of the California Nurses Association, said they came to the Golden State from Alabama because of the services their employer formerly provided.\u003c/p>\n\u003cp>“I’ve heard questions like, ‘Well, where can we go instead?’ And the answer is, I don’t know. And I don’t know that there will be an answer any time soon,” Simpson said.\u003c/p>\n\u003cfigure id=\"attachment_12049935\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-7_qed.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-7_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" class=\"size-full wp-image-12049935\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-7_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-7_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-7_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Union nurses and community supporters rally outside of Kaiser Permanente, honoring transgender patients affected by Kaiser’s decision to halt gender-affirming care to minors, on July 25, 2025. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“There is nowhere else to go past San Francisco, past Northern California.”\u003c/p>\n\u003cp>The crowd, largely made up of Kaiser patients and their supporters, waved transgender pride flags, and carried signs saying, “Transgender rights are human rights.”\u003c/p>\n\u003cp>Jason Reiger is the parent of a transgender child who says the care they received at Kaiser helped save their life.\u003c/p>\n\u003cp>“My kid got the help they needed which they would not get today. But there are other kids who still need it because of Kaiser’s decision today and it is a dereliction of their medical, ethical, professional duties,” Reiger told KQED.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Oakland-based Kaiser Permanente, which serves more than 12 million people across eight states, called the decision to pause treatment a “difficult” one, citing “the significant risks being created for health systems, clinicians, and patients” in the evolving legal and regulatory environment.\u003c/p>\n\u003cp>The Trump administration has aggressively targeted gender-related health care for trans youth, beginning with a series of executive orders instructing federal agencies to restrict access to care and funding. Most recently, the U.S. Department of Justice issued more than 20 subpoenas to \u003ca href=\"https://www.theguardian.com/us-news/2025/jul/09/gender-affirming-care-minors\">doctors and clinics\u003c/a> providing gender-affirming care to minors.\u003c/p>\n\u003cp>While other states have passed laws limiting such care, California has doubled down on \u003ca href=\"https://www.kqed.org/news/11929233/california-becomes-first-sanctuary-state-for-transgender-youth-seeking-medical-care\">protecting medical services for youth\u003c/a>. And in February, California Attorney General Rob Bonta \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-reminds-hospitals-and-clinics-anti-discrimination-laws#:~:text=Electing%20to%20refuse%20services%20to,are%20protected%20under%20state%20laws.&text=California%20has%20a%20number%20of,Health%20Care%27s%20TGI%20Care%20webpage\">warned hospitals\u003c/a> that denying or pausing care for trans youth based on political pressure could violate state law.\u003c/p>\n\u003cp>“I understand that the President’s executive order on gender affirming care has created some confusion,” Bonta said in a statement. “Let me be clear: California law has not changed, and hospitals and clinics have a legal obligation to provide equal access to healthcare services.”\u003c/p>\n\u003cp>But Kaiser is not the only health care provider in the state to have caved to Trump’s pressure in recent weeks. Palo Alto-based Stanford Medicine scaled back \u003ca href=\"https://www.kqed.org/science/1997491/stanford-scales-back-trans-care-for-minors-amid-federal-crackdown\">gender-related surgical procedures\u003c/a> for minors last month. And this week, Children’s Hospital Los Angeles closed its \u003ca href=\"https://www.kqed.org/news/12049310/childrens-hospital-los-angeles-ends-transgender-care\">Center for Transyouth Health and Development\u003c/a>, which had been a leader in gender-affirming care for the last 30 years.\u003c/p>\n\u003cp>Democratic State Sen. Scott Wiener of San Francisco, who authored a \u003ca href=\"https://sd11.senate.ca.gov/news/senator-wieners-historic-bill-provide-refuge-trans-kids-and-their-families-signed-law\">2022 law to make California a safe refuge\u003c/a> for transgender youth seeking medical care, also attended the protest and called Kaiser’s decision illegal under state law.\u003c/p>\n\u003cfigure id=\"attachment_12049936\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-26_qed.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-26_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" class=\"size-full wp-image-12049936\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-26_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-26_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-26_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A counter protester, center, confronts a protester during a rally and vigil honoring transgender patients affected by Kaiser’s decision to halt gender-affirming care to minors, outside of Kaiser Permanente on July 25, 2025. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In a past interview, he acknowledged the challenges facing companies caught in between the needs of patients and the Trump administration’s pressure.\u003c/p>\n\u003cp>“It’s important for us not to just cave in to Donald Trump’s bullying. It’s hard and it’s scary, but this is how fascists succeed, when institutions start backing down and caving in and doing whatever the regime wants,” Wiener said.\u003c/p>\n\u003cp>A small group of counter-protesters stood mostly on the outskirts of the crowd, holding signs reading “No child can consent to be sterilized” and “No more profiting off of confused children.”\u003c/p>\n\u003cp>At certain points during the rally, counter-protesters interjected to shout down rally speakers, yelling, “Stop sterilizing children.” Tensions briefly escalated between the two sides when counter-protesters tried to move closer to the center of the rally, and advocates quickly moved to block them with their bodies. A brief shoving match ensued, and then quickly fizzled out.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Medical interventions for transgender children and youth, which may include puberty blockers, hormones and, in rare cases, surgery, has become a lightning rod issue nationally and globally. Some parents, like Reiger, say that surgical medical care was lifesaving for their child.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.ama-assn.org/press-center/ama-press-releases/ama-states-stop-interfering-health-care-transgender-children\">American Medical Association\u003c/a> and the \u003ca href=\"https://publications.aap.org/aapnews/news/25340/AAP-reaffirms-gender-affirming-care-policy?autologincheck=redirected\">American Pediatrics Association\u003c/a> maintain that gender-affirming care, including surgeries in some cases, can be medically necessary for both children and adults. A 2022 study by researchers at Stanford University \u003ca href=\"https://med.stanford.edu/news/all-news/2022/01/mental-health-hormone-treatment-transgender-people.html\">found better mental health outcomes\u003c/a> for transgender people who started receiving hormone therapy as teens compared with those who waited until they were adults.