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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/kaiser-permanente\">Kaiser Permanente\u003c/a> employees picketed outside several Bay Area locations on Tuesday, joining tens of thousands across multiple states in kicking off a planned \u003ca href=\"https://www.kqed.org/news/12059551/california-kaiser-health-care-workers-reaching-breaking-point-set-to-strike-next-week\">five-day strike\u003c/a> at the nonprofit health care organization.\u003c/p>\n\u003cp>Up to 46,000 workers represented by an alliance of unions plan to join picket lines throughout the week, demanding higher wages and increased staffing levels. The work stoppage, which is expected to end Sunday morning, could disrupt operations at hospitals, clinics and medical offices in California, Hawaii and Oregon.\u003c/p>\n\u003cp>The workers say soaring inflation has outpaced their wages, hurting retention rates and patient care.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We’re just wanting better patient care, better patient access. Also, we’re asking for [them to] pay us fairly,” said Lore Vanden Heuvel, a physical therapist based in Antioch.\u003c/p>\n\u003cp>Kaiser, which said it has already offered a “generous” wage hike, has been negotiating a new national contract since May with the Alliance of Healthcare Unions, a network of 23 unions that represent nearly 61,000 Kaiser employees. Some affiliated unions, including in the Bay Area, have been bargaining with the employer for longer, though not all of the unions involved in the ongoing contract negotiations are striking.\u003c/p>\n\u003cfigure id=\"attachment_12059851\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12059851\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-07-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-07-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-07-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-07-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Lore Vandenheuvel and other workers strike outside of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 14, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“The strike is designed to disrupt the lives of our patients — the very people we are all here to serve,” Kaiser \u003ca href=\"https://about.kaiserpermanente.org/who-we-are/labor-relations/alliance-national-bargaining/media-statements/our-statement-on-the-alliance-of-health-care-unions-strike\">said in a statement on Monday\u003c/a>, adding that the Oakland-based organization is prepared to maintain services for its patients, including about 8 million in California, by onboarding thousands of temporary nurses, clinicians and staff and reassigning others who have volunteered to work at strike locations.\u003c/p>\n\u003cp>Kaiser hospitals and most medical offices will remain open, but some appointments are being shifted to virtual settings. Certain elective surgeries and procedures could be rescheduled.\u003c/p>\n\u003cp>“For months, we’ve been preparing contingency plans to ensure our members will continue to receive safe, high-quality care,” Kaiser said. “We remain committed to an agreement that balances fair pay with affordable care.”[aside postID=news_12059551 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-29-BL-1020x680.jpg']Compensation has been a major sticking point in the negotiations between the Alliance of Healthcare Unions and Kaiser.\u003c/p>\n\u003cp>The alliance in May proposed a 38% wage increase over four years, though it has since lowered its ask to 25%. Kaiser’s most recent offer includes a 21.5% raise over four years, which it said builds on an already competitive pay scale. The proposal would improve health plans and retiree benefits for employees, according to Lionel Sims, the vice president of human resources for Kaiser Permanente in Northern California.\u003c/p>\n\u003cp>But union leaders say Kaiser’s offer does not sufficiently compensate for the much smaller raises workers agreed to during the COVID-19 pandemic, when Kaiser said it was struggling financially.\u003c/p>\n\u003cp>At the same time, Kaiser negotiated higher raises with other unions, according to Brian Mason, the representation director for one of the striking unions, the United Nurses Associations of California/Union of Health Care Professionals.\u003c/p>\n\u003cp>UNAC/UHCP, which represents about 31,000 registered nurses, pharmacists, physician assistants and other health care professionals largely based in California, said its members need larger pay bumps to catch up.\u003c/p>\n\u003cfigure id=\"attachment_12059848\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12059848\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-04-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-04-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-04-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-04-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Workers strike outside of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 14, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“They left us behind,” Mason said. “Now it’s our time. These are health care professionals who come to work every day who are committed to their patients and they’re out fighting for what they deserve.”\u003c/p>\n\u003cp>The alliance is also concerned that Kaiser’s proposal would actually cut some health benefits and pensions for some groups of workers, including physicians assistants, nurse anesthetists and midwives.\u003c/p>\n\u003cp>Without a significant increase in compensation, the unions said, Kaiser medical centers will continue to be understaffed.\u003c/p>\n\u003cp>“We’re lacking staffing left and right in all different disciplines and inpatient and outpatient everywhere,” Vanden Heuvel told KQED.\u003c/p>\n\u003cp>Jeff Cathcart, a certified registered nurse anesthetist who has been with Kaiser for 20 years, said that anesthetists have been bargaining for a contract for most of the two years since they unionized. In that time, they’ve lost more than 100 of their 400 CRNAs, he added.\u003c/p>\n\u003cp>“They’re leaving for better working conditions, an average increase in pay of about 25%,” Cathcart said. “When we have that problem with retention and recruitment, that leads to access to care issues for our patients. And that’s really what we’re out here fighting for.”\u003c/p>\n\u003cfigure id=\"attachment_12059850\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12059850\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-06-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-06-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-06-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-06-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Arezou Mansourian leads workers in chanting as they strike outside of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 14, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The short staffing is leading to burnout and hurting patient care by delaying appointment wait times, said Arezou Mansourian, who has worked as a physician assistant in orthopedics at Kaiser in Walnut Creek, Dublin and Antioch for 16 years.\u003c/p>\n\u003cp>“If you break your wrist, you’re going to have to wait one to two weeks to see us,” she told KQED. “Things like dermatology have six-month waits … you try to go in and even get your eyes checked, it’s three months; a colonoscopy, three to six months in most areas.”\u003c/p>\n\u003cp>“If you’re a post-op patient and need to be seen weekly, and your therapist has to tell you, ‘Sorry, I’m booking out for four weeks,’ that’s not really the best of care,” Vanden Heuvel added.\u003c/p>\n\u003cp>Kaiser has maintained that it meets or exceeds required state staffing levels.\u003c/p>\n\u003cp>Sims, the VP of human resources, said the unions’ focus on negotiating higher pay is disingenuous.\u003c/p>\n\u003cfigure id=\"attachment_12059845\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12059845\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-01-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-01-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-01-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-01-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Workers strike outside of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 14, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“They say their goal is to protect patients by ensuring better care and staffing, but the real issue is wages,” he told KQED last week in a statement. “Their claims about Kaiser Permanente’s quality and staffing don’t reflect the facts.”\u003c/p>\n\u003cp>Instead, Kaiser argues that offering a raise any higher than the 21.5% in its current proposal would force it to increase rates and potentially push people to “make the difficult choice to go without coverage.”\u003c/p>\n\u003cp>The union alliance said Kaiser maintains significant financial reserves, mostly accumulated during the pandemic, and posted higher operating revenue and income in the first half of 2025 than the same period last year.\u003c/p>\n\u003cp>Mason also pointed to the employer’s recent expansion into new states, \u003ca href=\"https://www.prnewswire.com/news-releases/kaiser-permanente-launches-in-nevada-in-2026-302552906.html\">partnering with Renown Health\u003c/a> in Nevada and purchasing medical groups on the East Coast.\u003c/p>\n\u003cp>“It’s kind of hard to feel sorry for Kaiser when they say they have to raise rates [while] they’re out buying new medical groups,” he said. “They’re sitting on a lot of money and that’s all profit that is made off the backs of the health care professionals who are currently on strike right now … that is a result of the work that they do.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We’re just wanting better patient care, better patient access. Also, we’re asking for [them to] pay us fairly,” said Lore Vanden Heuvel, a physical therapist based in Antioch.\u003c/p>\n\u003cp>Kaiser, which said it has already offered a “generous” wage hike, has been negotiating a new national contract since May with the Alliance of Healthcare Unions, a network of 23 unions that represent nearly 61,000 Kaiser employees. Some affiliated unions, including in the Bay Area, have been bargaining with the employer for longer, though not all of the unions involved in the ongoing contract negotiations are striking.\u003c/p>\n\u003cfigure id=\"attachment_12059851\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12059851\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-07-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-07-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-07-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-07-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Lore Vandenheuvel and other workers strike outside of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 14, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“The strike is designed to disrupt the lives of our patients — the very people we are all here to serve,” Kaiser \u003ca href=\"https://about.kaiserpermanente.org/who-we-are/labor-relations/alliance-national-bargaining/media-statements/our-statement-on-the-alliance-of-health-care-unions-strike\">said in a statement on Monday\u003c/a>, adding that the Oakland-based organization is prepared to maintain services for its patients, including about 8 million in California, by onboarding thousands of temporary nurses, clinicians and staff and reassigning others who have volunteered to work at strike locations.\u003c/p>\n\u003cp>Kaiser hospitals and most medical offices will remain open, but some appointments are being shifted to virtual settings. Certain elective surgeries and procedures could be rescheduled.\u003c/p>\n\u003cp>“For months, we’ve been preparing contingency plans to ensure our members will continue to receive safe, high-quality care,” Kaiser said. “We remain committed to an agreement that balances fair pay with affordable care.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Compensation has been a major sticking point in the negotiations between the Alliance of Healthcare Unions and Kaiser.\u003c/p>\n\u003cp>The alliance in May proposed a 38% wage increase over four years, though it has since lowered its ask to 25%. Kaiser’s most recent offer includes a 21.5% raise over four years, which it said builds on an already competitive pay scale. The proposal would improve health plans and retiree benefits for employees, according to Lionel Sims, the vice president of human resources for Kaiser Permanente in Northern California.\u003c/p>\n\u003cp>But union leaders say Kaiser’s offer does not sufficiently compensate for the much smaller raises workers agreed to during the COVID-19 pandemic, when Kaiser said it was struggling financially.\u003c/p>\n\u003cp>At the same time, Kaiser negotiated higher raises with other unions, according to Brian Mason, the representation director for one of the striking unions, the United Nurses Associations of California/Union of Health Care Professionals.\u003c/p>\n\u003cp>UNAC/UHCP, which represents about 31,000 registered nurses, pharmacists, physician assistants and other health care professionals largely based in California, said its members need larger pay bumps to catch up.\u003c/p>\n\u003cfigure id=\"attachment_12059848\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12059848\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-04-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-04-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-04-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-04-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Workers strike outside of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 14, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“They left us behind,” Mason said. “Now it’s our time. These are health care professionals who come to work every day who are committed to their patients and they’re out fighting for what they deserve.”