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"content": "\u003cp>Amanda Caballero wishes she could go back to work at Amazon.\u003c/p>\n\u003cp>She made $15 an hour at the Fresno fulfillment center — several dollars more than the state’s minimum wage — and received more than three months of paid maternity leave. Her generous health insurance package covered her husband and five children, and she liked her managers.\u003c/p>\n\u003cp>But a wrist injury left the 31-year-old Fresno resident unable to work.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation=\"Amanda Caballero, Amazon warehouse worker said of her supervisors\"]‘They knew what was happening and they just let it happen.’[/pullquote] Standing on a two-step ladder during her Amazon shift last March, she was struggling to get a heavy box out of a cubby. She grabbed the box and tugged, but her glove was stuck underneath it, and as she pulled, her hand stayed in place, straining her wrist.\u003c/p>\n\u003cp>She recently stopped receiving workers’ compensation payments and doesn’t qualify for any available jobs, Amazon or otherwise, from nurse’s assistant to retail cashier, because she can’t lift even a gallon of milk. The family now depends on her husband’s income as a security guard, help from their family and food stamps. Despite weeks of physical therapy, it’s unclear when her wrist will heal.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Caballero’s injury was one of 307 injuries and illnesses recorded at the Fresno fulfillment center between June 2018, when it opened, and May 2019, according to federal Occupational Safety and Health Administration records.\u003c/p>\n\u003cp>In 2018, the Fresno warehouse’s rate of serious injuries — those that require job restrictions or days off work — was nearly 12 injuries per 100 workers, almost three times the national warehouse industry average last year, and more than double the statewide industry average, according to OSHA records.\u003c/p>\n\u003cp>The injury rate in Fresno\u003ca href=\"https://www.revealnews.org/article/find-out-what-injuries-are-like-at-the-amazon-warehouse-that-handled-your-packages/\"> ranked 10th among 28 Amazon warehouses\u003c/a> nationwide in 2018 for which Reveal, from The Center for Investigative Reporting, obtained records. It ranked third among California’s Amazon warehouses.\u003c/p>\n\u003cp>The center, among the top corporate employers in the county, employs more than 2,500 people.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"amazon\"]The Fresno Bee spoke with more than a dozen Amazon workers, four of whom were injured and agreed to go on the record. They said the job was great, as were the pay and benefits. But they said injuries at Amazon were crippling in more ways than one.\u003c/p>\n\u003cp>The workers described a stressful environment, where they had to keep a breakneck pace or face write-ups from supervisors. They feared taking bathroom breaks or time off due to injuries or illnesses because they said they felt doing so would put their jobs at risk. They also said they feared or were discouraged from filing injury reports, which indicates that official rates may be undercounted.\u003c/p>\n\u003cp>The vast majority of injuries were described on OSHA reports as sprains and strains to the back, wrist, shoulder and ankles. The remaining workers sustained bruises, fractures or smash injuries, like crushed toes or skin irritations. The workers interviewed reported mostly sprains and strains due to repetitive motions.\u003c/p>\n\u003cp>While they were made to stretch before work and lunch, and “microstretch” throughout the day, employees said repeating the same motion over and over wore on their muscles and ligaments.\u003c/p>\n\u003cp>Some who were hurt on the job said they struggled to get and keep workers’ compensation, and still feel the physical effects of their injuries months after their benefits ended.\u003c/p>\n\u003ch3>\u003cstrong>Amazon Responds\u003c/strong>\u003c/h3>\n\u003cp>In an emailed statement to The Bee, an Amazon spokesperson said its injury rates appear high because the company is aggressive about recording injuries, regardless of whether they are work related. Amazon said they believe others in the industry dramatically underreport.\u003c/p>\n\u003cp>“You’re seeing this in the rates because we take an abundance of caution in not placing employees with work restrictions back at work before they are ready,” the spokesperson said in the email. “We know that by making a conservative choice to not place an injured associate back into a job before permitted by their work restrictions, we are increasing lost time as a company, but with the intent to benefit the associate.”\u003c/p>\n\u003cp>The company added that training and protocols to ensure safety are ubiquitous at Amazon. The company has spent over $55 million on capital investments specific to safety improvements, it wrote. For example, supervisors are supposed to track and audit progress on reducing physical risk, and every associate is asked to fill out a monthly safety survey.\u003c/p>\n\u003cfigure id=\"attachment_11797128\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2020/01/AMAZON-photo-2-e1579646896870.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11797128\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/01/AMAZON-photo-2-800x536.jpg\" alt=\"\" width=\"800\" height=\"536\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Amazon process assistant Ivan Agcaoili works at his station. The center, among the top corporate employers in Fresno County, employs more than 2,500 people. \u003ccite>(Eric Paul Zamora/The Fresno Bee)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Caballero doesn’t blame Amazon.\u003c/p>\n\u003cp>The job was the best one she’s had, and a rigorous set of safety guidelines existed, including mandated daily stretching. But she believes supervisors were under such high pressure to meet quotas, they encouraged workers to do anything for the job, regardless of the physical toll.\u003c/p>\n\u003cp>“They knew what was happening and they just let it happen,” Caballero said.\u003c/p>\n\u003cp>Amazon said they have never heard of supervisors encouraging teams to bypass safety guidelines to meet quotas.\u003c/p>\n\u003cp>“Like most companies, we have performance expectations for every Amazonian — be it corporate employee or fulfillment center associate and we measure actual performance against those expectations,” the spokesperson wrote. “Associate performance is measured and evaluated over a long period of time as we know that a variety of things could impact the ability to meet expectations in any given day or hour.”\u003c/p>\n\u003ch3>\u003cstrong>A Big Win for Fresno\u003c/strong>\u003c/h3>\n\u003cp>At 855,000 square feet, Amazon’s fulfillment center in Fresno spans about 14 football fields. It runs 24 hours a day and utilizes hundreds of robots.\u003c/p>\n\u003cp>A machine illuminates for workers like Caballero what items to grab from cubbies or bins, and where to place them. Robots resembling automatic vacuum cleaners underneath shelves whisk items across the floor. More than 10 miles of conveyors whisk packages from one end of the warehouse to another.