\u003c/p>\n\u003cp>However, some medical experts have \u003ca href=\"https://bmjgroup.com/gender-dysphoria-is-rising-and-so-is-professional-disagreement/\">urged caution\u003c/a>, calling for greater scrutiny of evidence underpinning these treatments and raising concerns about the potential irreversibility of certain interventions.\u003c/p>\n\u003cp>Amid this professional debate, frontline providers like Simpson continue to find ways to support families grappling with these life-changing decisions in real time.\u003c/p>\n\u003cp>“I think our options just sort of dwindle and dwindle,” Simpson said.\u003c/p>\n\u003cp>“I just hugged a parent and said, ‘We’ll figure this out.’ We’re gonna have to get very creative, but we’ll figure this out because again, for a lot of these kids, the option is death. And people don’t wanna talk about that, but it’s the truth.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Calder Storm doesn’t know where to turn for gender-affirming care for his 16-year-old daughter.\u003c/p>\n\u003cp>After Palo Alto-based Stanford Medicine \u003ca href=\"https://www.kqed.org/science/1997491/stanford-scales-back-trans-care-for-minors-amid-federal-crackdown\">stopped offering gender-related surgical procedures\u003c/a> for minors last month, he planned to enroll her as a\u003ca href=\"https://www.kqed.org/news/tag/kaiser-permanente\"> patient at Kaiser Permanente \u003c/a>— widely regarded as a bastion of trans health care.\u003c/p>\n\u003cp>But on Wednesday, the health care giant announced that it would follow suit, pausing gender-affirming surgeries for patients under 19.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Kaiser was supposed to be our safe haven,” Storm told KQED on Wednesday. “Everyone in the trans community thought we had the best chance possible within the Kaiser system. And furthermore, we thought we had the best chance in the Northern California Kaiser system.”\u003c/p>\n\u003cp>Oakland-based Kaiser Permanente, which serves more than 12 million people across eight states, said Wednesday it would stop offering surgical gender-affirming treatments for trans minors next month, citing “significant risks” created by the current legal and regulatory environment surrounding care for transgender children.\u003c/p>\n\u003cp>“Since January, there has been significant focus by the federal government on gender-affirming care, specifically for patients under the age of 19,” the health care provider said in a statement, citing a \u003ca href=\"https://www.whitehouse.gov/presidential-actions/2025/01/protecting-children-from-chemical-and-surgical-mutilation/\">January executive order\u003c/a> from President Donald Trump threatening funding for medical centers that provide such care, changes to insurance coverage and ongoing federal investigations.\u003c/p>\n\u003cfigure id=\"attachment_12023855\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12023855\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A demonstrator proudly waves a transgender pride flag during Pride Month in San Francisco, California, on June 28, 2019. \u003ccite>(Sruti Mamidanna/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Earlier this month, the\u003ca href=\"https://www.justice.gov/opa/pr/department-justice-subpoenas-doctors-and-clinics-involved-performing-transgender-medical\"> Department of Justice subpoenaed\u003c/a> more than 20 doctors and clinics that perform gender-affirming procedures on minors.\u003c/p>\n\u003cp>“We recognize that this is an extremely challenging and stressful time for our patients seeking care, as well as for our clinicians whose mission is to care for them,” the statement continued.\u003c/p>\n\u003cp>Kaiser joins a growing list of health care providers moving to limit care for trans youth under building pressure from the Trump administration. In June, Stanford’s \u003ca href=\"https://www.kqed.org/science/1997491/stanford-scales-back-trans-care-for-minors-amid-federal-crackdown\">pause of gender-affirming surgeries\u003c/a> included prescribing puberty blockers to youth, Storm said. And just this week, Los Angeles Children’s Hospital closed its \u003ca href=\"https://www.kqed.org/news/12049310/childrens-hospital-los-angeles-ends-transgender-care\">Center for Transyouth Health and Development\u003c/a>, which has been a leader in gender-affirming care for the last 30 years.\u003c/p>\n\u003cp>Storm thought Kaiser would be different, since the closed health care system doesn’t rely on federal research funding like Stanford, L.A. Children’s and many others do. And just months ago, California Attorney General Rob Bonta \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-reminds-hospitals-and-clinics-anti-discrimination-laws\">preemptively warned the state’s health care providers\u003c/a> that capitulating to political pressure and pausing gender-affirming care would violate state law.[aside postID=news_12049310 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/trans-health-6880e51cc03ba.jpg']But Lady Rainsard, a registered nurse in plastic surgery at Kaiser’s San Francisco campus, said that’s exactly what the health care system is doing.\u003c/p>\n\u003cp>“Medical providers, not politicians, know what’s best for our patients,” she said in a statement from California Nurses Association, a union representing 25,000 Kaiser nurses. “Right now, we deem it a much greater risk to cave to this kind of government overreach than it is to provide this care to our patients, no matter their age.”\u003c/p>\n\u003cp>Kaiser medical centers will continue to offer non-surgical care for minors and all gender-affirming care for trans adults.\u003c/p>\n\u003cp>According to State Sen. Scott Wiener, D-San Francisco, refusing to offer these procedures for young people is a step towards Trump’s goal to eliminate all trans health care.\u003c/p>\n\u003cp>“It’s important for us not to just cave in to Donald Trump’s bullying,” he told KQED on Wednesday. “It’s hard and it’s scary, but this is how fascists succeed — when institutions start backing down.”\u003c/p>\n\u003cp>Wiener said the next step for the state’s politicians will be to put pressure on Bonta’s office to enforce California law, which bars hospitals from refusing to provide health care to trans people.\u003c/p>\n\u003cfigure id=\"attachment_12043149\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12043149\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/HarveyMilkFolo2.jpg\" alt=\"\" width=\"2000\" height=\"1500\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/HarveyMilkFolo2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/HarveyMilkFolo2-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/HarveyMilkFolo2-1536x1152.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Sen. Scott Wiener speaks at a press conference at Jane Warner Plaza in San Francisco on June 6, 2025. \u003ccite>(Samantha Kennedy/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I don’t want the state to have to fight with Kaiser or with Stanford or with any of our great health systems, but we have to enforce the law,” he said. “California should be a safe place for trans people and LGBTQ people generally, and this is not what should be happening.”