\u003c/p>\n\u003cp>The alliance is also concerned that Kaiser’s proposal would actually cut some health benefits and pensions for some groups of workers, including physicians assistants, nurse anesthetists and midwives.\u003c/p>\n\u003cp>Without a significant increase in compensation, the unions said, Kaiser medical centers will continue to be understaffed.\u003c/p>\n\u003cp>“We’re lacking staffing left and right in all different disciplines and inpatient and outpatient everywhere,” Vanden Heuvel told KQED.\u003c/p>\n\u003cp>Jeff Cathcart, a certified registered nurse anesthetist who has been with Kaiser for 20 years, said that anesthetists have been bargaining for a contract for most of the two years since they unionized. In that time, they’ve lost more than 100 of their 400 CRNAs, he added.\u003c/p>\n\u003cp>“They’re leaving for better working conditions, an average increase in pay of about 25%,” Cathcart said. “When we have that problem with retention and recruitment, that leads to access to care issues for our patients. And that’s really what we’re out here fighting for.”\u003c/p>\n\u003cfigure id=\"attachment_12059850\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12059850\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-06-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-06-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-06-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-06-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Arezou Mansourian leads workers in chanting as they strike outside of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 14, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The short staffing is leading to burnout and hurting patient care by delaying appointment wait times, said Arezou Mansourian, who has worked as a physician assistant in orthopedics at Kaiser in Walnut Creek, Dublin and Antioch for 16 years.\u003c/p>\n\u003cp>“If you break your wrist, you’re going to have to wait one to two weeks to see us,” she told KQED. “Things like dermatology have six-month waits … you try to go in and even get your eyes checked, it’s three months; a colonoscopy, three to six months in most areas.”\u003c/p>\n\u003cp>“If you’re a post-op patient and need to be seen weekly, and your therapist has to tell you, ‘Sorry, I’m booking out for four weeks,’ that’s not really the best of care,” Vanden Heuvel added.\u003c/p>\n\u003cp>Kaiser has maintained that it meets or exceeds required state staffing levels.\u003c/p>\n\u003cp>Sims, the VP of human resources, said the unions’ focus on negotiating higher pay is disingenuous.\u003c/p>\n\u003cfigure id=\"attachment_12059845\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12059845\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-01-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-01-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-01-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/251014-KAISER-STRIKE-START-MD-01-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Workers strike outside of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 14, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“They say their goal is to protect patients by ensuring better care and staffing, but the real issue is wages,” he told KQED last week in a statement. “Their claims about Kaiser Permanente’s quality and staffing don’t reflect the facts.”\u003c/p>\n\u003cp>Instead, Kaiser argues that offering a raise any higher than the 21.5% in its current proposal would force it to increase rates and potentially push people to “make the difficult choice to go without coverage.”\u003c/p>\n\u003cp>The union alliance said Kaiser maintains significant financial reserves, mostly accumulated during the pandemic, and posted higher operating revenue and income in the first half of 2025 than the same period last year.\u003c/p>\n\u003cp>Mason also pointed to the employer’s recent expansion into new states, \u003ca href=\"https://www.prnewswire.com/news-releases/kaiser-permanente-launches-in-nevada-in-2026-302552906.html\">partnering with Renown Health\u003c/a> in Nevada and purchasing medical groups on the East Coast.\u003c/p>\n\u003cp>“It’s kind of hard to feel sorry for Kaiser when they say they have to raise rates [while] they’re out buying new medical groups,” he said. “They’re sitting on a lot of money and that’s all profit that is made off the backs of the health care professionals who are currently on strike right now … that is a result of the work that they do.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Tens of thousands of \u003ca href=\"https://www.kqed.org/news/tag/kaiser-permanente\">Kaiser Permanente\u003c/a> nurses and employees plan to walk off the job on Tuesday over wage and staffing level concerns that they say have been unaddressed as the healthcare organization’s operations expand.\u003c/p>\n\u003cp>The walkout, which is expected to last five days, could bring disruptions to dozens of clinics and hospitals in California and Hawaii, according to one of the unions launching the strike.\u003c/p>\n\u003cp>Representatives for Kaiser, which employs about 180,000 people in California, said that in the event of a work stoppage, impacted facilities will remain open. Physicians will continue to see patients aided by trained managers and contingency staff, including licensed temporary nurses.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We take any threat to services seriously, and our patients remain our priority,” Lionel Sims, vice president of human resources at Kaiser Permanente in Northern California, said in a statement.\u003c/p>\n\u003cp>The standoff comes as Kaiser unveiled another round of layoffs targeting hundreds of workers in the state, including 184 employees primarily in IT and food services in Northern California who were notified recently, the organization said. The job losses and walkout are not connected, according to Kaiser.\u003c/p>\n\u003cfigure id=\"attachment_11963409\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11963409\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED.jpg\" alt='A large modern building with the words \"Kaiser Permanente\" across the top.' width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The Kaiser Permanente Oakland Medical Center in Oakland on Oct. 4, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Since May, the Alliance of Healthcare Unions and Kaiser have been negotiating a new nationwide labor contract covering nearly 61,000 employees. Several of the 23 unions that form the Alliance notified Kaiser about their intent to strike, including the \u003ca href=\"https://url.us.m.mimecastprotect.com/s/_Hb6C829m0uQljg8unfPuyed-I?domain=zwly9k6z.r.us-east-1.awstrack.me\">United Nurses Associations of California/Union of Health Care Professionals\u003c/a>, which represents about 31,000 registered nurses, pharmacists, physician assistants and other health care professionals largely based in California.\u003c/p>\n\u003cp>Union officials said the walkout, which is set to end at 7 a.m. on Sunday, is necessary to protect patients and their caregivers, who are struggling with short staffing and stagnant wages and benefits, as many professionals lack pensions. They warned that Kaiser’s failure to sufficiently invest in its workforce is leading to delays in appointments, treatment and recovery for patients.\u003c/p>\n\u003cp>“Our patients are waiting longer, and our caregivers are stretched to the breaking point, and Kaiser executives are sitting on billions,” Joe Guzynski, executive director at UNAC/UHCP and a lead negotiator, said in a statement.\u003c/p>\n\u003cp>Staffing levels remain a top concern for hospital employees nationwide due to burnout and turnover, especially for nurses, according\u003ca href=\"https://www.kqed.org/news/12011878/thousands-of-uc-san-francisco-workers-are-preparing-to-strike\"> to experts\u003c/a>.[aside postID=news_12058930 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/09/20250923_MEDICAIDDISABILITY_GC-15-KQED.jpg']Kaiser Permanente, headquartered in Oakland, posted $63.9 billion in operating revenue and nearly \u003ca href=\"https://about.kaiserpermanente.org/news/kaiser-permanente-and-risant-health-q2-2025-financial-update\">$2 billion\u003c/a> in operating income for the first half of 2025, slightly higher than for the same period last year. The health organization and its affiliates, with about 12.6 million members, have been \u003ca href=\"https://www.beckershospitalreview.com/finance/kaisers-risant-health-to-become-35b-system-in-5-years-14-things-to-know/\">acquiring hospital systems\u003c/a> in recent years, including in Pennsylvania and North Carolina.\u003c/p>\n\u003cp>Sims dismissed claims that Kaiser is putting the quality of patient care at risk, citing top ratings for its Medicare and commercial health plans. The threat of a walkout, he said, aims to pressure Kaiser to agree to union demands for a 25% pay increase over four years. The organization’s latest offer adds up to 21.5% and improves medical plans and retiree benefits, Sims said, showing that the private nonprofit health plan values its employees as it tries to keep care affordable for patients.\u003c/p>\n\u003cp>“They say their goal is to protect patients by ensuring better care and staffing, but the real issue is wages — they are demanding significantly higher increases than our 21.5% offer,” Sims said. “Their claims about Kaiser Permanente’s quality and staffing don’t reflect the facts.”\u003c/p>\n\u003cp>According to the employer, the organization meets and often exceeds California’s mandated nurse-to-patient ratios and staffing standards.\u003c/p>\n\u003cp>Kaiser’s offer includes gradual raises of 6.5% in 2025, 6.5% in 2026, 4% in 2027 and 3% in 2028, according \u003ca href=\"https://www.ahcunions.org/post/september-national-bargaining-update\">to the \u003c/a>Alliance. The union has proposed a boost of 13% in 2025, 6% in 2026, 4% in 2027 and 4% in 2028.\u003c/p>\n\u003cp>Peter Sidhu, UNAC/UHCP executive vice president, said the union agreed to much lower wage increases in contract negotiations during the COVID-19 pandemic, because Kaiser maintained it was struggling financially. As a result, he said, the union’s members were left behind as inflation soared and other employees who went on strike got bigger pay boosts.\u003c/p>\n\u003cp>“We’re not just negotiating for today’s needs. We’re negotiating for the inflation that our members have had,” Sidhu, who worked for Kaiser for more than 20 years as a critical care nurse, told KQED. “And during that time, we’ve lost a lot of staff. There’s been a mass exodus. So in order for us to catch up and be competitive in this market, we need more than what they’re offering.”\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/kevinstark\">\u003cem>Kevin Stark \u003c/em>\u003c/a>\u003cem>contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Tens of thousands of \u003ca href=\"https://www.kqed.org/news/tag/kaiser-permanente\">Kaiser Permanente\u003c/a> nurses and employees plan to walk off the job on Tuesday over wage and staffing level concerns that they say have been unaddressed as the healthcare organization’s operations expand.\u003c/p>\n\u003cp>The walkout, which is expected to last five days, could bring disruptions to dozens of clinics and hospitals in California and Hawaii, according to one of the unions launching the strike.\u003c/p>\n\u003cp>Representatives for Kaiser, which employs about 180,000 people in California, said that in the event of a work stoppage, impacted facilities will remain open. Physicians will continue to see patients aided by trained managers and contingency staff, including licensed temporary nurses.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We take any threat to services seriously, and our patients remain our priority,” Lionel Sims, vice president of human resources at Kaiser Permanente in Northern California, said in a statement.\u003c/p>\n\u003cp>The standoff comes as Kaiser unveiled another round of layoffs targeting hundreds of workers in the state, including 184 employees primarily in IT and food services in Northern California who were notified recently, the organization said. The job losses and walkout are not connected, according to Kaiser.\u003c/p>\n\u003cfigure id=\"attachment_11963409\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11963409\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED.jpg\" alt='A large modern building with the words \"Kaiser Permanente\" across the top.' width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-10-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The Kaiser Permanente Oakland Medical Center in Oakland on Oct. 4, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Since May, the Alliance of Healthcare Unions and Kaiser have been negotiating a new nationwide labor contract covering nearly 61,000 employees. Several of the 23 unions that form the Alliance notified Kaiser about their intent to strike, including the \u003ca href=\"https://url.us.m.mimecastprotect.com/s/_Hb6C829m0uQljg8unfPuyed-I?domain=zwly9k6z.r.us-east-1.awstrack.me\">United Nurses Associations of California/Union of Health Care Professionals\u003c/a>, which represents about 31,000 registered nurses, pharmacists, physician assistants and other health care professionals largely based in California.\u003c/p>\n\u003cp>Union officials said the walkout, which is set to end at 7 a.m. on Sunday, is necessary to protect patients and their caregivers, who are struggling with short staffing and stagnant wages and benefits, as many professionals lack pensions. They warned that Kaiser’s failure to sufficiently invest in its workforce is leading to delays in appointments, treatment and recovery for patients.