\u003c/p>\n\u003cp>The city spent nearly a year in negotiations with Amazon to secure the state-of-the-art warehouse. Mayor Lee Brand’s Economic Expansion Act, approved by the City Council in 2016, calls for Fresno to rebate 90% of the city’s share of property taxes as well as the city’s entire share of sales, and use taxes paid by the company on purchases it makes in Fresno.\u003c/p>\n\u003cp>The city spent more than $1 million in broadband installation, expanded roads leading to the warehouse and modified bus routes, according to Councilman Luis Chavez, a vocal supporter of the city’s Amazon deal.\u003c/p>\n\u003cp>To qualify for the incentives, hard-capped at $30 million over 30 years, Amazon agreed to provide 750 new full-time jobs at the center throughout that time period.\u003c/p>\n\u003cp>Amazon also committed to a $53 million investment in the city, county and Fresno Unified School District over 30 years. Since opening, the company has has donated $15,000 to the Fresno Unified School District to support STEM and robotics education for more than 600 local students and $25,000 to the nonprofit WestCare Homeless Alleviation, it said.\u003c/p>\n\u003cp>In addition to a $15 minimum wage, Amazon offers employees comprehensive medical, vision and dental benefits, as well as a 401(k) plan with a 50% company match. Employees can receive up to 20 weeks of paid family leave. Amazon also offers nearly full tuition for employees to go back to school in high-demand fields, it said.\u003c/p>\n\u003cp>Chavez said Amazon’s presence has forced other warehouses, like Kraft and OK Produce, to raise hourly wages by $2 or $3 in order to compete. It also put Fresno on the map for other companies, he said.\u003c/p>\n\u003cp>“Now that Amazon and Ulta [a cosmetics supplier] came, there’s been a lot of interest in other companies coming to Fresno, and I think that’s been a big plus for the city of Fresno to provide more jobs for the community,” Chavez said.\u003c/p>\n\u003cp>However, he added the city needs to dig deeper to learn why the injury rate is “abnormally high.”\u003c/p>\n\u003cp>“To have 12 out of 100 employees to be injured in that span is really high,” Chavez said. “Our goal should not be the state or the national average, it should be well below that.”\u003c/p>\n\u003cp>In an emailed statement to The Bee, Mayor Brand said he couldn’t speak about the company’s workplace injuries, but said worker safety in general was a basic expectation.\u003c/p>\n\u003cp>“Since their e-commerce center opened in 2018, Amazon has had a positive effect on our community as well as our economy, providing thousands of good paying jobs that helped Fresno achieve record low unemployment and bring opportunity and advancement for Fresno families,” Brand said.\u003c/p>\n\u003cp>He added that regulatory agencies like Cal/OSHA closely monitor and enforce worker safety.\u003c/p>\n\u003cp>“I expect every business in Fresno to not only comply with worker safety laws, but also to value their employees,” he said. “Given what Amazon has done for their employees with benefits and education incentives, I expect that they also take workplace safety very seriously.”\u003c/p>\n\u003ch3>\u003cstrong>Fear of Reporting Injuries\u003c/strong>\u003c/h3>\n\u003cp>Most of the workers The Bee interviewed said they were scared to report injuries to their supervisors. When they did, they said they felt discouraged from filing formal injury reports.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation=\"Tambra Recek, Amazon warehouse worker\"]‘You still have to go fast and it’s hard when you’re in a lot of pain.’[/pullquote]\u003c/p>\n\u003cp>Caballero feared reporting her injury because she had heard from her coworkers that it could result in being passed up for a promotion. She told her manager anyway, when she could no longer work with her right hand.\u003c/p>\n\u003cp>“I didn’t really want to have a report written for my injury and get treated differently,” she said.\u003c/p>\n\u003cp>Tambra Recek, 33, said she injured her back lifting boxes at the warehouse and the pain drove her to tears. At AmCare, the in-house first aid facility, she said she was told she would have to clock out to see a doctor, something she still hasn’t done because she has doesn’t have health care.\u003c/p>\n\u003cp>“I can’t afford to not get paid. I have kids,” Recek said. “Finally I said, ‘You know what, I’m fine. I’m fine.’ They asked, ‘Do you want to drop the case?’ So I signed those papers saying that you don’t want to go further. But you still have to pack. You still have to go fast and it’s hard when you’re in a lot of pain.”\u003c/p>\n\u003cp>Kelly Hoffman, a 40-year-old mother of four, said she was injured three times before she reported it because she was scared of losing her livelihood.\u003c/p>\n\u003cp>First, she said, a box fell on her shoulder. Then she pulled a muscle reaching for a box in a cubby. In January, her wrists began aching, but she said she only let her supervisors know months later.\u003c/p>\n\u003cp>Her husband, Keith, who also works at the fulfillment center, said that in July, he was picking up a flat of energy drinks from a bin to scan and put into a tray when he felt his back pop. When a manager took him to the AmCare facility during a break, he urged her to come along because she kept rubbing her wrist.\u003c/p>\n\u003cp>In their emailed response, Amazon officials said the health and safety of associates is their top priority and they “support employees when they have personal obligations, health matters or other life events that require support.” The company declined to discuss individual complaints to respect the privacy of employees, but said they have zero tolerance for retaliation against employees who raise concerns.\u003c/p>\n\u003cfigure id=\"attachment_11797146\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2020/01/AMAZON-photo-3-e1579646991923.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11797146\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/01/AMAZON-photo-3-800x537.jpg\" alt=\"\" width=\"800\" height=\"537\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Amazon process assistant Ivan Agcaoili looks to his computer monitor as he sorts packages. \u003ccite>(Eric Paul Zamora/The Fresno Bee)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Seeking Care\u003c/strong>\u003c/p>\n\u003cp>Kelly Hoffman had her wrist wrapped and returned to work. She went to the doctor the next day, and learned that the tightly wrapped bandage was constricting her nerves, worsening the injury. She was diagnosed with carpal tunnel syndrome in both wrists.\u003c/p>\n\u003cp>“Patient may have a baseline narrowed canal, which was aggravated by the repeated work she does at Amazon,” her medical records say.\u003c/p>\n\u003cp>Keith Hoffman, 43, was sent to the doctor, who later found a mild disc bulge and a narrowing between two of his vertebrae, his records show.\u003c/p>\n\u003cp>Both were taken out of work and put on workers’ compensation, receiving around $800 every two weeks.\u003c/p>\n\u003cp>They said there was no ibuprofen at the clinic or in the vending machine in the break room.