\u003c/p>\n\u003cp>Amy Whelan, a senior staff attorney with the National Center for LGBTQ Rights, said the organization is in close contact with families of patients affected by the Stanford and Los Angeles Children’s Hospital policy changes and working on the issue.\u003c/p>\n\u003cp>“There are very few patients under 19 who receive surgery, but for those who do, this is very essential health care,” she said.\u003c/p>\n\u003cp>A \u003ca href=\"https://hsph.harvard.edu/news/gender-affirming-surgeries-rarely-performed-on-transgender-youth/\">recent study\u003c/a> from researchers at Harvard’s T.H. Chan School of Public Health found little to no utilization of gender-affirming surgeries by transgender and gender diverse minors in the U.S., with a rate of two in 100,000 15- to 17-year-olds undergoing gender-affirming breast reduction surgeries in 2019. The study found that 0.1 in 100,000 13- and 14-year-olds received the procedure, and no trans children under 12 did.\u003c/p>\n\u003cp>Cisgender minors, on the other hand, received surgical gender-affirming care at “substantially” higher rates.\u003c/p>\n\u003cp>Advocates plan to rally outside Kaiser’s Medical Center at 2425 Geary Blvd. on Friday at 4 p.m.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/nnavarro\">\u003cem>Natalia Navarro\u003c/em>\u003c/a>\u003cem> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Calder Storm doesn’t know where to turn for gender-affirming care for his 16-year-old daughter.\u003c/p>\n\u003cp>After Palo Alto-based Stanford Medicine \u003ca href=\"https://www.kqed.org/science/1997491/stanford-scales-back-trans-care-for-minors-amid-federal-crackdown\">stopped offering gender-related surgical procedures\u003c/a> for minors last month, he planned to enroll her as a\u003ca href=\"https://www.kqed.org/news/tag/kaiser-permanente\"> patient at Kaiser Permanente \u003c/a>— widely regarded as a bastion of trans health care.\u003c/p>\n\u003cp>But on Wednesday, the health care giant announced that it would follow suit, pausing gender-affirming surgeries for patients under 19.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Kaiser was supposed to be our safe haven,” Storm told KQED on Wednesday. “Everyone in the trans community thought we had the best chance possible within the Kaiser system. And furthermore, we thought we had the best chance in the Northern California Kaiser system.”\u003c/p>\n\u003cp>Oakland-based Kaiser Permanente, which serves more than 12 million people across eight states, said Wednesday it would stop offering surgical gender-affirming treatments for trans minors next month, citing “significant risks” created by the current legal and regulatory environment surrounding care for transgender children.\u003c/p>\n\u003cp>“Since January, there has been significant focus by the federal government on gender-affirming care, specifically for patients under the age of 19,” the health care provider said in a statement, citing a \u003ca href=\"https://www.whitehouse.gov/presidential-actions/2025/01/protecting-children-from-chemical-and-surgical-mutilation/\">January executive order\u003c/a> from President Donald Trump threatening funding for medical centers that provide such care, changes to insurance coverage and ongoing federal investigations.\u003c/p>\n\u003cfigure id=\"attachment_12023855\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12023855\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/0M6A0870_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A demonstrator proudly waves a transgender pride flag during Pride Month in San Francisco, California, on June 28, 2019. \u003ccite>(Sruti Mamidanna/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Earlier this month, the\u003ca href=\"https://www.justice.gov/opa/pr/department-justice-subpoenas-doctors-and-clinics-involved-performing-transgender-medical\"> Department of Justice subpoenaed\u003c/a> more than 20 doctors and clinics that perform gender-affirming procedures on minors.\u003c/p>\n\u003cp>“We recognize that this is an extremely challenging and stressful time for our patients seeking care, as well as for our clinicians whose mission is to care for them,” the statement continued.\u003c/p>\n\u003cp>Kaiser joins a growing list of health care providers moving to limit care for trans youth under building pressure from the Trump administration. In June, Stanford’s \u003ca href=\"https://www.kqed.org/science/1997491/stanford-scales-back-trans-care-for-minors-amid-federal-crackdown\">pause of gender-affirming surgeries\u003c/a> included prescribing puberty blockers to youth, Storm said. And just this week, Los Angeles Children’s Hospital closed its \u003ca href=\"https://www.kqed.org/news/12049310/childrens-hospital-los-angeles-ends-transgender-care\">Center for Transyouth Health and Development\u003c/a>, which has been a leader in gender-affirming care for the last 30 years.\u003c/p>\n\u003cp>Storm thought Kaiser would be different, since the closed health care system doesn’t rely on federal research funding like Stanford, L.A. Children’s and many others do. And just months ago, California Attorney General Rob Bonta \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-reminds-hospitals-and-clinics-anti-discrimination-laws\">preemptively warned the state’s health care providers\u003c/a> that capitulating to political pressure and pausing gender-affirming care would violate state law.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>But Lady Rainsard, a registered nurse in plastic surgery at Kaiser’s San Francisco campus, said that’s exactly what the health care system is doing.\u003c/p>\n\u003cp>“Medical providers, not politicians, know what’s best for our patients,” she said in a statement from California Nurses Association, a union representing 25,000 Kaiser nurses. “Right now, we deem it a much greater risk to cave to this kind of government overreach than it is to provide this care to our patients, no matter their age.”\u003c/p>\n\u003cp>Kaiser medical centers will continue to offer non-surgical care for minors and all gender-affirming care for trans adults.\u003c/p>\n\u003cp>According to State Sen. Scott Wiener, D-San Francisco, refusing to offer these procedures for young people is a step towards Trump’s goal to eliminate all trans health care.\u003c/p>\n\u003cp>“It’s important for us not to just cave in to Donald Trump’s bullying,” he told KQED on Wednesday. “It’s hard and it’s scary, but this is how fascists succeed — when institutions start backing down.”\u003c/p>\n\u003cp>Wiener said the next step for the state’s politicians will be to put pressure on Bonta’s office to enforce California law, which bars hospitals from refusing to provide health care to trans people.\u003c/p>\n\u003cfigure id=\"attachment_12043149\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12043149\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/HarveyMilkFolo2.jpg\" alt=\"\" width=\"2000\" height=\"1500\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/HarveyMilkFolo2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/HarveyMilkFolo2-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/06/HarveyMilkFolo2-1536x1152.