\u003c/p>\n\u003cp>“Our patients are waiting longer, and our caregivers are stretched to the breaking point, and Kaiser executives are sitting on billions,” Joe Guzynski, executive director at UNAC/UHCP and a lead negotiator, said in a statement.\u003c/p>\n\u003cp>Staffing levels remain a top concern for hospital employees nationwide due to burnout and turnover, especially for nurses, according\u003ca href=\"https://www.kqed.org/news/12011878/thousands-of-uc-san-francisco-workers-are-preparing-to-strike\"> to experts\u003c/a>.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Kaiser Permanente, headquartered in Oakland, posted $63.9 billion in operating revenue and nearly \u003ca href=\"https://about.kaiserpermanente.org/news/kaiser-permanente-and-risant-health-q2-2025-financial-update\">$2 billion\u003c/a> in operating income for the first half of 2025, slightly higher than for the same period last year. The health organization and its affiliates, with about 12.6 million members, have been \u003ca href=\"https://www.beckershospitalreview.com/finance/kaisers-risant-health-to-become-35b-system-in-5-years-14-things-to-know/\">acquiring hospital systems\u003c/a> in recent years, including in Pennsylvania and North Carolina.\u003c/p>\n\u003cp>Sims dismissed claims that Kaiser is putting the quality of patient care at risk, citing top ratings for its Medicare and commercial health plans. The threat of a walkout, he said, aims to pressure Kaiser to agree to union demands for a 25% pay increase over four years. The organization’s latest offer adds up to 21.5% and improves medical plans and retiree benefits, Sims said, showing that the private nonprofit health plan values its employees as it tries to keep care affordable for patients.\u003c/p>\n\u003cp>“They say their goal is to protect patients by ensuring better care and staffing, but the real issue is wages — they are demanding significantly higher increases than our 21.5% offer,” Sims said. “Their claims about Kaiser Permanente’s quality and staffing don’t reflect the facts.”\u003c/p>\n\u003cp>According to the employer, the organization meets and often exceeds California’s mandated nurse-to-patient ratios and staffing standards.\u003c/p>\n\u003cp>Kaiser’s offer includes gradual raises of 6.5% in 2025, 6.5% in 2026, 4% in 2027 and 3% in 2028, according \u003ca href=\"https://www.ahcunions.org/post/september-national-bargaining-update\">to the \u003c/a>Alliance. The union has proposed a boost of 13% in 2025, 6% in 2026, 4% in 2027 and 4% in 2028.\u003c/p>\n\u003cp>Peter Sidhu, UNAC/UHCP executive vice president, said the union agreed to much lower wage increases in contract negotiations during the COVID-19 pandemic, because Kaiser maintained it was struggling financially. As a result, he said, the union’s members were left behind as inflation soared and other employees who went on strike got bigger pay boosts.\u003c/p>\n\u003cp>“We’re not just negotiating for today’s needs. We’re negotiating for the inflation that our members have had,” Sidhu, who worked for Kaiser for more than 20 years as a critical care nurse, told KQED. “And during that time, we’ve lost a lot of staff. There’s been a mass exodus. So in order for us to catch up and be competitive in this market, we need more than what they’re offering.”\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/kevinstark\">\u003cem>Kevin Stark \u003c/em>\u003c/a>\u003cem>contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"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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"slug": "nowhere-else-to-go-sf-families-protest-kaisers-new-limits-on-gender-affirming-care",
"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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"title": "‘Nowhere Else to Go': SF Families Protest Kaiser’s New Limits on Gender-Affirming Care | KQED",
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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": "\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": "\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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"content": "\u003cp>Unions representing 85,000 health care workers have reached a tentative agreement with industry giant Kaiser Permanente following a strike over wages and staffing levels, the parties announced Friday.\u003c/p>\n\u003cp>The deal includes setting minimum hourly wages at $25 in California, where most of Kaiser’s facilities are located, and $23 in other states. Workers will also see a 21% wage increase over four years. The ratification process is scheduled to begin next week.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Yvonne Esquivel, Kaiser pediatric medical assistant in Gilroy\"]‘This deal is life-changing for frontline health care workers like me, and life-saving for our patients.’[/pullquote]Both sides said they prioritized patient health care during their talks. Steve Shields, Kaiser’s senior vice president of labor relations, said the deal will not affect rates.\u003c/p>\n\u003cp>The \u003ca href=\"https://apnews.com/article/kaiser-health-care-workers-strike-b8b40ce8c082c0b8c4f1c0fb7ec38741\">three-day strike\u003c/a> last week involving tens of thousands of workers in multiple states officially ended last Saturday and workers returned to their jobs in Kaiser’s hospitals and clinics that serve nearly 13 million Americans. Union members said understaffing is boosting the hospital system’s profits but hurting patients, and that executives had been bargaining in bad faith during negotiations.\u003c/p>\n\u003cp>“Millions of Americans are safer today because tens of thousands of dedicated healthcare workers fought for and won the critical resources they need and that patients need,” said Caroline Lucas, executive director of the Coalition of Kaiser Permanente Unions, in a statement Friday. “This historic agreement will set a higher standard for the healthcare industry nationwide.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The tentative agreement also includes protective terms around subcontracting and outsourcing, as well as initiatives to invest in the current workforce and address the staffing crisis. The workers’ last contract was negotiated in 2019, before the COVID-19 pandemic.\u003c/p>\n\u003cp>“We have an interest in helping build the health care workforce of the future,” Shields said during a news briefing Friday with both sides.\u003c/p>\n\u003cp>The coalition of unions \u003ca href=\"https://www.kqed.org/news/11963708/kaiser-workers-could-reauthorize-strike-if-negotiations-break-down\">had given the company notice\u003c/a> that another strike, from Nov. 1 to Nov. 8, was possible if the latest round of negotiations fell through. It also said the Oct. 31 expiration of a contract covering the Seattle area would enable another 3,000 workers to join picket lines.\u003c/p>\n\u003cp>“What the parties have achieved here in Oakland demonstrates, once again, that collective bargaining works,” said acting Secretary of Labor Julie A. Su, who helped mediate negotiations this week. “When workers have a voice and a seat at the table, it can result in historic gains for workers, their employer and our country.”\u003c/p>\n\u003cp>Kaiser Permanente, based in Oakland, confirmed the deal in a \u003ca href=\"https://twitter.com/aboutKP/status/1712889965095670195\">social media post\u003c/a> on Friday, noting that the strike notice for November “has been canceled.”\u003c/p>\n\u003cp>https://twitter.com/seiu_uhw/status/1712787147978321951\u003c/p>\n\u003cp>President Joe Biden applauded the tentative deal in a statement Friday, echoing his support for the health care unions. The president last month joined \u003ca href=\"https://apnews.com/article/president-joe-biden-strike-united-auto-workers-8ecc84eeca15c99673f31bdac6921f7b\">picketing United Auto Workers in Michigan\u003c/a> on the 12th day of their strike against major carmakers, becoming the first known sitting president in U.S. history to join an active picket line.\u003c/p>\n\u003cp>“We owe a tremendous debt to health care workers and the hard-working men and women who make their work possible,” Biden said in a statement. “Health care workers and support staff kept our hospitals — and our nation — going during the dark months of the pandemic. They had our backs during one of our nation’s toughest times. We must continue to have theirs.”\u003c/p>\n\u003cp>Last week’s three-day strike at facilities in California, Colorado, Oregon and Washington state was a last resort after Kaiser executives ignored the short-staffing crisis worsened by the coronavirus pandemic, union officials said.\u003c/p>\n\u003cp>[aside label='More on Kaiser Permanente' tag='kaiser-permanente']“This deal is life-changing for frontline health care workers like me, and life-saving for our patients,” said Yvonne Esquivel, a pediatric medical assistant at Kaiser Permanente in Gilroy.\u003c/p>\n\u003cp>Their goal was to bring the problems to the public’s consciousness for support, according to the Coalition of Kaiser Permanente Unions.\u003c/p>\n\u003cp>“The new [four-year] agreement will offer Coalition-represented employees competitive wages, excellent benefits, generous retirement income plans, and valuable job training opportunities that support their economic well-being, advance our shared mission, and keep Kaiser Permanente a best place to work and receive care,” read a joint-statement from Kaiser Permanente and the Coalition of Kaiser Permanente Unions, on Friday.\u003c/p>\n\u003cp>The strikers include licensed vocational nurses, home health aides and ultrasound sonographers, as well as technicians in the radiology, X-ray, surgical, pharmacy and emergency departments.\u003c/p>\n\u003cp>“No health care worker wants to go on strike,” Caroline Lucas, the coalition’s executive director, said Thursday. “I hope that the last few days have helped escalate this issue.”\u003c/p>\n\u003cp>The company warned the work stoppage could cause delays in people getting appointments and scheduling non-urgent procedures.\u003c/p>\n\u003cp>Unions representing Kaiser workers in August asked for a $25 hourly minimum wage, as well as increases of 7% each year in the first two years and 6.25% each year in the two years afterward.\u003c/p>\n\u003cp>Kaiser, which turned a $2.1 billion profit for the quarter, said in a statement last week that it proposed minimum hourly wages between $21 and $23 depending on the location. The company said it also completed hiring 10,000 more people, adding to the 51,000 workers the hospital system has brought on board since 2022.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The deal comes a day after Kaiser \u003ca href=\"https://calmatters.org/health/2023/10/kaiser-permanente-california-behavioral-health-settlement/\">agreed to pay a $50 million fine\u003c/a> as part of a larger settlement with the state of California, which found major deficiencies in its delivery of behavioral health care services. The settlement requires the health care giant to provide its patients with more timely access to behavioral health care, among other improvements, and to invest an additional $150 million in those programs over the next five years.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The tentative agreement also includes protective terms around subcontracting and outsourcing, as well as initiatives to invest in the current workforce and address the staffing crisis. The workers’ last contract was negotiated in 2019, before the COVID-19 pandemic.\u003c/p>\n\u003cp>“We have an interest in helping build the health care workforce of the future,” Shields said during a news briefing Friday with both sides.\u003c/p>\n\u003cp>The coalition of unions \u003ca href=\"https://www.kqed.org/news/11963708/kaiser-workers-could-reauthorize-strike-if-negotiations-break-down\">had given the company notice\u003c/a> that another strike, from Nov. 1 to Nov. 8, was possible if the latest round of negotiations fell through. It also said the Oct. 31 expiration of a contract covering the Seattle area would enable another 3,000 workers to join picket lines.\u003c/p>\n\u003cp>“What the parties have achieved here in Oakland demonstrates, once again, that collective bargaining works,” said acting Secretary of Labor Julie A. Su, who helped mediate negotiations this week. “When workers have a voice and a seat at the table, it can result in historic gains for workers, their employer and our country.”\u003c/p>\n\u003cp>Kaiser Permanente, based in Oakland, confirmed the deal in a \u003ca href=\"https://twitter.com/aboutKP/status/1712889965095670195\">social media post\u003c/a> on Friday, noting that the strike notice for November “has been canceled.”\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>President Joe Biden applauded the tentative deal in a statement Friday, echoing his support for the health care unions. The president last month joined \u003ca href=\"https://apnews.com/article/president-joe-biden-strike-united-auto-workers-8ecc84eeca15c99673f31bdac6921f7b\">picketing United Auto Workers in Michigan\u003c/a> on the 12th day of their strike against major carmakers, becoming the first known sitting president in U.S. history to join an active picket line.\u003c/p>\n\u003cp>“We owe a tremendous debt to health care workers and the hard-working men and women who make their work possible,” Biden said in a statement. “Health care workers and support staff kept our hospitals — and our nation — going during the dark months of the pandemic. They had our backs during one of our nation’s toughest times. We must continue to have theirs.”