\u003c/p>\n\u003cp>“It’s always gone because everyone goes to work sick there because you never have time,” Keith said. “I can’t tell you how many times I saw somebody throwing up in a garbage can there because they don’t want to get fired for missing work.”\u003c/p>\n\u003cp>While Amazon declined to comment on specific incidents, the company said onsite medical representatives “follow clear, established company guidelines for first aid treatment in accordance with local, state, and federal regulations.”\u003c/p>\n\u003cp>It added that no associate should ever be discouraged from seeking care. Employees receive up to five weeks of time off a year and full health benefits starting on day one, it said.\u003c/p>\n\u003ch3>A Stressful Work Environment\u003c/h3>\n\u003cp>Recek, the mother of two who threw out her back in March, remembers being under constant stress. The loud machinery and fans buzzed in her ears during her 10-hour shifts, with no respite. (Phones are not allowed on the floor.) She said she always felt watched by supervisors who stood on elevated platforms overlooking work stations.\u003c/p>\n\u003cp>If she went to the bathroom, which was about half a block and two flights of stairs from her station, she would be asked why she had taken so long off task.\u003c/p>\n\u003cp>Amazon countered that every employee has quick, easy access to bathrooms and is allowed to use them freely.\u003c/p>\n\u003cp>In April 2019, Recek broke down while packing boxes.\u003c/p>\n\u003cp>“I don’t know what triggered it,” she said. “I was standing there. Somebody was talking to me and I blacked out. I was bent over the counter and I just was stuck. They said they were talking to me and I wasn’t replying. My manager came over and said, ‘What happened?’ I said, ’Huh?’ I didn’t remember.”\u003c/p>\n\u003cp>After what she called an anxiety attack, Recek took a leave of absence. She didn’t qualify for workers’ compensation, so she received disability payments from the state until her fund ran out in December. But she said she hasn’t been able to afford medication to treat her anxiety and depression because her benefits ended in October. She has been doing food delivery through apps like Postmates to keep up with bills, but she said her back is in constant pain from the injury she never formally reported. She has no medical documents to support the reason for her leave of absence.\u003c/p>\n\u003cp>Hoffman and her husband also lost their health insurance, with no prior notice, when their short-term disability ended in December. They both suffer from high blood pressure, and had three kids on their insurance, so they worry about what they will do when they run out of medicine or their kids need to see their eye doctor.\u003c/p>\n\u003cp>“We busted our butts for these people and that’s the pay we get, is losing our benefits — while we’re injured — because of them,” Keith Hoffman said.\u003c/p>\n\u003ch3>\u003cstrong>‘I Would Do it Again’\u003c/strong>\u003c/h3>\n\u003cp>In spite of high injury rates, most of the workers interviewed said they enjoyed their jobs and would go back if they could.\u003c/p>\n\u003cp>“The opportunities are endless when it comes to working with Amazon,” said Ivan Agcaoili, a process assistant at Amazon who has not suffered any injuries. “As long as you keep your head down, you work hard, you learn the process to understand everything, you’re good to go. It’s kind of a contagious thing.”\u003c/p>\n\u003cp>The Hoffmans said they could barely make it outside for a cigarette on their breaks, so they still feel grateful the job helped them quit smoking.\u003c/p>\n\u003cp>“I would do it again. I really would,” Keith said. “But it’s really strenuous work so it does wear on you.”\u003c/p>\n\u003cp>\u003cem>This story by Fresno Bee journalist Manuela Tobias was completed with information from Reveal’s Reporting Networks.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>It is part of \u003c/em>\u003ca href=\"https://calmatters.org/divide/\">\u003cem>The California Divide\u003c/em>\u003c/a>\u003cem>, a collaboration among newsrooms examining income inequity and economic survival in California.\u003c/em>\u003c/p>\n\n",
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"title": "Injury Rate at Fresno’s Amazon Warehouse Is Triple Industry Average | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Amanda Caballero wishes she could go back to work at Amazon.\u003c/p>\n\u003cp>She made $15 an hour at the Fresno fulfillment center — several dollars more than the state’s minimum wage — and received more than three months of paid maternity leave. Her generous health insurance package covered her husband and five children, and she liked her managers.\u003c/p>\n\u003cp>But a wrist injury left the 31-year-old Fresno resident unable to work.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> Standing on a two-step ladder during her Amazon shift last March, she was struggling to get a heavy box out of a cubby. She grabbed the box and tugged, but her glove was stuck underneath it, and as she pulled, her hand stayed in place, straining her wrist.\u003c/p>\n\u003cp>She recently stopped receiving workers’ compensation payments and doesn’t qualify for any available jobs, Amazon or otherwise, from nurse’s assistant to retail cashier, because she can’t lift even a gallon of milk. The family now depends on her husband’s income as a security guard, help from their family and food stamps. Despite weeks of physical therapy, it’s unclear when her wrist will heal.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Caballero’s injury was one of 307 injuries and illnesses recorded at the Fresno fulfillment center between June 2018, when it opened, and May 2019, according to federal Occupational Safety and Health Administration records.\u003c/p>\n\u003cp>In 2018, the Fresno warehouse’s rate of serious injuries — those that require job restrictions or days off work — was nearly 12 injuries per 100 workers, almost three times the national warehouse industry average last year, and more than double the statewide industry average, according to OSHA records.\u003c/p>\n\u003cp>The injury rate in Fresno\u003ca href=\"https://www.revealnews.org/article/find-out-what-injuries-are-like-at-the-amazon-warehouse-that-handled-your-packages/\"> ranked 10th among 28 Amazon warehouses\u003c/a> nationwide in 2018 for which Reveal, from The Center for Investigative Reporting, obtained records. It ranked third among California’s Amazon warehouses.\u003c/p>\n\u003cp>The center, among the top corporate employers in the county, employs more than 2,500 people.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The Fresno Bee spoke with more than a dozen Amazon workers, four of whom were injured and agreed to go on the record. They said the job was great, as were the pay and benefits. But they said injuries at Amazon were crippling in more ways than one.\u003c/p>\n\u003cp>The workers described a stressful environment, where they had to keep a breakneck pace or face write-ups from supervisors. They feared taking bathroom breaks or time off due to injuries or illnesses because they said they felt doing so would put their jobs at risk. They also said they feared or were discouraged from filing injury reports, which indicates that official rates may be undercounted.