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Sen. Scott Wiener speaks at a press conference at Jane Warner Plaza in San Francisco on June 6, 2025. \u003ccite>(Samantha Kennedy/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I don’t want the state to have to fight with Kaiser or with Stanford or with any of our great health systems, but we have to enforce the law,” he said. “California should be a safe place for trans people and LGBTQ people generally, and this is not what should be happening.”\u003c/p>\n\u003cp>Amy Whelan, a senior staff attorney with the National Center for LGBTQ Rights, said the organization is in close contact with families of patients affected by the Stanford and Los Angeles Children’s Hospital policy changes and working on the issue.\u003c/p>\n\u003cp>“There are very few patients under 19 who receive surgery, but for those who do, this is very essential health care,” she said.\u003c/p>\n\u003cp>A \u003ca href=\"https://hsph.harvard.edu/news/gender-affirming-surgeries-rarely-performed-on-transgender-youth/\">recent study\u003c/a> from researchers at Harvard’s T.H. Chan School of Public Health found little to no utilization of gender-affirming surgeries by transgender and gender diverse minors in the U.S., with a rate of two in 100,000 15- to 17-year-olds undergoing gender-affirming breast reduction surgeries in 2019. The study found that 0.1 in 100,000 13- and 14-year-olds received the procedure, and no trans children under 12 did.\u003c/p>\n\u003cp>Cisgender minors, on the other hand, received surgical gender-affirming care at “substantially” higher rates.\u003c/p>\n\u003cp>Advocates plan to rally outside Kaiser’s Medical Center at 2425 Geary Blvd. on Friday at 4 p.m.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/nnavarro\">\u003cem>Natalia Navarro\u003c/em>\u003c/a>\u003cem> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>As the use of artificial intelligence proliferates in the health care industry, Bay Area unionized nurses call for greater transparency and say in how the technologies are deployed to minimize risks to patients.\u003c/p>\n\u003cp>At a protest on Monday outside of Kaiser Permanente’s San Francisco Medical Center, many in the estimated crowd of about 200 members of the California Nurses Association held red signs that read “Patients are not algorithms” and “Trust nurses, not AI.”\u003c/p>\n\u003cp>“All health care corporations need to make sure that the technology is tested, it’s valid, and it’s not harmful to patients,” said Michelle Gutierrez Vo, a president at CNA, representing 24,000 nurses at Kaiser Permanente. “And before they deploy it, they need to sit down with nurses so that the nurses can review and make sure it’s congruent with patient safety.”\u003c/p>\n\u003cfigure id=\"attachment_11983730\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11983730\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-scaled.jpg\" alt=\"A woman wearing sun glasses and a red shirt holds a microphone in front of people while she stands behind a podium with a red sign in the background.\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-2048x1366.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-1920x1280.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Michelle Gutierrez Vo, a registered nurse at Kaiser Permanente Medical Center in Fremont and a California Nurses Association president, speaks during a rally alongside fellow nurses from across California at Kaiser Permanente on Geary Blvd in San Francisco on April 22, 2024, to advocate for patient safety in the face of artificial intelligence technology. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Gutierrez Vo and other nurses worry that without proper oversight and accountability, health care employers will use AI to replace nurses and other medical professionals for profit, to the detriment of patient care. The nurses are calling for health care organizations to hit pause on the rollout of new AI technologies.\u003c/p>\n\u003cp>This comes as state and federal regulators race to catch up with the explosive growth of generative AI tools, which experts say also have great potential to improve health care delivery.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[aside postID=\"news_11976097,news_11980719,news_11982218\" label=\"Related Stories\"]Kaiser Permanente, one of the largest employers in San Francisco, Alameda and other Bay Area counties, has been an early adopter of AI. Company officials \u003ca href=\"https://about.kaiserpermanente.org/news/fostering-responsible-ai-in-health-care\">have said\u003c/a> they rigorously test the tools they use for safety, accuracy and equity.\u003c/p>\n\u003cp>“Our physicians and care teams are always at the center of decision-making with our patients,” a Kaiser Permanente statement said in response to a KQED request for comment. “We believe that AI may be able to help our physicians and employees and enhance our members’ experience. As an organization dedicated to inclusiveness and health equity, we ensure the results from AI tools are correct and unbiased; AI does not replace human assessment.”\u003c/p>\n\u003cp>One program in use at 21 Kaiser hospitals in Northern California is the Advance Alert Monitor, which analyzes electronic health data to notify a nursing team when a patient’s health is at risk of serious decline. The program saves about 500 lives per year, according to the company.\u003c/p>\n\u003cfigure id=\"attachment_11983733\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11983733\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-scaled.jpg\" alt='Many people dressed in scrubs hold red signs that say \"Trust Nurses Not AI\" in the street.' width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-2048x1366.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-1920x1280.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Nurses from across California rally at Kaiser Permanente on Geary Blvd in San Francisco on April 22, 2024, to advocate for patient safety in the face of artificial intelligence technology. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But Gutierrez Vo said nurses have flagged problems with the tool, such as producing inaccurate alarms or failing to detect all patients whose health is quickly deteriorating.\u003c/p>\n\u003cp>“There’s just so much buzz right now that this is the future of health care. These health care corporations are using this as a shortcut, as a way to handle patient load. And we’re saying ‘No. You cannot do that without making sure these systems are safe,’” said Gutierrez Vo, a nurse with 25 years of experience at the company’s Fremont Adult Family Medicine clinic. “Our patients are not lab rats.”