\u003c/p>\n\u003cp>Last week’s three-day strike at facilities in California, Colorado, Oregon and Washington state was a last resort after Kaiser executives ignored the short-staffing crisis worsened by the coronavirus pandemic, union officials said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“This deal is life-changing for frontline health care workers like me, and life-saving for our patients,” said Yvonne Esquivel, a pediatric medical assistant at Kaiser Permanente in Gilroy.\u003c/p>\n\u003cp>Their goal was to bring the problems to the public’s consciousness for support, according to the Coalition of Kaiser Permanente Unions.\u003c/p>\n\u003cp>“The new [four-year] agreement will offer Coalition-represented employees competitive wages, excellent benefits, generous retirement income plans, and valuable job training opportunities that support their economic well-being, advance our shared mission, and keep Kaiser Permanente a best place to work and receive care,” read a joint-statement from Kaiser Permanente and the Coalition of Kaiser Permanente Unions, on Friday.\u003c/p>\n\u003cp>The strikers include licensed vocational nurses, home health aides and ultrasound sonographers, as well as technicians in the radiology, X-ray, surgical, pharmacy and emergency departments.\u003c/p>\n\u003cp>“No health care worker wants to go on strike,” Caroline Lucas, the coalition’s executive director, said Thursday. “I hope that the last few days have helped escalate this issue.”\u003c/p>\n\u003cp>The company warned the work stoppage could cause delays in people getting appointments and scheduling non-urgent procedures.\u003c/p>\n\u003cp>Unions representing Kaiser workers in August asked for a $25 hourly minimum wage, as well as increases of 7% each year in the first two years and 6.25% each year in the two years afterward.\u003c/p>\n\u003cp>Kaiser, which turned a $2.1 billion profit for the quarter, said in a statement last week that it proposed minimum hourly wages between $21 and $23 depending on the location. The company said it also completed hiring 10,000 more people, adding to the 51,000 workers the hospital system has brought on board since 2022.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The deal comes a day after Kaiser \u003ca href=\"https://calmatters.org/health/2023/10/kaiser-permanente-california-behavioral-health-settlement/\">agreed to pay a $50 million fine\u003c/a> as part of a larger settlement with the state of California, which found major deficiencies in its delivery of behavioral health care services. The settlement requires the health care giant to provide its patients with more timely access to behavioral health care, among other improvements, and to invest an additional $150 million in those programs over the next five years.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>A week after tens of thousands of Kaiser Permanente employees across the country \u003ca href=\"https://www.kqed.org/news/11963306/kaiser-strike-furthers-delays-in-covid-19-vaccines-some-surgeries-in-the-bay-area\">staged a three-day walkout\u003c/a> demanding higher wages and more robust staffing, the unions representing them warned on Tuesday of a longer strike early next month if upcoming negotiations with the company prove unsuccessful.\u003c/p>\n\u003cp>The next bargaining sessions are scheduled for later this week, with Julie Su, the acting U.S. secretary of labor, expected to mediate, according to the union coalition representing Kaiser employees. Anything short of a fair deal will result in a subsequent strike starting on Nov. 1 and lasting until Nov. 8, coalition representatives told KQED.\u003c/p>\n\u003cp>“If we don’t stand up for our work, they’re going to continue treating us the way they are treating us,” said Drenda Sims, a receptionist in the OB-GYN department at Kaiser’s Oakland facility.[aside label=\"related coverage\" tag=\"kaiser-strike\"]Sims participated in last week’s walkout, which marked the largest health care worker strike in U.S. history. And like many of her colleagues, she said she hopes another strike will be averted, but is prepared to join the picket line again if necessary.\u003c/p>\n\u003cp>“It’s not a good feeling,” she said. “But it’s for the cause.”\u003c/p>\n\u003cp>The labor coalition, comprised of chapters of the Service Employees International Union and the Office and Professional Employees International Union, represent a wide range of Kaiser frontline workers, including respiratory therapists, X-ray technicians, behavioral health workers and pharmacists, among many other positions. Doctors and nurses, however, are not involved.\u003c/p>\n\u003cp>Coalition officials say limiting how much Kaiser can outsource and subcontract workers remains a major sticking point in the ongoing negotiations with the massive health care provider.\u003c/p>\n\u003cp>“The critical issues that are outstanding really are still a long-term comprehensive solution to the Kaiser short-staffing crisis,” Caroline Lucas, executive director of the Coalition of Kaiser Permanente Unions, told KQED on Tuesday, arguing that simply outsourcing the work, as she says Kaiser has considered, is not a remedy. “We need common sense limitations on subcontracting and outsourcing.”\u003c/p>\n\u003cp>Last week’s strike included nearly 75,000 Kaiser workers from facilities in California, Oregon, Washington, Colorado, Virginia and Washington, D.C. The majority of the strikers were located in California, with some 23,000 joining picket lines in the Bay Area alone.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In addition to significant staffing increases, workers are pushing for a 6.5% wage hike in the first two years of their next contract, and a 5.75% increase the following two years. They are also seeking to raise the minimum wage among workers in the union to $26 by 2026. Kaiser’s current minimum wage varies by region, but many places offer just under $20 per hour.\u003c/p>\n\u003cp>In the last round of negotiations, union officials rejected \u003ca href=\"https://about.kaiserpermanente.org/content/dam/kp/mykp/documents/infographics-pdf/new-offer-infographic_100123_5pm.pdf\">Kaiser’s offer (PDF)\u003c/a> of 4% across-the-board wage increases for all Northern California workers for the next two years, and 3% for the following two years, in addition to a minimum performance bonus.\u003c/p>\n\u003cp>Kaiser also recently offered a $23-per-hour minimum wage for its employees in California starting in 2024.\u003c/p>\n\u003cp>“Kaiser Permanente remains committed to reaching an agreement that is good for our employees, our members, and our organization, and we will continue to bargain in good faith,” the Oakland-based company said in an email to KQED on Tuesday.\u003c/p>\n\u003cp>As part of negotiations with the labor coalition, Kaiser has also vowed to accelerate the pace of hiring and add 10,000 new employees nationwide by the end of this year.\u003c/p>\n\u003cp>And although the company is on track to surpass that goal, union officials say it’s still not enough to make up for the burnout and turnover fueled by the pandemic, that has left many facilities severely understaffed.\u003c/p>\n\u003cp>“This week, Kaiser executives will have another opportunity to listen to frontline staff,” said Lucas, the union coalition leader, “and to begin investing in ways that will solve the Kaiser short-staffing crisis.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A week after tens of thousands of Kaiser Permanente employees across the country \u003ca href=\"https://www.kqed.org/news/11963306/kaiser-strike-furthers-delays-in-covid-19-vaccines-some-surgeries-in-the-bay-area\">staged a three-day walkout\u003c/a> demanding higher wages and more robust staffing, the unions representing them warned on Tuesday of a longer strike early next month if upcoming negotiations with the company prove unsuccessful.\u003c/p>\n\u003cp>The next bargaining sessions are scheduled for later this week, with Julie Su, the acting U.S. secretary of labor, expected to mediate, according to the union coalition representing Kaiser employees. Anything short of a fair deal will result in a subsequent strike starting on Nov. 1 and lasting until Nov. 8, coalition representatives told KQED.\u003c/p>\n\u003cp>“If we don’t stand up for our work, they’re going to continue treating us the way they are treating us,” said Drenda Sims, a receptionist in the OB-GYN department at Kaiser’s Oakland facility.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Sims participated in last week’s walkout, which marked the largest health care worker strike in U.S. history. And like many of her colleagues, she said she hopes another strike will be averted, but is prepared to join the picket line again if necessary.\u003c/p>\n\u003cp>“It’s not a good feeling,” she said. “But it’s for the cause.”\u003c/p>\n\u003cp>The labor coalition, comprised of chapters of the Service Employees International Union and the Office and Professional Employees International Union, represent a wide range of Kaiser frontline workers, including respiratory therapists, X-ray technicians, behavioral health workers and pharmacists, among many other positions. Doctors and nurses, however, are not involved.\u003c/p>\n\u003cp>Coalition officials say limiting how much Kaiser can outsource and subcontract workers remains a major sticking point in the ongoing negotiations with the massive health care provider.\u003c/p>\n\u003cp>“The critical issues that are outstanding really are still a long-term comprehensive solution to the Kaiser short-staffing crisis,” Caroline Lucas, executive director of the Coalition of Kaiser Permanente Unions, told KQED on Tuesday, arguing that simply outsourcing the work, as she says Kaiser has considered, is not a remedy. “We need common sense limitations on subcontracting and outsourcing.”\u003c/p>\n\u003cp>Last week’s strike included nearly 75,000 Kaiser workers from facilities in California, Oregon, Washington, Colorado, Virginia and Washington, D.C. The majority of the strikers were located in California, with some 23,000 joining picket lines in the Bay Area alone.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In addition to significant staffing increases, workers are pushing for a 6.5% wage hike in the first two years of their next contract, and a 5.75% increase the following two years. They are also seeking to raise the minimum wage among workers in the union to $26 by 2026. Kaiser’s current minimum wage varies by region, but many places offer just under $20 per hour.\u003c/p>\n\u003cp>In the last round of negotiations, union officials rejected \u003ca href=\"https://about.kaiserpermanente.org/content/dam/kp/mykp/documents/infographics-pdf/new-offer-infographic_100123_5pm.pdf\">Kaiser’s offer (PDF)\u003c/a> of 4% across-the-board wage increases for all Northern California workers for the next two years, and 3% for the following two years, in addition to a minimum performance bonus.\u003c/p>\n\u003cp>Kaiser also recently offered a $23-per-hour minimum wage for its employees in California starting in 2024.\u003c/p>\n\u003cp>“Kaiser Permanente remains committed to reaching an agreement that is good for our employees, our members, and our organization, and we will continue to bargain in good faith,” the Oakland-based company said in an email to KQED on Tuesday.\u003c/p>\n\u003cp>As part of negotiations with the labor coalition, Kaiser has also vowed to accelerate the pace of hiring and add 10,000 new employees nationwide by the end of this year.\u003c/p>\n\u003cp>And although the company is on track to surpass that goal, union officials say it’s still not enough to make up for the burnout and turnover fueled by the pandemic, that has left many facilities severely understaffed.\u003c/p>\n\u003cp>“This week, Kaiser executives will have another opportunity to listen to frontline staff,” said Lucas, the union coalition leader, “and to begin investing in ways that will solve the Kaiser short-staffing crisis.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Kaiser Permanente health care \u003ca href=\"https://www.kqed.org/news/11963568/kaiser-strike-to-end-saturday-but-negotiations-will-continue\">employees could continue to strike\u003c/a> after Saturday’s scheduled end if negotiations with their employer aren’t successful.\u003c/p>\n\u003cp>Nearly 23,000 Kaiser employees in the Bay Area walked off the job on Wednesday for what has been recognized as the \u003ca href=\"https://www.kqed.org/news/11963306/kaiser-strike-furthers-delays-in-covid-19-vaccines-some-surgeries-in-the-bay-area\">largest health care worker strike\u003c/a> in U.S. history. The strike — which includes tens of thousands more Kaiser employees in Oregon, Washington, Colorado, Virginia and Washington, D.C. — is slated to end on Saturday morning at 6 a.m., and the next bargaining session is scheduled for Oct. 12.\u003c/p>\n\u003cp>On Friday morning, the coalition of unions representing Kaiser employees said they could authorize another strike in the near future if bargaining continues to stand still.\u003c/p>\n\u003cp>There will be at least a 10-day notice before the strike might resume.\u003c/p>\n\u003cp>“It is possible that the coalition will issue a 10-day strike notice after Saturday, which could lead to further striking by Kaiser employees after those ten days if Kaiser executives continue to commit unfair labor practices and bargain in bad faith,” the Coalition of Kaiser Permanente Unions said in a press statement on Friday.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The two sides held negotiations earlier this week but were not able to reach an agreement before tens of thousands of Kaiser employees took to the \u003ca href=\"https://www.kqed.org/news/11963306/kaiser-strike-furthers-delays-in-covid-19-vaccines-some-surgeries-in-the-bay-area\">picket lines\u003c/a> early Wednesday morning.