\u003c/p>\n\u003cp>The vast majority of injuries were described on OSHA reports as sprains and strains to the back, wrist, shoulder and ankles. The remaining workers sustained bruises, fractures or smash injuries, like crushed toes or skin irritations. The workers interviewed reported mostly sprains and strains due to repetitive motions.\u003c/p>\n\u003cp>While they were made to stretch before work and lunch, and “microstretch” throughout the day, employees said repeating the same motion over and over wore on their muscles and ligaments.\u003c/p>\n\u003cp>Some who were hurt on the job said they struggled to get and keep workers’ compensation, and still feel the physical effects of their injuries months after their benefits ended.\u003c/p>\n\u003ch3>\u003cstrong>Amazon Responds\u003c/strong>\u003c/h3>\n\u003cp>In an emailed statement to The Bee, an Amazon spokesperson said its injury rates appear high because the company is aggressive about recording injuries, regardless of whether they are work related. Amazon said they believe others in the industry dramatically underreport.\u003c/p>\n\u003cp>“You’re seeing this in the rates because we take an abundance of caution in not placing employees with work restrictions back at work before they are ready,” the spokesperson said in the email. “We know that by making a conservative choice to not place an injured associate back into a job before permitted by their work restrictions, we are increasing lost time as a company, but with the intent to benefit the associate.”\u003c/p>\n\u003cp>The company added that training and protocols to ensure safety are ubiquitous at Amazon. The company has spent over $55 million on capital investments specific to safety improvements, it wrote. For example, supervisors are supposed to track and audit progress on reducing physical risk, and every associate is asked to fill out a monthly safety survey.\u003c/p>\n\u003cfigure id=\"attachment_11797128\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2020/01/AMAZON-photo-2-e1579646896870.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11797128\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/01/AMAZON-photo-2-800x536.jpg\" alt=\"\" width=\"800\" height=\"536\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Amazon process assistant Ivan Agcaoili works at his station. The center, among the top corporate employers in Fresno County, employs more than 2,500 people. \u003ccite>(Eric Paul Zamora/The Fresno Bee)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Caballero doesn’t blame Amazon.\u003c/p>\n\u003cp>The job was the best one she’s had, and a rigorous set of safety guidelines existed, including mandated daily stretching. But she believes supervisors were under such high pressure to meet quotas, they encouraged workers to do anything for the job, regardless of the physical toll.\u003c/p>\n\u003cp>“They knew what was happening and they just let it happen,” Caballero said.\u003c/p>\n\u003cp>Amazon said they have never heard of supervisors encouraging teams to bypass safety guidelines to meet quotas.\u003c/p>\n\u003cp>“Like most companies, we have performance expectations for every Amazonian — be it corporate employee or fulfillment center associate and we measure actual performance against those expectations,” the spokesperson wrote. “Associate performance is measured and evaluated over a long period of time as we know that a variety of things could impact the ability to meet expectations in any given day or hour.”\u003c/p>\n\u003ch3>\u003cstrong>A Big Win for Fresno\u003c/strong>\u003c/h3>\n\u003cp>At 855,000 square feet, Amazon’s fulfillment center in Fresno spans about 14 football fields. It runs 24 hours a day and utilizes hundreds of robots.\u003c/p>\n\u003cp>A machine illuminates for workers like Caballero what items to grab from cubbies or bins, and where to place them. Robots resembling automatic vacuum cleaners underneath shelves whisk items across the floor. More than 10 miles of conveyors whisk packages from one end of the warehouse to another.\u003c/p>\n\u003cp>The city spent nearly a year in negotiations with Amazon to secure the state-of-the-art warehouse. Mayor Lee Brand’s Economic Expansion Act, approved by the City Council in 2016, calls for Fresno to rebate 90% of the city’s share of property taxes as well as the city’s entire share of sales, and use taxes paid by the company on purchases it makes in Fresno.\u003c/p>\n\u003cp>The city spent more than $1 million in broadband installation, expanded roads leading to the warehouse and modified bus routes, according to Councilman Luis Chavez, a vocal supporter of the city’s Amazon deal.\u003c/p>\n\u003cp>To qualify for the incentives, hard-capped at $30 million over 30 years, Amazon agreed to provide 750 new full-time jobs at the center throughout that time period.\u003c/p>\n\u003cp>Amazon also committed to a $53 million investment in the city, county and Fresno Unified School District over 30 years. Since opening, the company has has donated $15,000 to the Fresno Unified School District to support STEM and robotics education for more than 600 local students and $25,000 to the nonprofit WestCare Homeless Alleviation, it said.\u003c/p>\n\u003cp>In addition to a $15 minimum wage, Amazon offers employees comprehensive medical, vision and dental benefits, as well as a 401(k) plan with a 50% company match. Employees can receive up to 20 weeks of paid family leave. Amazon also offers nearly full tuition for employees to go back to school in high-demand fields, it said.\u003c/p>\n\u003cp>Chavez said Amazon’s presence has forced other warehouses, like Kraft and OK Produce, to raise hourly wages by $2 or $3 in order to compete. It also put Fresno on the map for other companies, he said.\u003c/p>\n\u003cp>“Now that Amazon and Ulta [a cosmetics supplier] came, there’s been a lot of interest in other companies coming to Fresno, and I think that’s been a big plus for the city of Fresno to provide more jobs for the community,” Chavez said.\u003c/p>\n\u003cp>However, he added the city needs to dig deeper to learn why the injury rate is “abnormally high.”\u003c/p>\n\u003cp>“To have 12 out of 100 employees to be injured in that span is really high,” Chavez said. “Our goal should not be the state or the national average, it should be well below that.”\u003c/p>\n\u003cp>In an emailed statement to The Bee, Mayor Brand said he couldn’t speak about the company’s workplace injuries, but said worker safety in general was a basic expectation.\u003c/p>\n\u003cp>“Since their e-commerce center opened in 2018, Amazon has had a positive effect on our community as well as our economy, providing thousands of good paying jobs that helped Fresno achieve record low unemployment and bring opportunity and advancement for Fresno families,” Brand said.\u003c/p>\n\u003cp>He added that regulatory agencies like Cal/OSHA closely monitor and enforce worker safety.\u003c/p>\n\u003cp>“I expect every business in Fresno to not only comply with worker safety laws, but also to value their employees,” he said. “Given what Amazon has done for their employees with benefits and education incentives, I expect that they also take workplace safety very seriously.”