\u003c/p>\n\u003cp>The U.S. Food and Drug Administration has authorized some AI-generated services before they go to market, but mostly \u003ca href=\"https://www.politico.com/news/2023/10/28/ai-doctors-healthcare-regulation-00124051\">without the comprehensive data\u003c/a> required for new medicines. Last fall, President Joe Biden issued an \u003ca class=\"c-link\" href=\"https://www.whitehouse.gov/briefing-room/presidential-actions/2023/10/30/executive-order-on-the-safe-secure-and-trustworthy-development-and-use-of-artificial-intelligence/\" target=\"_blank\" rel=\"noopener noreferrer\" data-stringify-link=\"https://www.whitehouse.gov/briefing-room/presidential-actions/2023/10/30/executive-order-on-the-safe-secure-and-trustworthy-development-and-use-of-artificial-intelligence/\" data-sk=\"tooltip_parent\">executive order\u003c/a> on the safe use of AI, which includes a directive to develop policies for AI-enabled technologies in health services that promote “the welfare of patients and workers.”\u003c/p>\n\u003cp>“It’s very good to have open discussions because the technology is moving at such a fast pace, and everyone is at a different level of understanding of what it can do and [what] it is,” said Dr. Ashish Atreja, Chief Information and Digital Health Officer at UC Davis Health. “Many health systems and organizations do have guardrails in place, but perhaps they haven’t been shared that widely. That’s why there’s a knowledge gap.”\u003c/p>\n\u003cfigure id=\"attachment_11983727\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11983727\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-scaled.jpg\" alt=\"A woman wearing sun glasses and a red shirt stands in a crowd with red signs in the background.\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-2048x1366.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-1920x1280.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sandra Larkin listens to speakers alongside fellow nurses from across California during a rally at Kaiser Permanente on Geary Blvd in San Francisco on April 22, 2024, to advocate for patient safety in the face of artificial intelligence technology. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>UC Davis Health is part of a \u003ca href=\"https://health.ucdavis.edu/news/headlines/uc-davis-health-and-leading-health-systems-launch-valid-ai/2023/10\">collaboration\u003c/a> with other health systems to implement generative and other types of AI with what Atreja referred to as “intentionality” to support their workforce and improve patient care.\u003c/p>\n\u003cp>“We have this mission that no patient, no clinician, no researcher, no employee gets left behind in getting advantage from the latest technologies,” Atreja said.\u003c/p>\n\u003cp>Dr. Robert Pearl, a lecturer at the Stanford Graduate Business School and a former CEO of The Permanente Medical Group (Kaiser Permanente), told KQED he agreed with the nurses’ concerns about the use of AI at their workplace.\u003c/p>\n\u003cp>“Generative AI is a threatening technology but also a positive one. What is the best for the patient? That has to be the number one concern,” said Pearl, author of “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine,” which he said he co-wrote with the AI system.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I’m optimistic about what it can do for patients,” he said. “I often tell people that generative AI is like the iPhone. It’s not going away.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As the use of artificial intelligence proliferates in the health care industry, Bay Area unionized nurses call for greater transparency and say in how the technologies are deployed to minimize risks to patients.\u003c/p>\n\u003cp>At a protest on Monday outside of Kaiser Permanente’s San Francisco Medical Center, many in the estimated crowd of about 200 members of the California Nurses Association held red signs that read “Patients are not algorithms” and “Trust nurses, not AI.”\u003c/p>\n\u003cp>“All health care corporations need to make sure that the technology is tested, it’s valid, and it’s not harmful to patients,” said Michelle Gutierrez Vo, a president at CNA, representing 24,000 nurses at Kaiser Permanente. “And before they deploy it, they need to sit down with nurses so that the nurses can review and make sure it’s congruent with patient safety.”\u003c/p>\n\u003cfigure id=\"attachment_11983730\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11983730\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-scaled.jpg\" alt=\"A woman wearing sun glasses and a red shirt holds a microphone in front of people while she stands behind a podium with a red sign in the background.\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-2048x1366.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-1920x1280.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Michelle Gutierrez Vo, a registered nurse at Kaiser Permanente Medical Center in Fremont and a California Nurses Association president, speaks during a rally alongside fellow nurses from across California at Kaiser Permanente on Geary Blvd in San Francisco on April 22, 2024, to advocate for patient safety in the face of artificial intelligence technology. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Gutierrez Vo and other nurses worry that without proper oversight and accountability, health care employers will use AI to replace nurses and other medical professionals for profit, to the detriment of patient care. The nurses are calling for health care organizations to hit pause on the rollout of new AI technologies.\u003c/p>\n\u003cp>This comes as state and federal regulators race to catch up with the explosive growth of generative AI tools, which experts say also have great potential to improve health care delivery.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Kaiser Permanente, one of the largest employers in San Francisco, Alameda and other Bay Area counties, has been an early adopter of AI. Company officials \u003ca href=\"https://about.kaiserpermanente.org/news/fostering-responsible-ai-in-health-care\">have said\u003c/a> they rigorously test the tools they use for safety, accuracy and equity.\u003c/p>\n\u003cp>“Our physicians and care teams are always at the center of decision-making with our patients,” a Kaiser Permanente statement said in response to a KQED request for comment. “We believe that AI may be able to help our physicians and employees and enhance our members’ experience. As an organization dedicated to inclusiveness and health equity, we ensure the results from AI tools are correct and unbiased; AI does not replace human assessment.”\u003c/p>\n\u003cp>One program in use at 21 Kaiser hospitals in Northern California is the Advance Alert Monitor, which analyzes electronic health data to notify a nursing team when a patient’s health is at risk of serious decline. The program saves about 500 lives per year, according to the company.\u003c/p>\n\u003cfigure id=\"attachment_11983733\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11983733\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-scaled.jpg\" alt='Many people dressed in scrubs hold red signs that say \"Trust Nurses Not AI\" in the street.' width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-2048x1366.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-1920x1280.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Nurses from across California rally at Kaiser Permanente on Geary Blvd in San Francisco on April 22, 2024, to advocate for patient safety in the face of artificial intelligence technology. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But Gutierrez Vo said nurses have flagged problems with the tool, such as producing inaccurate alarms or failing to detect all patients whose health is quickly deteriorating.\u003c/p>\n\u003cp>“There’s just so much buzz right now that this is the future of health care. These health care corporations are using this as a shortcut, as a way to handle patient load. And we’re saying ‘No. You cannot do that without making sure these systems are safe,’” said Gutierrez Vo, a nurse with 25 years of experience at the company’s Fremont Adult Family Medicine clinic. “Our patients are not lab rats.”\u003c/p>\n\u003cp>The U.S. Food and Drug Administration has authorized some AI-generated services before they go to market, but mostly \u003ca href=\"https://www.politico.com/news/2023/10/28/ai-doctors-healthcare-regulation-00124051\">without the comprehensive data\u003c/a> required for new medicines. Last fall, President Joe Biden issued an \u003ca class=\"c-link\" href=\"https://www.whitehouse.gov/briefing-room/presidential-actions/2023/10/30/executive-order-on-the-safe-secure-and-trustworthy-development-and-use-of-artificial-intelligence/\" target=\"_blank\" rel=\"noopener noreferrer\" data-stringify-link=\"https://www.whitehouse.gov/briefing-room/presidential-actions/2023/10/30/executive-order-on-the-safe-secure-and-trustworthy-development-and-use-of-artificial-intelligence/\" data-sk=\"tooltip_parent\">executive order\u003c/a> on the safe use of AI, which includes a directive to develop policies for AI-enabled technologies in health services that promote “the welfare of patients and workers.”\u003c/p>\n\u003cp>“It’s very good to have open discussions because the technology is moving at such a fast pace, and everyone is at a different level of understanding of what it can do and [what] it is,” said Dr. Ashish Atreja, Chief Information and Digital Health Officer at UC Davis Health. “Many health systems and organizations do have guardrails in place, but perhaps they haven’t been shared that widely. That’s why there’s a knowledge gap.”\u003c/p>\n\u003cfigure id=\"attachment_11983727\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11983727\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-scaled.jpg\" alt=\"A woman wearing sun glasses and a red shirt stands in a crowd with red signs in the background.\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-2048x1366.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-1920x1280.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sandra Larkin listens to speakers alongside fellow nurses from across California during a rally at Kaiser Permanente on Geary Blvd in San Francisco on April 22, 2024, to advocate for patient safety in the face of artificial intelligence technology. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>UC Davis Health is part of a \u003ca href=\"https://health.ucdavis.edu/news/headlines/uc-davis-health-and-leading-health-systems-launch-valid-ai/2023/10\">collaboration\u003c/a> with other health systems to implement generative and other types of AI with what Atreja referred to as “intentionality” to support their workforce and improve patient care.\u003c/p>\n\u003cp>“We have this mission that no patient, no clinician, no researcher, no employee gets left behind in getting advantage from the latest technologies,” Atreja said.\u003c/p>\n\u003cp>Dr. Robert Pearl, a lecturer at the Stanford Graduate Business School and a former CEO of The Permanente Medical Group (Kaiser Permanente), told KQED he agreed with the nurses’ concerns about the use of AI at their workplace.\u003c/p>\n\u003cp>“Generative AI is a threatening technology but also a positive one. What is the best for the patient? That has to be the number one concern,” said Pearl, author of “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine,” which he said he co-wrote with the AI system.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I’m optimistic about what it can do for patients,” he said. “I often tell people that generative AI is like the iPhone. It’s not going away.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Three years ago, California leaders passed legislation that promised \u003ca href=\"https://calmatters.org/health/2020/08/california-leader-mental-health/\">the most dramatic expansion \u003c/a>of mental health and addiction care coverage in decades.\u003c/p>\n\u003cp>As the state’s residents struggled with the stress and trauma of a raging pandemic and a record wildfire season, mental health advocates used words like “groundbreaking” to describe the new law. Finally, they said, California was poised to become a national leader in mental health.\u003c/p>\n\u003cp>Their optimism about that law, Senate Bill 855, has been fraying ever since. Advocates say health plans routinely fail to ensure enough mental health providers accept their coverage, making patients wait too long before being seen.\u003c/p>\n\u003cp>Case in point: Last week, the Department of Managed Health Care unveiled news of a historic $200 million settlement with Kaiser Permanente for failing to provide patients with\u003ca href=\"https://calmatters.org/health/2023/10/kaiser-permanente-california-behavioral-health-settlement/\"> timely mental health appointments\u003c/a>, among other issues.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Such issues will take center stage on Wednesday at a \u003ca href=\"https://www.senate.ca.gov/mental-health-and-addiction\">special oversight hearing\u003c/a> of the Senate Select Committee on Mental Health and Addiction.\u003c/p>\n\u003cp>Democratic state Sen. Scott Wiener of San Francisco, chair of the committee and author of the California Mental Health Parity Act, says he shares many of the mental health advocates’ concerns. [pullquote size=\"medium\" align=\"right\" citation=\"Sen. Scott Wiener, D-San Francisco\"]‘We know the plans have a long history of finding ways not to cover mental health treatment. The whole purpose of this law is to put an end to that.’[/pullquote] “We know the plans have a long history of finding ways not to cover mental health treatment,” he told CalMatters. “The whole purpose of this law is to put an end to that.”\u003c/p>\n\u003cp>Before the passage of the 2020 law, the state only required health plans to cover medically necessary treatment of nine serious mental illnesses. For years, mental health advocates have tried and failed to \u003ca href=\"https://calmatters.org/projects/california-mental-health-care-parity/\">expand that list\u003c/a>. With Wiener’s law, they were finally triumphant.\u003c/p>\n\u003cp>Beginning in January 2021, the state has required plans to pay for treatment of a much more extensive array of mental health issues, along with substance use disorder and addiction. This state law is separate from a \u003ca href=\"https://www.apa.org/topics/managed-care-insurance/parity-law-resources\">federal mental health parity\u003c/a> law passed in 2008. The concept of “parity” refers to requiring insurers to treat mental and physical health conditions equally.