\u003c/p>\n\u003cp>Kaiser workers on strike this week include ultrasound sonographers, X-ray technicians, pharmacists and pharmacy technicians, transporters, medical assistants and more.\u003c/p>\n\u003cp>The employees are demanding higher wages and increased staffing to slow burnout and turnover after millions of health care professionals left the field during the pandemic.\u003c/p>\n\u003cp>“Frontline healthcare workers continue to await meaningful action by Kaiser executives to address our key priorities, including safe staffing, outsourcing protections for incumbent healthcare workers, and fair wages to reduce turnover,” Gwendolyn Holloway, a contact lens technician at Kaiser Permanente Vallejo Medical Center, said in a prepared statement.[aside postID=news_11963308 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-02-KQED-e1696434457630-1020x680.jpg']\u003c/p>\n\u003cp>Kaiser officials said in an email that they “look forward to reaching a new agreement that continues to provide our employees with market-leading wages and benefits, and ensures our high-quality care is affordable and available to meet our members’ needs.”\u003c/p>\n\u003cp>Close to 75,000 Kaiser workers across the country are currently seeking increased staffing to raise the minimum wage across the board to $26 by 2026.\u003c/p>\n\u003cp>Kaiser recently offered a $23-per-hour minimum wage for its employees in California starting in 2024.\u003c/p>\n\u003cp>In earlier bargaining talks this year, Kaiser said it agreed to accelerate bringing on new staff and set a goal of adding 10,000 new employees represented by the Coalition by the end of 2023.\u003c/p>\n\u003cp>So far, Kaiser has hired 29,000 people in 2022, and 22,000 so far in 2023. Of the new hires this year, the company said more than 9,800 are in jobs represented by the Coalition of Kaiser Permanente Unions, the company said in a press release.\u003c/p>\n\u003cp>For patients, some elective surgeries were postponed due to the strike, and COVID-19 and flu vaccine availability was also disrupted. (\u003ca href=\"https://www.kqed.org/news/11963308/kaiser-strike-if-youre-a-patient-what-medical-services-would-be-affected\">Read KQED’s guide for Kaiser patients during the strike and what you need to know.\u003c/a>)\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The next bargaining sessions are scheduled for Thursday, Oct. 12 and Friday, Oct. 13.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Kaiser Permanente health care \u003ca href=\"https://www.kqed.org/news/11963568/kaiser-strike-to-end-saturday-but-negotiations-will-continue\">employees could continue to strike\u003c/a> after Saturday’s scheduled end if negotiations with their employer aren’t successful.\u003c/p>\n\u003cp>Nearly 23,000 Kaiser employees in the Bay Area walked off the job on Wednesday for what has been recognized as the \u003ca href=\"https://www.kqed.org/news/11963306/kaiser-strike-furthers-delays-in-covid-19-vaccines-some-surgeries-in-the-bay-area\">largest health care worker strike\u003c/a> in U.S. history. The strike — which includes tens of thousands more Kaiser employees in Oregon, Washington, Colorado, Virginia and Washington, D.C. — is slated to end on Saturday morning at 6 a.m., and the next bargaining session is scheduled for Oct. 12.\u003c/p>\n\u003cp>On Friday morning, the coalition of unions representing Kaiser employees said they could authorize another strike in the near future if bargaining continues to stand still.\u003c/p>\n\u003cp>There will be at least a 10-day notice before the strike might resume.\u003c/p>\n\u003cp>“It is possible that the coalition will issue a 10-day strike notice after Saturday, which could lead to further striking by Kaiser employees after those ten days if Kaiser executives continue to commit unfair labor practices and bargain in bad faith,” the Coalition of Kaiser Permanente Unions said in a press statement on Friday.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The two sides held negotiations earlier this week but were not able to reach an agreement before tens of thousands of Kaiser employees took to the \u003ca href=\"https://www.kqed.org/news/11963306/kaiser-strike-furthers-delays-in-covid-19-vaccines-some-surgeries-in-the-bay-area\">picket lines\u003c/a> early Wednesday morning.\u003c/p>\n\u003cp>Kaiser workers on strike this week include ultrasound sonographers, X-ray technicians, pharmacists and pharmacy technicians, transporters, medical assistants and more.\u003c/p>\n\u003cp>The employees are demanding higher wages and increased staffing to slow burnout and turnover after millions of health care professionals left the field during the pandemic.\u003c/p>\n\u003cp>“Frontline healthcare workers continue to await meaningful action by Kaiser executives to address our key priorities, including safe staffing, outsourcing protections for incumbent healthcare workers, and fair wages to reduce turnover,” Gwendolyn Holloway, a contact lens technician at Kaiser Permanente Vallejo Medical Center, said in a prepared statement.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Kaiser officials said in an email that they “look forward to reaching a new agreement that continues to provide our employees with market-leading wages and benefits, and ensures our high-quality care is affordable and available to meet our members’ needs.”\u003c/p>\n\u003cp>Close to 75,000 Kaiser workers across the country are currently seeking increased staffing to raise the minimum wage across the board to $26 by 2026.\u003c/p>\n\u003cp>Kaiser recently offered a $23-per-hour minimum wage for its employees in California starting in 2024.\u003c/p>\n\u003cp>In earlier bargaining talks this year, Kaiser said it agreed to accelerate bringing on new staff and set a goal of adding 10,000 new employees represented by the Coalition by the end of 2023.\u003c/p>\n\u003cp>So far, Kaiser has hired 29,000 people in 2022, and 22,000 so far in 2023. Of the new hires this year, the company said more than 9,800 are in jobs represented by the Coalition of Kaiser Permanente Unions, the company said in a press release.\u003c/p>\n\u003cp>For patients, some elective surgeries were postponed due to the strike, and COVID-19 and flu vaccine availability was also disrupted. (\u003ca href=\"https://www.kqed.org/news/11963308/kaiser-strike-if-youre-a-patient-what-medical-services-would-be-affected\">Read KQED’s guide for Kaiser patients during the strike and what you need to know.\u003c/a>)\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The next bargaining sessions are scheduled for Thursday, Oct. 12 and Friday, Oct. 13.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "More Than 22,000 Bay Area Kaiser Permanente Workers Are On Strike",
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"content": "\u003cp>\u003ca href=\"#episode-transcript\">\u003ci>\u003cspan style=\"font-weight: 400\">View the full episode transcript.\u003c/span>\u003c/i>\u003c/a>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">From San José to Santa Rosa, more than 22,000 Bay Area Kaiser Permanente health care workers walked off the job Wednesday for a three-day strike, demanding better wages to help fix what they say is an urgent understaffing crisis. The effort spans 8 states and the District of Columbia, and some are calling it the largest health care strike in US history.\u003c/span>\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC3882688016\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003ch2 id=\"episode-transcript\">Episode Transcript\u003c/h2>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400\">This is a computer-generated transcript. While our team has reviewed it, there may be errors.\u003c/span>\u003c/i>\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I’m Ericka Cruz Guevarra, and welcome to The Bay, local news to keep you rooted. 75,000 Kaiser Permanente health care workers are on strike across eight states and Washington, D.C., and many of them are right here in the Bay Area. From San Jose to Santa Rosa, workers walked off the job on Wednesday for a three-day strike demanding better wages to help fix what they say is an urgent understaffing crisis.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Drenda Sims: \u003c/strong>We have employees sleeping in their cars because they cannot afford the cost of living. And we need a raise.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Today, my colleague and labor correspondent Farida Jhabvala Romero, joins us to talk about what health care workers want and how the strike is impacting patients. Stay with us.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Farida, we’re talking on Thursday morning in the middle of what I’m hearing is the largest health care worker strike in U.S. history. How big are we talking here?\u003c/p>\n\u003cp>\u003cstrong>Farida Jhabvala Romero: \u003c/strong>Yeah, we’re talking about tens of thousands of workers. About 68,000 workers in California. That includes more than 22,000 employees in the Bay Area. We’re talking about people who work in labs, radiology technicians, receptionist, medical assistance, people that work in the operating room. These are really the folks that make Kaiser Services run. Kaiser, you know, has become a really large health care provider. They serve nearly 13 million people across the country, most of them in California. So we’re talking about a really big organization that is nonprofit in large part. But we’re also seeing the same, you know, tensions for the workforce here that was absolutely, you know, brought to the forefront because of the pandemic.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I think we all know health care workers have really been through so much during the pandemic. So what are the concerns and issues being raised by these workers?\u003c/p>\n\u003cp>\u003cstrong>Farida Jhabvala Romero: \u003c/strong>These workers want Kaiser to invest in higher wages across the board so that they can deal with the higher cost of living, especially in markets like the Bay Area. And they also want Kaiser to make investments to increase the minimum wage for workers across the board to be able to attract more people that can help address this understaffing problem that you hear employees talking about all the time. Since that pandemic, there’s been an exodus of millions of workers in the health care industry. Employees at Kaiser feel that because it’s an organization that is mostly nonprofit, they have a higher responsibility to invest more in their employees. Often, you know, when I spoken with Kaiser Health Care Workers, they feel underappreciated. People tell me, Hey, I risked my life during the pandemic to come to the hospital. I just want to be paid a little more than a 3% wage increase.\u003c/p>\n\u003cp>\u003cstrong>Michael Jones: \u003c/strong>I’ve caught Covid twice, and I still work for Kaiser. You know, I put my life at risk. You know.\u003c/p>\n\u003cp>\u003cstrong>Farida Jhabvala Romero: \u003c/strong>Michael Jones and every other employee who I spoke with at the picket lines had two main messages. They say they’re calling for fair wages and they say they’re calling for Kaiser to really increase the number of people employed by the organization in health care services so that they can take better care of their patients.\u003c/p>\n\u003cp>\u003cstrong>Michael Jones: \u003c/strong>For Kaiser to say that they can find somebody, to find other workers that don’t care for other workers that are better and cheaper. That’s a slap in the face. We’re not going anywhere. So you need to train people, right, and give them their justice.\u003c/p>\n\u003cp>\u003cstrong>Farida Jhabvala Romero: \u003c/strong>Sometimes I think something that comes through a lot when you speak with health care workers is they’re really passionate about their jobs. You know, they feel like it’s really a calling.\u003c/p>\n\u003cp>\u003cstrong>Michael Jones: \u003c/strong>You know, But my ultimate goal is to help those who are underprivileged and those who need the help. And that’s why I work in health care.\u003c/p>\n\u003cp>\u003cstrong>Farida Jhabvala Romero: \u003c/strong>So it’s not just about their economic well-being, but also you hear it in the same breath, you know, almost like I want my patients to be okay. I don’t want them to be waiting, you know, while they’re in pain. And so I think they’re really wanting Kaiser as an organization to invest a lot more.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Before they went on strike, the coalition of Kaiser Permanente unions demanded a 7% pay increase per year for two years, followed by a 6.25% annual increase for two years after that. Kaiser’s initial offer was more like 3% per year. Unions also wanted a minimum wage of $25 an hour in California. So far, Kaiser has offered $23 an hour at the negotiating table. Workers who are on strike say both of these demands will help to address the understaffing crisis they’ve been facing. Frieda, what has Kaiser said in response to all of this?\u003c/p>\n\u003cp>\u003cstrong>Farida Jhabvala Romero: \u003c/strong>Yes, we’ve asked Kaiser several times for an interview. We have not been able to speak with anyone, but they have issued several statements. One of the main points that they have is that they offer competitive wages and of the markets where they operate. They say they’re really like market leading. And they’ve said things like, you know, if workers were to leave Kaiser, they would actually be taking a pick up if they go work somewhere else. The other thing they say is that they have a lower attrition rate, so turnover than other, you know, companies in health care. They say that they’re very committed to taking care of their employees, but they also need to make sure that care remains affordable for the millions of people that Kaiser serves.