\u003c/p>\n\u003ch3>\u003cstrong>Fear of Reporting Injuries\u003c/strong>\u003c/h3>\n\u003cp>Most of the workers The Bee interviewed said they were scared to report injuries to their supervisors. When they did, they said they felt discouraged from filing formal injury reports.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Caballero feared reporting her injury because she had heard from her coworkers that it could result in being passed up for a promotion. She told her manager anyway, when she could no longer work with her right hand.\u003c/p>\n\u003cp>“I didn’t really want to have a report written for my injury and get treated differently,” she said.\u003c/p>\n\u003cp>Tambra Recek, 33, said she injured her back lifting boxes at the warehouse and the pain drove her to tears. At AmCare, the in-house first aid facility, she said she was told she would have to clock out to see a doctor, something she still hasn’t done because she has doesn’t have health care.\u003c/p>\n\u003cp>“I can’t afford to not get paid. I have kids,” Recek said. “Finally I said, ‘You know what, I’m fine. I’m fine.’ They asked, ‘Do you want to drop the case?’ So I signed those papers saying that you don’t want to go further. But you still have to pack. You still have to go fast and it’s hard when you’re in a lot of pain.”\u003c/p>\n\u003cp>Kelly Hoffman, a 40-year-old mother of four, said she was injured three times before she reported it because she was scared of losing her livelihood.\u003c/p>\n\u003cp>First, she said, a box fell on her shoulder. Then she pulled a muscle reaching for a box in a cubby. In January, her wrists began aching, but she said she only let her supervisors know months later.\u003c/p>\n\u003cp>Her husband, Keith, who also works at the fulfillment center, said that in July, he was picking up a flat of energy drinks from a bin to scan and put into a tray when he felt his back pop. When a manager took him to the AmCare facility during a break, he urged her to come along because she kept rubbing her wrist.\u003c/p>\n\u003cp>In their emailed response, Amazon officials said the health and safety of associates is their top priority and they “support employees when they have personal obligations, health matters or other life events that require support.” The company declined to discuss individual complaints to respect the privacy of employees, but said they have zero tolerance for retaliation against employees who raise concerns.\u003c/p>\n\u003cfigure id=\"attachment_11797146\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2020/01/AMAZON-photo-3-e1579646991923.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11797146\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/01/AMAZON-photo-3-800x537.jpg\" alt=\"\" width=\"800\" height=\"537\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Amazon process assistant Ivan Agcaoili looks to his computer monitor as he sorts packages. \u003ccite>(Eric Paul Zamora/The Fresno Bee)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Seeking Care\u003c/strong>\u003c/p>\n\u003cp>Kelly Hoffman had her wrist wrapped and returned to work. She went to the doctor the next day, and learned that the tightly wrapped bandage was constricting her nerves, worsening the injury. She was diagnosed with carpal tunnel syndrome in both wrists.\u003c/p>\n\u003cp>“Patient may have a baseline narrowed canal, which was aggravated by the repeated work she does at Amazon,” her medical records say.\u003c/p>\n\u003cp>Keith Hoffman, 43, was sent to the doctor, who later found a mild disc bulge and a narrowing between two of his vertebrae, his records show.\u003c/p>\n\u003cp>Both were taken out of work and put on workers’ compensation, receiving around $800 every two weeks.\u003c/p>\n\u003cp>They said there was no ibuprofen at the clinic or in the vending machine in the break room.\u003c/p>\n\u003cp>“It’s always gone because everyone goes to work sick there because you never have time,” Keith said. “I can’t tell you how many times I saw somebody throwing up in a garbage can there because they don’t want to get fired for missing work.”\u003c/p>\n\u003cp>While Amazon declined to comment on specific incidents, the company said onsite medical representatives “follow clear, established company guidelines for first aid treatment in accordance with local, state, and federal regulations.”\u003c/p>\n\u003cp>It added that no associate should ever be discouraged from seeking care. Employees receive up to five weeks of time off a year and full health benefits starting on day one, it said.\u003c/p>\n\u003ch3>A Stressful Work Environment\u003c/h3>\n\u003cp>Recek, the mother of two who threw out her back in March, remembers being under constant stress. The loud machinery and fans buzzed in her ears during her 10-hour shifts, with no respite. (Phones are not allowed on the floor.) She said she always felt watched by supervisors who stood on elevated platforms overlooking work stations.\u003c/p>\n\u003cp>If she went to the bathroom, which was about half a block and two flights of stairs from her station, she would be asked why she had taken so long off task.\u003c/p>\n\u003cp>Amazon countered that every employee has quick, easy access to bathrooms and is allowed to use them freely.\u003c/p>\n\u003cp>In April 2019, Recek broke down while packing boxes.\u003c/p>\n\u003cp>“I don’t know what triggered it,” she said. “I was standing there. Somebody was talking to me and I blacked out. I was bent over the counter and I just was stuck. They said they were talking to me and I wasn’t replying. My manager came over and said, ‘What happened?’ I said, ’Huh?’ I didn’t remember.”\u003c/p>\n\u003cp>After what she called an anxiety attack, Recek took a leave of absence. She didn’t qualify for workers’ compensation, so she received disability payments from the state until her fund ran out in December. But she said she hasn’t been able to afford medication to treat her anxiety and depression because her benefits ended in October. She has been doing food delivery through apps like Postmates to keep up with bills, but she said her back is in constant pain from the injury she never formally reported. She has no medical documents to support the reason for her leave of absence.\u003c/p>\n\u003cp>Hoffman and her husband also lost their health insurance, with no prior notice, when their short-term disability ended in December. They both suffer from high blood pressure, and had three kids on their insurance, so they worry about what they will do when they run out of medicine or their kids need to see their eye doctor.\u003c/p>\n\u003cp>“We busted our butts for these people and that’s the pay we get, is losing our benefits — while we’re injured — because of them,” Keith Hoffman said.\u003c/p>\n\u003ch3>\u003cstrong>‘I Would Do it Again’\u003c/strong>\u003c/h3>\n\u003cp>In spite of high injury rates, most of the workers interviewed said they enjoyed their jobs and would go back if they could.\u003c/p>\n\u003cp>“The opportunities are endless when it comes to working with Amazon,” said Ivan Agcaoili, a process assistant at Amazon who has not suffered any injuries. “As long as you keep your head down, you work hard, you learn the process to understand everything, you’re good to go. It’s kind of a contagious thing.”