\u003c/p>\n\u003cp>Health plans say they “have been diligently working in good faith” to comply with these laws while facing industry-wide challenges like workforce shortages. They say they are navigating guidelines that are ambiguous and uneven while waiting for the Department of Managed Health Care to finalize regulations.\u003c/p>\n\u003cp>“This creates a situation of moving goalposts for plans, providers, and our enrollees,” said Mary Ellen Grant, spokesperson for the California Association of Health Plans, in an email.\u003c/p>\n\u003ch2>Mental health parity investigations\u003c/h2>\n\u003cp>Mental health advocates have also long criticized the Department of Managed Health Care, which oversees health plans in the state that receive monthly fees to provide health care for their members. And they, too, are concerned that it’s taking so long for the official rules to be decided.\u003c/p>\n\u003cp>This summer, more than a dozen advocacy groups signed a letter of concern to the department, questioning its commitment to enforcing some aspects of\u003ca href=\"https://steinberginstitute.org/wp-content/uploads/2023/08/Comments-to-DMHC-on-BH-Investigations_DRAFT.pdf\"> the new state parity law\u003c/a>. The organizations want the department to publish and publicize its investigations.\u003c/p>\n\u003cp>“It’s still a relatively secret process,” said Lauren Finke, a policy director at The Kennedy Forum, a national organization that cosponsored California’s parity legislation.\u003c/p>\n\u003cfigure id=\"attachment_11964805\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11964805\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-800x533.jpg\" alt=\"Kaiser workers on strike in front of a building.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Kaiser workers strike in front of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 2, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Department of Managed Health Care declined to make anyone available to speak with CalMatters until later this fall. In an email, a representative said the department “is committed to ensuring enrollees have appropriate access to behavioral health care when they need it.”\u003c/p>\n\u003cp>In response to advocates’ critiques that the department isn’t adequately analyzing and publicizing how well plans are complying with state parity law, the department said in a statement that it is evaluating health plans’ compliance in other ways; including that analysis in the behavioral health investigations would slow them down too much, the statement said. [pullquote size=\"medium\" align=\"right\" citation=\"Meiram Bendat, attorney and psychotherapist, Santa Barbara\"]‘The historic network inadequacy around the state and the lack of meaningful fines, that’s a real failure on the part of the department.’[/pullquote] Meiram Bendat, a Santa Barbara attorney and psychotherapist who focuses on mental health parity, says that the three-year-old state law has improved patients’ ability to receive mental health care by creating a uniform definition of what is considered “medically necessary.”\u003c/p>\n\u003cp>But when it comes to ensuring that health plans maintain adequate provider networks, he said, the department is “failing miserably.” Too often, plans offer their members only outdated lists of providers who then prove to be unavailable, Bendat said. The Department of Managed Health Care hasn’t adequately held plans accountable for this and other problematic practices, he said.\u003c/p>\n\u003cp>“The historic network inadequacy around the state and the lack of meaningful fines, that’s a real failure on the part of the department,” he said.\u003c/p>\n\u003ch2>Kaiser mental health settlement\u003c/h2>\n\u003cp>Finke, of The Kennedy Forum, called the Kaiser settlement “long overdue” and “a very important first step in the Department holding plans more accountable for their performance [or lack thereof].” The settlement includes a $50 million fine and corrective action plan as well as a commitment by Kaiser to invest an additional $150 million over five years to improve behavioral health services. [aside label='More on Around California' tag='california-law'] But Finke and others also said the settlement itself provides evidence of the department’s failures to enforce a previous \u003ca href=\"https://wpso.dmhc.ca.gov/enfactions/docs/2895/1500394196511.pdf\">settlement agreement\u003c/a> with Kaiser from 2017.\u003c/p>\n\u003cp>“Will DMHC do its job going forward? That’s the big question,” asked Fred Seavey, research director for the National Union of Healthcare Workers. The union represents 2,000 Kaiser mental health workers in Northern California who undertook a 10-week strike last year over heavy clinician workloads and long wait times for appointments.\u003c/p>\n\u003cp>He said he wrote complaints to the Department of Managed Health Care earlier this year, saying that Kaiser in Southern California has been illegally restricting the scope of behavioral health services.\u003c/p>\n\u003cp>Kaiser said, in an emailed statement, that “any accusation that we intentionally limit or restrict needed care is untrue.”\u003c/p>\n\u003cp>Southern California Kaiser members receive a wide range of behavioral health clinical offerings, the statement said. Despite a statewide shortage of clinicians, Kaiser is “doing all that we can” to expand its network of mental health providers.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Three years ago, California leaders passed legislation that promised \u003ca href=\"https://calmatters.org/health/2020/08/california-leader-mental-health/\">the most dramatic expansion \u003c/a>of mental health and addiction care coverage in decades.\u003c/p>\n\u003cp>As the state’s residents struggled with the stress and trauma of a raging pandemic and a record wildfire season, mental health advocates used words like “groundbreaking” to describe the new law. Finally, they said, California was poised to become a national leader in mental health.\u003c/p>\n\u003cp>Their optimism about that law, Senate Bill 855, has been fraying ever since. Advocates say health plans routinely fail to ensure enough mental health providers accept their coverage, making patients wait too long before being seen.\u003c/p>\n\u003cp>Case in point: Last week, the Department of Managed Health Care unveiled news of a historic $200 million settlement with Kaiser Permanente for failing to provide patients with\u003ca href=\"https://calmatters.org/health/2023/10/kaiser-permanente-california-behavioral-health-settlement/\"> timely mental health appointments\u003c/a>, among other issues.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Such issues will take center stage on Wednesday at a \u003ca href=\"https://www.senate.ca.gov/mental-health-and-addiction\">special oversight hearing\u003c/a> of the Senate Select Committee on Mental Health and Addiction.\u003c/p>\n\u003cp>Democratic state Sen. Scott Wiener of San Francisco, chair of the committee and author of the California Mental Health Parity Act, says he shares many of the mental health advocates’ concerns. \u003c/p>\u003c/div>",