\u003c/p>\n\u003cp>\u003cstrong>Farida Jhabvala Romero: \u003c/strong>So we’re talking about a lot of health care costs that Kaiser has to, you know, factor in and make the kind of investments that the unions are asking for. I do have to say, though, they have been making profits for several years in recent years, except for one. One year, I think it was last year. They are trying to invest more in properties that are growing. You know, we see Kaiser being advertised at Chase Center and other places around the Bay Area. Executive compensation, millions of dollars, you know, for several people and their executive team. And that’s the base salary. So I think workers who are striking see all that and they say, hey, I think Kaiser seems to be doing well and we want to be able to get a little bit more for ourselves so that we can continue working and in health care.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Well, I’m sure listeners are also wondering how this strike is going to impact them. I’m definitely one of those people. Have people seen any disruptions so far to the care that they there they go to Kaiser for.\u003c/p>\n\u003cp>\u003cstrong>Farida Jhabvala Romero: \u003c/strong>Emergency operations, their emergency departments, their hospitals, Those kinds of services are continuing to operate. They brought in thousands of contract workers, but their physicians, their doctors are not part of this strike. So doctors are still working and they have some staffers. The overwhelming majority of people in the union voted to authorize the strike. But, you know, some staffers decided to keep working. But if you’re looking for pharmacy services, maybe radiology, going to see the optometrist, all of those services may be closed or working with reduced hours. And some of those locations is what Kaiser said. The other thing that Kaiser started doing as rescheduling what they consider non-emergency surgeries.\u003c/p>\n\u003cp>\u003cstrong>Laveida Spence: \u003c/strong>My name is Laveida Spence.\u003c/p>\n\u003cp>\u003cstrong>Farida Jhabvala Romero: \u003c/strong>Laveida is a 78 year old lady who I met crossing the street in Oakland, going from the Oakland Medical Center, where hundreds of workers were crowding the sidewalks. You know, there was music, cars honking, all of this activity. And then I met her on the way to another facility because they moved their COVID and flu vaccination clinic out of the Oakland Medical Center to a nearby building.\u003c/p>\n\u003cp>\u003cstrong>Laveida Spence: \u003c/strong>So I got there and they told me I had to come to the Fabiola building. I met her all day, as you can tell from my breathing.\u003c/p>\n\u003cp>\u003cstrong>Farida Jhabvala Romero: \u003c/strong>She has issues with her lower back trouble walking. And here she was huffing and puffing, you know, trying to get to her COVID vaccine somewhere else. And she said she got the wrong information from the app. And so she just wanted Kaiser to, you know, be able to update members and where to go when they need services.\u003c/p>\n\u003cp>\u003cstrong>Laveida Spence: \u003c/strong>And I wouldn’t mind coming, but you should get your app straight and have the right information for people.\u003c/p>\n\u003cp>\u003cstrong>Farida Jhabvala Romero: \u003c/strong>She seemed to be, you know, one of the people in the camp where they say they they understand the reasons for the strike. They seem to be generally supportive of the health care workers, but they don’t want it to go very much longer.\u003c/p>\n\u003cp>\u003cstrong>Laveida Spence: \u003c/strong>Well, I understand the reasons for the strike and I’m in agreement with it. And as long as Kaiser can provide medical care for people that need it and emergency care, then I’m fine.\u003c/p>\n\u003cp>\u003cstrong>Farida Jhabvala Romero: \u003c/strong>What has been announced by the union is just a three day strike in California. But people are saying, hey, it could go longer. And if it does, then we’re going to see a lot more disruptions and delays to health care services for so many people.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Well, Frida, we’ve talked a lot about almost strikes and strikes lately. And this isn’t the first time that Kaiser workers have gone on strike. But what do you think this says about how health care workers are feeling right now?\u003c/p>\n\u003cp>\u003cstrong>Farida Jhabvala Romero: \u003c/strong>I mean, I think this is something shared by people working in many different industries. But definitely there’s a huge concern that wages are not keeping up with the cost of living. Now, like we were saying, in health care, it’s exacerbated even more by the feeling that, you know, workers felt like they were there, you know, when they were needed, when they had and we had this huge public health emergency. So I think the feeling for health care workers is they’ve made huge sacrifices and they deserve wage increases. They also feel like they’ve been falling behind. You know, the level of inflation are a lot more than what, you know, wages are increasing. So it’s it’s not keeping up. So those are those are basic things not only in health care, but in other industries. And one of the main reasons that we’re seeing so many strikes or threats to strike across across industries.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Well Farida thank you so much. I appreciate it.\u003c/p>\n\u003cp>\u003cstrong>Farida Jhabvala Romero: \u003c/strong>Appreciate it. Thank you, Erica.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>That was Farida Jhabvala Romero, a labor correspondent for KQED. This 26 minute conversation with Farida was cut down and edited by senior editor Alan Montecillo. Producer Maria Esquinca scored this episode and added all the tape. Music courtesy of Audio Network. Shout out as well to the rest of the podcast squad here at KQED. That’s Jen Chien, director of podcasts. Katie Sprenger, our podcast operations manager. We get audience engagement support from Cesar Saldana, and Holly Kernan is our chief content officer. And I’m Ericka Cruz Guevarra. Thank you for listening to the Bay, where production of members supported KQED.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"#episode-transcript\">\u003ci>\u003cspan style=\"font-weight: 400\">View the full episode transcript.\u003c/span>\u003c/i>\u003c/a>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">From San José to Santa Rosa, more than 22,000 Bay Area Kaiser Permanente health care workers walked off the job Wednesday for a three-day strike, demanding better wages to help fix what they say is an urgent understaffing crisis. The effort spans 8 states and the District of Columbia, and some are calling it the largest health care strike in US history.\u003c/span>\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC3882688016\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/div>",
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"content": "\u003cdiv class=\"post-content post-body\">\u003ch2 id=\"episode-transcript\">Episode Transcript\u003c/h2>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400\">This is a computer-generated transcript. While our team has reviewed it, there may be errors.\u003c/span>\u003c/i>\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I’m Ericka Cruz Guevarra, and welcome to The Bay, local news to keep you rooted. 75,000 Kaiser Permanente health care workers are on strike across eight states and Washington, D.C., and many of them are right here in the Bay Area. From San Jose to Santa Rosa, workers walked off the job on Wednesday for a three-day strike demanding better wages to help fix what they say is an urgent understaffing crisis.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Drenda Sims: \u003c/strong>We have employees sleeping in their cars because they cannot afford the cost of living. And we need a raise.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Today, my colleague and labor correspondent Farida Jhabvala Romero, joins us to talk about what health care workers want and how the strike is impacting patients. Stay with us.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Farida, we’re talking on Thursday morning in the middle of what I’m hearing is the largest health care worker strike in U.S. history. How big are we talking here?\u003c/p>\n\u003cp>\u003cstrong>Farida Jhabvala Romero: \u003c/strong>Yeah, we’re talking about tens of thousands of workers. About 68,000 workers in California. That includes more than 22,000 employees in the Bay Area. We’re talking about people who work in labs, radiology technicians, receptionist, medical assistance, people that work in the operating room. These are really the folks that make Kaiser Services run. Kaiser, you know, has become a really large health care provider. They serve nearly 13 million people across the country, most of them in California. So we’re talking about a really big organization that is nonprofit in large part. But we’re also seeing the same, you know, tensions for the workforce here that was absolutely, you know, brought to the forefront because of the pandemic.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I think we all know health care workers have really been through so much during the pandemic. So what are the concerns and issues being raised by these workers?\u003c/p>\n\u003cp>\u003cstrong>Farida Jhabvala Romero: \u003c/strong>These workers want Kaiser to invest in higher wages across the board so that they can deal with the higher cost of living, especially in markets like the Bay Area. And they also want Kaiser to make investments to increase the minimum wage for workers across the board to be able to attract more people that can help address this understaffing problem that you hear employees talking about all the time. Since that pandemic, there’s been an exodus of millions of workers in the health care industry. Employees at Kaiser feel that because it’s an organization that is mostly nonprofit, they have a higher responsibility to invest more in their employees. Often, you know, when I spoken with Kaiser Health Care Workers, they feel underappreciated. People tell me, Hey, I risked my life during the pandemic to come to the hospital. I just want to be paid a little more than a 3% wage increase.\u003c/p>\n\u003cp>\u003cstrong>Michael Jones: \u003c/strong>I’ve caught Covid twice, and I still work for Kaiser. You know, I put my life at risk. You know.\u003c/p>\n\u003cp>\u003cstrong>Farida Jhabvala Romero: \u003c/strong>Michael Jones and every other employee who I spoke with at the picket lines had two main messages. They say they’re calling for fair wages and they say they’re calling for Kaiser to really increase the number of people employed by the organization in health care services so that they can take better care of their patients.\u003c/p>\n\u003cp>\u003cstrong>Michael Jones: \u003c/strong>For Kaiser to say that they can find somebody, to find other workers that don’t care for other workers that are better and cheaper. That’s a slap in the face. We’re not going anywhere. So you need to train people, right, and give them their justice.\u003c/p>\n\u003cp>\u003cstrong>Farida Jhabvala Romero: \u003c/strong>Sometimes I think something that comes through a lot when you speak with health care workers is they’re really passionate about their jobs. You know, they feel like it’s really a calling.\u003c/p>\n\u003cp>\u003cstrong>Michael Jones: \u003c/strong>You know, But my ultimate goal is to help those who are underprivileged and those who need the help. And that’s why I work in health care.\u003c/p>\n\u003cp>\u003cstrong>Farida Jhabvala Romero: \u003c/strong>So it’s not just about their economic well-being, but also you hear it in the same breath, you know, almost like I want my patients to be okay. I don’t want them to be waiting, you know, while they’re in pain. And so I think they’re really wanting Kaiser as an organization to invest a lot more.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Before they went on strike, the coalition of Kaiser Permanente unions demanded a 7% pay increase per year for two years, followed by a 6.25% annual increase for two years after that. Kaiser’s initial offer was more like 3% per year. Unions also wanted a minimum wage of $25 an hour in California. So far, Kaiser has offered $23 an hour at the negotiating table. Workers who are on strike say both of these demands will help to address the understaffing crisis they’ve been facing. Frieda, what has Kaiser said in response to all of this?\u003c/p>\n\u003cp>\u003cstrong>Farida Jhabvala Romero: \u003c/strong>Yes, we’ve asked Kaiser several times for an interview. We have not been able to speak with anyone, but they have issued several statements. One of the main points that they have is that they offer competitive wages and of the markets where they operate. They say they’re really like market leading. And they’ve said things like, you know, if workers were to leave Kaiser, they would actually be taking a pick up if they go work somewhere else. The other thing they say is that they have a lower attrition rate, so turnover than other, you know, companies in health care. They say that they’re very committed to taking care of their employees, but they also need to make sure that care remains affordable for the millions of people that Kaiser serves.