\u003c/p>\n\u003cp>The Hoffmans said they could barely make it outside for a cigarette on their breaks, so they still feel grateful the job helped them quit smoking.\u003c/p>\n\u003cp>“I would do it again. I really would,” Keith said. “But it’s really strenuous work so it does wear on you.”\u003c/p>\n\u003cp>\u003cem>This story by Fresno Bee journalist Manuela Tobias was completed with information from Reveal’s Reporting Networks.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>An arbitrator has ordered UC Berkeley to retroactively pay student instructors who had been underpaid for years, a total that could reach several million dollars. The university must also end the practice now, according to a union representing the students.\u003c/p>\n\u003cp>The university said Wednesday that it would abide by the arbitrator’s decision issued on Monday, and would work with the union on how to implement it.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Kavitha Iyengar, UC Berkeley UAW 2865 president']‘Public education is supposed to be something that everyone can access. And that’s only possible if you have jobs like this to pay for your tuition.’[/pullquote]\u003c/p>\n\u003cp>The decision came more than two years after the UC Berkeley chapter of UAW 2865, the union representing academic student employees at the University of California, filed a complaint alleging that because the instructors weren’t employed at 25% below full time (or 10 hours a week), they didn’t get benefits like free tuition or other fee waivers negotiated under a collective bargaining agreement inked in 2000.\u003c/p>\n\u003cp>Most of the instructors were undergraduates employed at 20% below full time — putting those benefits just out of reach, Kavitha Iyengar, UAW 2865 president, said Wednesday.\u003c/p>\n\u003cp>“It’s really not just about making sure that people can work and attend school. Public education is supposed to be something that everyone can access,” she said. “And that’s only possible if you have jobs like this to pay for your tuition.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The union said the decision affects hundreds of instructors, most of them undergraduates in the Electrical Engineering and Computer Sciences (EECS) department. But the university said the decision applies only to that department. The university must make retroactive payments to those instructors who didn’t receive the benefits since July 2017, Iyengar said.\u003c/p>\n\u003cp>“The university and the EECS faculty believed that appointments should be kept at 20% or less in order not to interfere with student academic performance,” campus spokeswoman Janet Gilmore said in a statement.\u003c/p>\n\u003cp>A student instructor hired at 20% full-time employment last fall could receive about $7,500 from UC Berkeley under the decision, the union said.\u003c/p>\n\u003cp>The arbitrator has also directed EECS to stop hiring graduate and undergraduate student instructors below 25% full-time employment, Gilmore and Iyengar said.\u003c/p>\n\u003cp>The arbitrator’s decision came amid a surge in the hiring of student instructors at below 25% full-time employment since 2015, the union said, citing its analysis of university data.\u003c/p>\n\u003cp>https://twitter.com/BerkeleyUAW2865/status/1217162680932323328\u003c/p>\n\u003cp>“The university thought they could get away with this because they thought they could do this to the undergrads,” Iyengar said, noting that undergraduates were folded into the 25% agreement in 2007. “And they can’t.”\u003c/p>\n\u003cp>Iyengar also said the union has seen this problem emerge on a smaller scale on other UC campuses, like in Irvine and Los Angeles.\u003c/p>\n\u003cp>“The kind of precedent that this sets is a statewide matter,” she added.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>An arbitrator has ordered UC Berkeley to retroactively pay student instructors who had been underpaid for years, a total that could reach several million dollars. The university must also end the practice now, according to a union representing the students.\u003c/p>\n\u003cp>The university said Wednesday that it would abide by the arbitrator’s decision issued on Monday, and would work with the union on how to implement it.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The decision came more than two years after the UC Berkeley chapter of UAW 2865, the union representing academic student employees at the University of California, filed a complaint alleging that because the instructors weren’t employed at 25% below full time (or 10 hours a week), they didn’t get benefits like free tuition or other fee waivers negotiated under a collective bargaining agreement inked in 2000.\u003c/p>\n\u003cp>Most of the instructors were undergraduates employed at 20% below full time — putting those benefits just out of reach, Kavitha Iyengar, UAW 2865 president, said Wednesday.\u003c/p>\n\u003cp>“It’s really not just about making sure that people can work and attend school. Public education is supposed to be something that everyone can access,” she said. “And that’s only possible if you have jobs like this to pay for your tuition.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "UC Santa Cruz Workers Join Striking Grad Students, Rally for Higher Pay",
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"content": "\u003cp>The housing affordability crisis is continuing to spark strikes at UC Santa Cruz, Santa Cruz County’s largest employer. On Thursday, about 200 people rallied on the UCSC campus to support graduate students and university workers who are striking for higher wages.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Tony Boardman, a PhD student in literature and a teaching assistant at UC Santa Cruz\"]‘I thought the university would take care of me. That’s not how it turned out.’[/pullquote]\u003c/p>\n\u003cp>Tony Boardman is a Ph.D. student in literature and a teaching assistant (TA) at UC Santa Cruz. But he said the pay isn’t enough to live on.\u003c/p>\n\u003cp>He’s an international student from the United Kingdom and said people warned him about the high cost of living in Santa Cruz. “But I thought there would be a way. I thought the university would take care of me. And that’s not how it turned out,” he said.\u003c/p>\n\u003cp>A recent \u003ca href=\"https://www.apartmentlist.com/rentonomics/cost-burden-2019/\" target=\"_blank\" rel=\"noopener noreferrer\">study by Apartment List\u003c/a> found nearly 60% of people living in Santa Cruz are cost-burdened, meaning they spend more than 30% of their paycheck on rent. That’s a higher rate than in San Francisco and in San Jose.\u003c/p>\n\u003cp>“UCSC needs to pay its workers a living wage. And there’s a ton of workers on campus who need this and who aren’t getting the deal that they need,” Boardman said.\u003c/p>\n\u003cp>https://twitter.com/bayareabrrn/status/1215366397028519936\u003c/p>\n\u003cp>TAs across the UC system are all paid the same rate, regardless of their community’s cost of living. They make roughly $2,400 a month before taxes. Their 20-hour workweek includes instructing labs, holding office hours and grading.