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"content": "‘We know the plans have a long history of finding ways not to cover mental health treatment. The whole purpose of this law is to put an end to that.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp> “We know the plans have a long history of finding ways not to cover mental health treatment,” he told CalMatters. “The whole purpose of this law is to put an end to that.”\u003c/p>\n\u003cp>Before the passage of the 2020 law, the state only required health plans to cover medically necessary treatment of nine serious mental illnesses. For years, mental health advocates have tried and failed to \u003ca href=\"https://calmatters.org/projects/california-mental-health-care-parity/\">expand that list\u003c/a>. With Wiener’s law, they were finally triumphant.\u003c/p>\n\u003cp>Beginning in January 2021, the state has required plans to pay for treatment of a much more extensive array of mental health issues, along with substance use disorder and addiction. This state law is separate from a \u003ca href=\"https://www.apa.org/topics/managed-care-insurance/parity-law-resources\">federal mental health parity\u003c/a> law passed in 2008. The concept of “parity” refers to requiring insurers to treat mental and physical health conditions equally.\u003c/p>\n\u003cp>Health plans say they “have been diligently working in good faith” to comply with these laws while facing industry-wide challenges like workforce shortages. They say they are navigating guidelines that are ambiguous and uneven while waiting for the Department of Managed Health Care to finalize regulations.\u003c/p>\n\u003cp>“This creates a situation of moving goalposts for plans, providers, and our enrollees,” said Mary Ellen Grant, spokesperson for the California Association of Health Plans, in an email.\u003c/p>\n\u003ch2>Mental health parity investigations\u003c/h2>\n\u003cp>Mental health advocates have also long criticized the Department of Managed Health Care, which oversees health plans in the state that receive monthly fees to provide health care for their members. And they, too, are concerned that it’s taking so long for the official rules to be decided.\u003c/p>\n\u003cp>This summer, more than a dozen advocacy groups signed a letter of concern to the department, questioning its commitment to enforcing some aspects of\u003ca href=\"https://steinberginstitute.org/wp-content/uploads/2023/08/Comments-to-DMHC-on-BH-Investigations_DRAFT.pdf\"> the new state parity law\u003c/a>. The organizations want the department to publish and publicize its investigations.\u003c/p>\n\u003cp>“It’s still a relatively secret process,” said Lauren Finke, a policy director at The Kennedy Forum, a national organization that cosponsored California’s parity legislation.\u003c/p>\n\u003cfigure id=\"attachment_11964805\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11964805\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-800x533.jpg\" alt=\"Kaiser workers on strike in front of a building.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Kaiser workers strike in front of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 2, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Department of Managed Health Care declined to make anyone available to speak with CalMatters until later this fall. In an email, a representative said the department “is committed to ensuring enrollees have appropriate access to behavioral health care when they need it.”\u003c/p>\n\u003cp>In response to advocates’ critiques that the department isn’t adequately analyzing and publicizing how well plans are complying with state parity law, the department said in a statement that it is evaluating health plans’ compliance in other ways; including that analysis in the behavioral health investigations would slow them down too much, the statement said. \u003c/p>\u003c/div>",
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"content": "‘The historic network inadequacy around the state and the lack of meaningful fines, that’s a real failure on the part of the department.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp> Meiram Bendat, a Santa Barbara attorney and psychotherapist who focuses on mental health parity, says that the three-year-old state law has improved patients’ ability to receive mental health care by creating a uniform definition of what is considered “medically necessary.”\u003c/p>\n\u003cp>But when it comes to ensuring that health plans maintain adequate provider networks, he said, the department is “failing miserably.” Too often, plans offer their members only outdated lists of providers who then prove to be unavailable, Bendat said. The Department of Managed Health Care hasn’t adequately held plans accountable for this and other problematic practices, he said.\u003c/p>\n\u003cp>“The historic network inadequacy around the state and the lack of meaningful fines, that’s a real failure on the part of the department,” he said.\u003c/p>\n\u003ch2>Kaiser mental health settlement\u003c/h2>\n\u003cp>Finke, of The Kennedy Forum, called the Kaiser settlement “long overdue” and “a very important first step in the Department holding plans more accountable for their performance [or lack thereof].” The settlement includes a $50 million fine and corrective action plan as well as a commitment by Kaiser to invest an additional $150 million over five years to improve behavioral health services. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> But Finke and others also said the settlement itself provides evidence of the department’s failures to enforce a previous \u003ca href=\"https://wpso.dmhc.ca.gov/enfactions/docs/2895/1500394196511.pdf\">settlement agreement\u003c/a> with Kaiser from 2017.\u003c/p>\n\u003cp>“Will DMHC do its job going forward? That’s the big question,” asked Fred Seavey, research director for the National Union of Healthcare Workers. The union represents 2,000 Kaiser mental health workers in Northern California who undertook a 10-week strike last year over heavy clinician workloads and long wait times for appointments.\u003c/p>\n\u003cp>He said he wrote complaints to the Department of Managed Health Care earlier this year, saying that Kaiser in Southern California has been illegally restricting the scope of behavioral health services.\u003c/p>\n\u003cp>Kaiser said, in an emailed statement, that “any accusation that we intentionally limit or restrict needed care is untrue.”\u003c/p>\n\u003cp>Southern California Kaiser members receive a wide range of behavioral health clinical offerings, the statement said. Despite a statewide shortage of clinicians, Kaiser is “doing all that we can” to expand its network of mental health providers.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"info": "Chris Thile steps to the mic as the host of Live from Here (formerly A Prairie Home Companion), a live public radio variety show. Download Chris’s Song of the Week plus other highlights from the broadcast. Produced by American Public Media.",
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"soldout": {
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"title": "SOLD OUT: Rethinking Housing in America",
"tagline": "A new future for housing",
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"title": "TED Radio Hour",
"info": "The TED Radio Hour is a journey through fascinating ideas, astonishing inventions, fresh approaches to old problems, and new ways to think and create.",
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