\u003c/p>\n\u003cp>\u003cstrong>Farida Jhabvala Romero: \u003c/strong>So we’re talking about a lot of health care costs that Kaiser has to, you know, factor in and make the kind of investments that the unions are asking for. I do have to say, though, they have been making profits for several years in recent years, except for one. One year, I think it was last year. They are trying to invest more in properties that are growing. You know, we see Kaiser being advertised at Chase Center and other places around the Bay Area. Executive compensation, millions of dollars, you know, for several people and their executive team. And that’s the base salary. So I think workers who are striking see all that and they say, hey, I think Kaiser seems to be doing well and we want to be able to get a little bit more for ourselves so that we can continue working and in health care.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Well, I’m sure listeners are also wondering how this strike is going to impact them. I’m definitely one of those people. Have people seen any disruptions so far to the care that they there they go to Kaiser for.\u003c/p>\n\u003cp>\u003cstrong>Farida Jhabvala Romero: \u003c/strong>Emergency operations, their emergency departments, their hospitals, Those kinds of services are continuing to operate. They brought in thousands of contract workers, but their physicians, their doctors are not part of this strike. So doctors are still working and they have some staffers. The overwhelming majority of people in the union voted to authorize the strike. But, you know, some staffers decided to keep working. But if you’re looking for pharmacy services, maybe radiology, going to see the optometrist, all of those services may be closed or working with reduced hours. And some of those locations is what Kaiser said. The other thing that Kaiser started doing as rescheduling what they consider non-emergency surgeries.\u003c/p>\n\u003cp>\u003cstrong>Laveida Spence: \u003c/strong>My name is Laveida Spence.\u003c/p>\n\u003cp>\u003cstrong>Farida Jhabvala Romero: \u003c/strong>Laveida is a 78 year old lady who I met crossing the street in Oakland, going from the Oakland Medical Center, where hundreds of workers were crowding the sidewalks. You know, there was music, cars honking, all of this activity. And then I met her on the way to another facility because they moved their COVID and flu vaccination clinic out of the Oakland Medical Center to a nearby building.\u003c/p>\n\u003cp>\u003cstrong>Laveida Spence: \u003c/strong>So I got there and they told me I had to come to the Fabiola building. I met her all day, as you can tell from my breathing.\u003c/p>\n\u003cp>\u003cstrong>Farida Jhabvala Romero: \u003c/strong>She has issues with her lower back trouble walking. And here she was huffing and puffing, you know, trying to get to her COVID vaccine somewhere else. And she said she got the wrong information from the app. And so she just wanted Kaiser to, you know, be able to update members and where to go when they need services.\u003c/p>\n\u003cp>\u003cstrong>Laveida Spence: \u003c/strong>And I wouldn’t mind coming, but you should get your app straight and have the right information for people.\u003c/p>\n\u003cp>\u003cstrong>Farida Jhabvala Romero: \u003c/strong>She seemed to be, you know, one of the people in the camp where they say they they understand the reasons for the strike. They seem to be generally supportive of the health care workers, but they don’t want it to go very much longer.\u003c/p>\n\u003cp>\u003cstrong>Laveida Spence: \u003c/strong>Well, I understand the reasons for the strike and I’m in agreement with it. And as long as Kaiser can provide medical care for people that need it and emergency care, then I’m fine.\u003c/p>\n\u003cp>\u003cstrong>Farida Jhabvala Romero: \u003c/strong>What has been announced by the union is just a three day strike in California. But people are saying, hey, it could go longer. And if it does, then we’re going to see a lot more disruptions and delays to health care services for so many people.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Well, Frida, we’ve talked a lot about almost strikes and strikes lately. And this isn’t the first time that Kaiser workers have gone on strike. But what do you think this says about how health care workers are feeling right now?\u003c/p>\n\u003cp>\u003cstrong>Farida Jhabvala Romero: \u003c/strong>I mean, I think this is something shared by people working in many different industries. But definitely there’s a huge concern that wages are not keeping up with the cost of living. Now, like we were saying, in health care, it’s exacerbated even more by the feeling that, you know, workers felt like they were there, you know, when they were needed, when they had and we had this huge public health emergency. So I think the feeling for health care workers is they’ve made huge sacrifices and they deserve wage increases. They also feel like they’ve been falling behind. You know, the level of inflation are a lot more than what, you know, wages are increasing. So it’s it’s not keeping up. So those are those are basic things not only in health care, but in other industries. And one of the main reasons that we’re seeing so many strikes or threats to strike across across industries.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Well Farida thank you so much. I appreciate it.\u003c/p>\n\u003cp>\u003cstrong>Farida Jhabvala Romero: \u003c/strong>Appreciate it. Thank you, Erica.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>That was Farida Jhabvala Romero, a labor correspondent for KQED. This 26 minute conversation with Farida was cut down and edited by senior editor Alan Montecillo. Producer Maria Esquinca scored this episode and added all the tape. Music courtesy of Audio Network. Shout out as well to the rest of the podcast squad here at KQED. That’s Jen Chien, director of podcasts. Katie Sprenger, our podcast operations manager. We get audience engagement support from Cesar Saldana, and Holly Kernan is our chief content officer. And I’m Ericka Cruz Guevarra. Thank you for listening to the Bay, where production of members supported KQED.\u003c/p>\n\n\u003c/div>"
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"title": "Bay Area Kaiser Workers Strike for Higher Wages, Increased Staffing",
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"content": "\u003cp>Nearly 23,000 \u003ca href=\"https://www.kqed.org/news/11963308/kaiser-strike-if-youre-a-patient-what-medical-services-would-be-affected\">Kaiser Permanente\u003c/a> X-ray operators, surgical technicians, nursing assistants and other health care workers in the Bay Area began striking Wednesday morning as contract negotiations continue.\u003c/p>\n\u003cp>“We have committed to a three-day strike,” said Timothy Regan, a Kaiser health educator of 25 years who was picketing outside the San Francisco Medical Center before dawn.\u003c/p>\n\u003cp>Employees will be striking across the Bay Area from Wednesday until 6 a.m. on Saturday, including at Kaiser hospitals in Oakland, Antioch, Fremont, Manteca, Redwood City, Richmond, San Francisco, South San Francisco, San José, Santa Clara, Santa Rosa, Vallejo and Walnut Creek.\u003c/p>\n\u003cdiv class=\"mceTemp\">\u003c/div>\n\u003cp>Kaiser workers are pushing for increased staffing and pay increases to prevent burnout after millions of health care workers left their jobs during the pandemic.\u003c/p>\n\u003cfigure id=\"attachment_11963407\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11963407 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED.jpg\" alt=\"A group of people hold signs in front of a large modern looking building.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Kaiser workers strike in front of 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>[pullquote size=\"medium\" align=\"right\" citation=\"Lily Young, Kaiser member\"]‘I support the workers and their right to unionize, the right to get fair wages and get compensation, most certainly. But the reality is that it does have an impact on patients.’[/pullquote]“Short staffing is the biggest thing that affects patient care and quality of care,” Edith Hurtado, a medical assistant at Kaiser, told KQED while picketing outside the San Francisco facility on Wednesday. “Patients have a long wait period or [are] not getting the care they need and have to wait for a medication or injection. The quality of patient care does diminish when we don’t have a full staff.”\u003c/p>\n\u003cp>But the three-day strike is expected to \u003ca href=\"https://www.kqed.org/news/11963152/looming-kaiser-strike-could-delay-covid-flu-shots\">exacerbate vaccine wait times\u003c/a> for many patients at Kaiser, which serves more than 9.4 million people across California and is one of the largest private employers in the state. Non-emergency health services including elective surgeries have been rescheduled at some locations as well.\u003c/p>\n\u003cp>Some laboratory, radiology and optical locations may be closed or operating at reduced hours during the strike, a spokesperson for Kaiser told KQED in an email.\u003c/p>\n\u003ch2>Getting vaccines\u003c/h2>\n\u003cp>Lily Young has been struggling to find a booster shot for her two young children at her local Kaiser facilities in Sacramento. The strike has made her feel “very nervous” about their ability to get vaccinated before a scheduled trip.\u003c/p>\n\u003cp>“About half of my friends are Kaiser members and we are all just scrambling and trying to get these COVID shots,” said Young. “I support the workers and their right to unionize, the right to get fair wages and get compensation, most certainly. But the reality is that it does have an impact on patients.”\u003c/p>\n\u003cfigure id=\"attachment_11963445\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11963445 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/231004-KAISER-STRIKE-OAKLAND-MD-14-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-OAKLAND-MD-14-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-OAKLAND-MD-14-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-OAKLAND-MD-14-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-OAKLAND-MD-14-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-OAKLAND-MD-14-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-OAKLAND-MD-14-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Kaiser workers strike in front of 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>Employees like Hurtado, who is also a Kaiser patient, said they hope the strike will put pressure on executives to improve conditions for workers, and by extension, patients.\u003c/p>\n\u003cp>“I’m a patient here. My family are patients here. We want better quality care and full staffing,” she said. “We’re here to fight not only for us as health care workers, but for our patients as well.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In California, Kaiser received its supply of COVID-19 doses in the last two weeks and currently is only accepting walk-ins. But for kids 11 and younger, an immunization appointment must be scheduled online, according to \u003ca href=\"https://mydoctor.kaiserpermanente.org/ncal/covid-19-vaccine-locations/\">the health care provider’s website\u003c/a>.\u003c/p>\n\u003cp>Other retail pharmacies are gearing up to provide additional shots while the strike is ongoing.\u003c/p>\n\u003cp>Places like Walgreens will accept Kaiser insurance for vaccines and offer free shots to people who are uninsured. But some clinics charge a steep fee, and not all accept Kaiser insurance.\u003c/p>\n\u003cp>When Young tried to get a COVID-19 vaccine at her local Rite Aid, she was told that Kaiser was no longer reimbursing shots there. The pharmacy said the out-of-pocket cost for the shot was $190. She decided to wait it out.\u003c/p>\n\u003cp>“I did try to make an online appointment, and there’s just nothing available,” Young told KQED. “Now I’m just at the mercy of Kaiser to hopefully get myself, my husband, my 4-year-old and my 9-month-old vaccinated and they have been historically really slow with vaccinations.”\u003c/p>\n\u003cp>A recent union survey of employees showed nearly \u003ca href=\"https://www.unioncoalition.org/wp-content/uploads/2023/04/2022-04_Report_Staffing-Survey-10.1_DIGITAL.pdf?emci=11db37e0-b5df-ed11-8e8b-00224832eb73&emdi=ea000000-0000-0000-0000-000000000001&ceid=%7B%7BContactsEmailID%7D%7D\">65% of respondents have seen patients’ care delayed or denied (PDF)\u003c/a> due to recent staffing shortages.\u003c/p>\n\u003cfigure id=\"attachment_11963406\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11963406 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-02-KQED-1.jpg\" alt='A person holds up a sign that reads \"Kaiser Workers on ULP Strike.\"' width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-02-KQED-1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-02-KQED-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-02-KQED-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-02-KQED-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-02-KQED-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-02-KQED-1-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Michael Jones strikes at 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>“I’ve caught COVID twice and I still work for Kaiser. I put my life to risk coming to work,” Michael Jones, a Kaiser medical assistant who works with autistic children, told KQED outside Oakland Medical Center on Wednesday. “For Kaiser to say they can find other workers who don’t care, that they’ll find other workers who are better and cheaper, that’s a slap in the face.”\u003c/p>\n\u003ch2>Wage increases for staff\u003c/h2>\n\u003cp>Close to 75,000 Kaiser workers in California — as well as in Oregon, Washington, Colorado, Virginia and Washington, D.C. — are now demanding their employer to increase staffing and are pushing for a 6.5% wage increase in the first two years of this next contract, and a 5.75% increase the following two years.