\u003c/p>\n\u003cp>On Dec. 9, just before finals week of the fall quarter, hundreds of UC Santa Cruz graduate students went on strike — a grading strike. They decided not to submit grades for undergraduate courses until the university provides a $1,400 cost of living adjustment for all graduate students.\u003c/p>\n\u003cp>“This isn’t like holding the grades hostage or something like that. It’s saying that we can’t do the labor that we’re expected to do if the university won’t pay us the money that we need to live and work here,” said Boardman.\u003c/p>\n\u003cfigure id=\"attachment_11795359\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/01/IMG_1069-800x600.jpg\" alt=\"Tony Boardman, a PhD student in literature, speaks with Veronica Hamilton, a PhD student in psychology. Both are TAs at UCSC.\" width=\"800\" height=\"600\" class=\"size-medium wp-image-11795359\">\u003cfigcaption class=\"wp-caption-text\">Tony Boardman, a PhD student in literature, speaks with Veronica Hamilton, a PhD student in psychology. Both are TAs at UCSC. \u003ccite>(Erika Mahoney/KAZU)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Nearly 9,000 undergraduate students were impacted, according to Boardman. As the new quarter gets underway, TAs have reached out to students and submitted grades for those who urgently need them. According to the university, about 80% of all grades are in, but that includes grades not handled by TAs.\u003c/p>\n\u003cp>Undergraduate student Sara Valenzuela was still missing one grade during the first week back at school.\u003c/p>\n\u003cp>“Well, it’s been very, I don’t want to say stressful but at the same time a little. Just because over the winter break, it’s kind of like nerve wracking not knowing what you got for the class and you know how that builds anxiety,” Valenzuela said.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\" Veronica Hamilton, UC Santa Cruz teaching assistant and unit chair for UAW 2865\"]‘People can’t pay their rent now. People are dropping out of their graduate programs now. And it is too long to wait until the next contract campaign.’[/pullquote]The union that represents over 19,000 student employees at UC schools hasn’t authorized the action, making it a wildcat strike. The union, UAW 2865, is currently under a four-year contract. The agreement, which took effect in 2018, includes a wage increase of 3% each year.\u003c/p>\n\u003cp>But Veronica Hamilton, the Santa Cruz unit chair for UAW 2865 and a UC Santa Cruz TA, said graduate students were never satisfied with the agreement and can’t wait two more years for further negotiations.\u003c/p>\n\u003cp>“People can’t pay their rent now. People are dropping out of their graduate programs now. And it is too long to wait until the next contract campaign,” Hamilton said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>UC Santa Cruz Spokesperson Scott Hernandez-Jason said the administration is willing to meet with students if they call off the strike.\u003c/p>\n\u003cp>“So this strike goes against their contract and the very nature of it makes it impossible for us to sit down and discuss ways to support them as employees,” Hernandez-Jason said.\u003c/p>\n\u003cp>He believes the long-term solution is more housing.\u003c/p>\n\u003cp>“The high cost of housing is something that impacts everyone in our campus community, the Santa Cruz community and really the large swaths of California,” Hernandez-Jason said.\u003c/p>\n\u003cp>It’s not only graduate students who feel they deserve more. \u003c/p>\n\u003cp>This week, UC Santa Cruz skilled craft workers, who the university said make roughly between $80,000 and $100,000 a year, also began an open-ended strike over pay and staffing. These workers, including electricians, carpenters and plumbers, have been without a contract for a couple of years. They’re part of the union AFSCME Local 3299.\u003c/p>\n\u003cfigure id=\"attachment_11795411\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/01/IMG_1075_1_1920x-800x600.jpg\" alt=\"Some skilled craft workers at UCSC are also on strike. They're calling for more pay and more staffing.\" width=\"800\" height=\"600\" class=\"size-medium wp-image-11795411\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/IMG_1075_1_1920x-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/IMG_1075_1_1920x-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/IMG_1075_1_1920x-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/IMG_1075_1_1920x-1200x900.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/IMG_1075_1_1920x.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/IMG_1075_1_1920x-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/IMG_1075_1_1920x-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/IMG_1075_1_1920x-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/IMG_1075_1_1920x-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/IMG_1075_1_1920x-536x402.jpg 536w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Some skilled craft workers at UCSC are also on strike. They’re calling for more pay and more staffing. \u003ccite>(Erika Mahoney/KAZU)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>On Tuesday, Joe Baxter, an electrician, gathered with about a dozen other workers in front of the entrance to UC Santa Cruz. He’s been with the school for 15 years and lives in a mobile home with his family.\u003c/p>\n\u003cp>“We’re striking because we’re understaffed and we’re trying to get more staffing. They don’t replace people who retire,” Baxter said.\u003c/p>\n\u003cp>Solidarity rallies in support of the graduate students have also taken place at UC Davis, UC Berkeley and UC Santa Barbara.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The housing affordability crisis is continuing to spark strikes at UC Santa Cruz, Santa Cruz County’s largest employer. On Thursday, about 200 people rallied on the UCSC campus to support graduate students and university workers who are striking for higher wages.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Tony Boardman is a Ph.D. student in literature and a teaching assistant (TA) at UC Santa Cruz. But he said the pay isn’t enough to live on.\u003c/p>\n\u003cp>He’s an international student from the United Kingdom and said people warned him about the high cost of living in Santa Cruz. “But I thought there would be a way. I thought the university would take care of me. And that’s not how it turned out,” he said.\u003c/p>\n\u003cp>A recent \u003ca href=\"https://www.apartmentlist.com/rentonomics/cost-burden-2019/\" target=\"_blank\" rel=\"noopener noreferrer\">study by Apartment List\u003c/a> found nearly 60% of people living in Santa Cruz are cost-burdened, meaning they spend more than 30% of their paycheck on rent. That’s a higher rate than in San Francisco and in San Jose.\u003c/p>\n\u003cp>“UCSC needs to pay its workers a living wage. And there’s a ton of workers on campus who need this and who aren’t getting the deal that they need,” Boardman said.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>TAs across the UC system are all paid the same rate, regardless of their community’s cost of living. They make roughly $2,400 a month before taxes. Their 20-hour workweek includes instructing labs, holding office hours and grading.