\u003c/p>\n\u003cp>Employees are also seeking to raise the minimum wage across the board to $26 by 2026.\u003c/p>\n\u003cp>Grover Woods, who works in the operating room at Kaiser in Oakland, said workers like him “are overworked and underpaid.”\u003c/p>\n\u003cp>“Inflation is going all the way up, everything is high. Groceries, insurance, everything,” Woods told KQED at the Oakland picket line on Wednesday. “Everything is going up except our paycheck.”\u003c/p>\n\u003cp>https://twitter.com/SaulGonzalezCA/status/1709604858700222560\u003c/p>\n\u003cp>In a recent proposal, Kaiser offered California workers across-the-board wage increases of 4% for the next two years, and 3% for the following two years, as well as a minimum performance bonus aimed to prevent any employees from receiving no payout.\u003c/p>\n\u003cp>Kaiser also \u003ca href=\"https://mykp.kp.org/content/dam/kp/mykp/documents/infographics-pdf/new-offer-infographic_100123_5pm.pdf\">recently offered (PDF)\u003c/a> a $23-per-hour minimum wage for its employees in California starting in 2024.\u003c/p>\n\u003cp>[aside tag=\"kaiser, health\" label=\"More Related Stories\"]“We lead total compensation in every market where we operate, and our proposals in bargaining would ensure we keep that position,” a spokesperson for Kaiser said in an email. “In some places, like in Southern California, a Kaiser Permanente employee leaving for a similar job at another organization would on average face a 20-plus percent pay cut and lower benefits.”\u003c/p>\n\u003cp>Employees represented by Kaiser’s coalition of labor unions voted to authorize the strike last month if a deal was not reached by Sept. 30.\u003c/p>\n\u003cp>“We gave a 10-day notice for that and we’re waiting moment by moment for Kaiser executives to respond and say, ‘Ok, let’s actually start creating solutions that work for everybody,’” said Regan from the picket line.\u003c/p>\n\u003cp>\u003cem>KQED reporter Billy Cruz contributed to this report.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Nearly 23,000 \u003ca href=\"https://www.kqed.org/news/11963308/kaiser-strike-if-youre-a-patient-what-medical-services-would-be-affected\">Kaiser Permanente\u003c/a> X-ray operators, surgical technicians, nursing assistants and other health care workers in the Bay Area began striking Wednesday morning as contract negotiations continue.\u003c/p>\n\u003cp>“We have committed to a three-day strike,” said Timothy Regan, a Kaiser health educator of 25 years who was picketing outside the San Francisco Medical Center before dawn.\u003c/p>\n\u003cp>Employees will be striking across the Bay Area from Wednesday until 6 a.m. on Saturday, including at Kaiser hospitals in Oakland, Antioch, Fremont, Manteca, Redwood City, Richmond, San Francisco, South San Francisco, San José, Santa Clara, Santa Rosa, Vallejo and Walnut Creek.\u003c/p>\n\u003cdiv class=\"mceTemp\">\u003c/div>\n\u003cp>Kaiser workers are pushing for increased staffing and pay increases to prevent burnout after millions of health care workers left their jobs during the pandemic.\u003c/p>\n\u003cfigure id=\"attachment_11963407\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11963407 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED.jpg\" alt=\"A group of people hold signs in front of a large modern looking building.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-06-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Kaiser workers strike in front of 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>\u003c/p>\u003c/div>",
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"content": "‘I support the workers and their right to unionize, the right to get fair wages and get compensation, most certainly. But the reality is that it does have an impact on patients.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Short staffing is the biggest thing that affects patient care and quality of care,” Edith Hurtado, a medical assistant at Kaiser, told KQED while picketing outside the San Francisco facility on Wednesday. “Patients have a long wait period or [are] not getting the care they need and have to wait for a medication or injection. The quality of patient care does diminish when we don’t have a full staff.”\u003c/p>\n\u003cp>But the three-day strike is expected to \u003ca href=\"https://www.kqed.org/news/11963152/looming-kaiser-strike-could-delay-covid-flu-shots\">exacerbate vaccine wait times\u003c/a> for many patients at Kaiser, which serves more than 9.4 million people across California and is one of the largest private employers in the state. Non-emergency health services including elective surgeries have been rescheduled at some locations as well.\u003c/p>\n\u003cp>Some laboratory, radiology and optical locations may be closed or operating at reduced hours during the strike, a spokesperson for Kaiser told KQED in an email.\u003c/p>\n\u003ch2>Getting vaccines\u003c/h2>\n\u003cp>Lily Young has been struggling to find a booster shot for her two young children at her local Kaiser facilities in Sacramento. The strike has made her feel “very nervous” about their ability to get vaccinated before a scheduled trip.\u003c/p>\n\u003cp>“About half of my friends are Kaiser members and we are all just scrambling and trying to get these COVID shots,” said Young. “I support the workers and their right to unionize, the right to get fair wages and get compensation, most certainly. But the reality is that it does have an impact on patients.”\u003c/p>\n\u003cfigure id=\"attachment_11963445\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11963445 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/231004-KAISER-STRIKE-OAKLAND-MD-14-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-OAKLAND-MD-14-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-OAKLAND-MD-14-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-OAKLAND-MD-14-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-OAKLAND-MD-14-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-OAKLAND-MD-14-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-OAKLAND-MD-14-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Kaiser workers strike in front of 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>Employees like Hurtado, who is also a Kaiser patient, said they hope the strike will put pressure on executives to improve conditions for workers, and by extension, patients.\u003c/p>\n\u003cp>“I’m a patient here. My family are patients here. We want better quality care and full staffing,” she said. “We’re here to fight not only for us as health care workers, but for our patients as well.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In California, Kaiser received its supply of COVID-19 doses in the last two weeks and currently is only accepting walk-ins. But for kids 11 and younger, an immunization appointment must be scheduled online, according to \u003ca href=\"https://mydoctor.kaiserpermanente.org/ncal/covid-19-vaccine-locations/\">the health care provider’s website\u003c/a>.\u003c/p>\n\u003cp>Other retail pharmacies are gearing up to provide additional shots while the strike is ongoing.\u003c/p>\n\u003cp>Places like Walgreens will accept Kaiser insurance for vaccines and offer free shots to people who are uninsured. But some clinics charge a steep fee, and not all accept Kaiser insurance.\u003c/p>\n\u003cp>When Young tried to get a COVID-19 vaccine at her local Rite Aid, she was told that Kaiser was no longer reimbursing shots there. The pharmacy said the out-of-pocket cost for the shot was $190. She decided to wait it out.\u003c/p>\n\u003cp>“I did try to make an online appointment, and there’s just nothing available,” Young told KQED. “Now I’m just at the mercy of Kaiser to hopefully get myself, my husband, my 4-year-old and my 9-month-old vaccinated and they have been historically really slow with vaccinations.”\u003c/p>\n\u003cp>A recent union survey of employees showed nearly \u003ca href=\"https://www.unioncoalition.org/wp-content/uploads/2023/04/2022-04_Report_Staffing-Survey-10.1_DIGITAL.pdf?emci=11db37e0-b5df-ed11-8e8b-00224832eb73&emdi=ea000000-0000-0000-0000-000000000001&ceid=%7B%7BContactsEmailID%7D%7D\">65% of respondents have seen patients’ care delayed or denied (PDF)\u003c/a> due to recent staffing shortages.\u003c/p>\n\u003cfigure id=\"attachment_11963406\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11963406 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-02-KQED-1.jpg\" alt='A person holds up a sign that reads \"Kaiser Workers on ULP Strike.\"' width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-02-KQED-1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-02-KQED-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-02-KQED-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-02-KQED-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-02-KQED-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-02-KQED-1-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Michael Jones strikes at 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>“I’ve caught COVID twice and I still work for Kaiser. I put my life to risk coming to work,” Michael Jones, a Kaiser medical assistant who works with autistic children, told KQED outside Oakland Medical Center on Wednesday. “For Kaiser to say they can find other workers who don’t care, that they’ll find other workers who are better and cheaper, that’s a slap in the face.”\u003c/p>\n\u003ch2>Wage increases for staff\u003c/h2>\n\u003cp>Close to 75,000 Kaiser workers in California — as well as in Oregon, Washington, Colorado, Virginia and Washington, D.C. — are now demanding their employer to increase staffing and are pushing for a 6.5% wage increase in the first two years of this next contract, and a 5.75% increase the following two years.\u003c/p>\n\u003cp>Employees are also seeking to raise the minimum wage across the board to $26 by 2026.\u003c/p>\n\u003cp>Grover Woods, who works in the operating room at Kaiser in Oakland, said workers like him “are overworked and underpaid.”\u003c/p>\n\u003cp>“Inflation is going all the way up, everything is high. Groceries, insurance, everything,” Woods told KQED at the Oakland picket line on Wednesday. “Everything is going up except our paycheck.”\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>In a recent proposal, Kaiser offered California workers across-the-board wage increases of 4% for the next two years, and 3% for the following two years, as well as a minimum performance bonus aimed to prevent any employees from receiving no payout.\u003c/p>\n\u003cp>Kaiser also \u003ca href=\"https://mykp.kp.org/content/dam/kp/mykp/documents/infographics-pdf/new-offer-infographic_100123_5pm.pdf\">recently offered (PDF)\u003c/a> a $23-per-hour minimum wage for its employees in California starting in 2024.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“We lead total compensation in every market where we operate, and our proposals in bargaining would ensure we keep that position,” a spokesperson for Kaiser said in an email. “In some places, like in Southern California, a Kaiser Permanente employee leaving for a similar job at another organization would on average face a 20-plus percent pay cut and lower benefits.”\u003c/p>\n\u003cp>Employees represented by Kaiser’s coalition of labor unions voted to authorize the strike last month if a deal was not reached by Sept. 30.\u003c/p>\n\u003cp>“We gave a 10-day notice for that and we’re waiting moment by moment for Kaiser executives to respond and say, ‘Ok, let’s actually start creating solutions that work for everybody,’” said Regan from the picket line.\u003c/p>\n\u003cp>\u003cem>KQED reporter Billy Cruz contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"marketplace": {
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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"politicalbreakdown": {
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"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"pri-the-world": {
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"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
"radiolab": {
"id": "radiolab",
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"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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"reveal": {
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"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
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},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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"order": 16
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},
"science-friday": {
"id": "science-friday",
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"info": "Science Friday is a weekly science talk show, broadcast live over public radio stations nationwide. Each week, the show focuses on science topics that are in the news and tries to bring an educated, balanced discussion to bear on the scientific issues at hand. Panels of expert guests join host Ira Flatow, a veteran science journalist, to discuss science and to take questions from listeners during the call-in portion of the program.",
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"snap-judgment": {
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"title": "Snap Judgment",
"tagline": "Real stories with killer beats",
"info": "The Snap Judgment radio show and podcast mixes real stories with killer beats to produce cinematic, dramatic radio. Snap's musical brand of storytelling dares listeners to see the world through the eyes of another. This is storytelling... with a BEAT!! Snap first aired on public radio stations nationwide in July 2010. Today, Snap Judgment airs on over 450 public radio stations and is brought to the airwaves by KQED & PRX.",
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