\u003c/p>\n\u003cp>On Dec. 9, just before finals week of the fall quarter, hundreds of UC Santa Cruz graduate students went on strike — a grading strike. They decided not to submit grades for undergraduate courses until the university provides a $1,400 cost of living adjustment for all graduate students.\u003c/p>\n\u003cp>“This isn’t like holding the grades hostage or something like that. It’s saying that we can’t do the labor that we’re expected to do if the university won’t pay us the money that we need to live and work here,” said Boardman.\u003c/p>\n\u003cfigure id=\"attachment_11795359\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/01/IMG_1069-800x600.jpg\" alt=\"Tony Boardman, a PhD student in literature, speaks with Veronica Hamilton, a PhD student in psychology. Both are TAs at UCSC.\" width=\"800\" height=\"600\" class=\"size-medium wp-image-11795359\">\u003cfigcaption class=\"wp-caption-text\">Tony Boardman, a PhD student in literature, speaks with Veronica Hamilton, a PhD student in psychology. Both are TAs at UCSC. \u003ccite>(Erika Mahoney/KAZU)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Nearly 9,000 undergraduate students were impacted, according to Boardman. As the new quarter gets underway, TAs have reached out to students and submitted grades for those who urgently need them. According to the university, about 80% of all grades are in, but that includes grades not handled by TAs.\u003c/p>\n\u003cp>Undergraduate student Sara Valenzuela was still missing one grade during the first week back at school.\u003c/p>\n\u003cp>“Well, it’s been very, I don’t want to say stressful but at the same time a little. Just because over the winter break, it’s kind of like nerve wracking not knowing what you got for the class and you know how that builds anxiety,” Valenzuela said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘People can’t pay their rent now. People are dropping out of their graduate programs now. And it is too long to wait until the next contract campaign.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The union that represents over 19,000 student employees at UC schools hasn’t authorized the action, making it a wildcat strike. The union, UAW 2865, is currently under a four-year contract. The agreement, which took effect in 2018, includes a wage increase of 3% each year.\u003c/p>\n\u003cp>But Veronica Hamilton, the Santa Cruz unit chair for UAW 2865 and a UC Santa Cruz TA, said graduate students were never satisfied with the agreement and can’t wait two more years for further negotiations.\u003c/p>\n\u003cp>“People can’t pay their rent now. People are dropping out of their graduate programs now. And it is too long to wait until the next contract campaign,” Hamilton said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>UC Santa Cruz Spokesperson Scott Hernandez-Jason said the administration is willing to meet with students if they call off the strike.\u003c/p>\n\u003cp>“So this strike goes against their contract and the very nature of it makes it impossible for us to sit down and discuss ways to support them as employees,” Hernandez-Jason said.\u003c/p>\n\u003cp>He believes the long-term solution is more housing.\u003c/p>\n\u003cp>“The high cost of housing is something that impacts everyone in our campus community, the Santa Cruz community and really the large swaths of California,” Hernandez-Jason said.\u003c/p>\n\u003cp>It’s not only graduate students who feel they deserve more. \u003c/p>\n\u003cp>This week, UC Santa Cruz skilled craft workers, who the university said make roughly between $80,000 and $100,000 a year, also began an open-ended strike over pay and staffing. These workers, including electricians, carpenters and plumbers, have been without a contract for a couple of years. They’re part of the union AFSCME Local 3299.\u003c/p>\n\u003cfigure id=\"attachment_11795411\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/01/IMG_1075_1_1920x-800x600.jpg\" alt=\"Some skilled craft workers at UCSC are also on strike. They're calling for more pay and more staffing.\" width=\"800\" height=\"600\" class=\"size-medium wp-image-11795411\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/IMG_1075_1_1920x-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/IMG_1075_1_1920x-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/IMG_1075_1_1920x-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/IMG_1075_1_1920x-1200x900.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/IMG_1075_1_1920x.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/IMG_1075_1_1920x-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/IMG_1075_1_1920x-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/IMG_1075_1_1920x-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/IMG_1075_1_1920x-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/01/IMG_1075_1_1920x-536x402.jpg 536w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Some skilled craft workers at UCSC are also on strike. They’re calling for more pay and more staffing. \u003ccite>(Erika Mahoney/KAZU)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>On Tuesday, Joe Baxter, an electrician, gathered with about a dozen other workers in front of the entrance to UC Santa Cruz. He’s been with the school for 15 years and lives in a mobile home with his family.\u003c/p>\n\u003cp>“We’re striking because we’re understaffed and we’re trying to get more staffing. They don’t replace people who retire,” Baxter said.\u003c/p>\n\u003cp>Solidarity rallies in support of the graduate students have also taken place at UC Davis, UC Berkeley and UC Santa Barbara.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Sofar Sounds—a company that books small, acoustic concerts at houses, stores and office spaces—has reached a $460,357.50 settlement with the New York State Department of Labor, \u003ca href=\"https://variety.com/2019/biz/news/whats-next-for-sofar-sounds-and-its-genius-volunteer-based-business-model-1203325982/\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cem>Variety\u003c/em> reports\u003c/a>. The money will be distributed among 654 unpaid workers, or, in Sofar parlance, “ambassadors,” who staffed concerts for the for-profit company between 2016 and 2019. [aside postid='arts_13857471']\u003c/p>\n\u003cp>The settlement comes after years of scrutiny of Sofar Sounds’ business model. Since its debut in London in 2009, the startup expanded to hundreds of cities across the globe, including San Francisco, Santa Cruz and San Jose, and became profitable by charging at the door for “secret shows” while using volunteer crews and paying musicians negligible stipends. When KQED’s Emma Silvers broke the story of \u003ca href=\"https://www.kqed.org/arts/13114272/sofar-sounds-house-shows-airbnb-middleman\" target=\"_blank\" rel=\"noopener noreferrer\">Sofar Sounds’ labor practices\u003c/a> in 2017, the company was valued at an estimated $22 million, with investment from Virgin’s Richard Branson. Meanwhile, bands were compensated with videos of their performances (and no cash), and then paid $50 per concert once they became “Sofar alums” and played additional shows.\u003c/p>\n\u003cp>“I think they talk a lot about supporting local artists, but what they’re actually doing is perpetuating the idea that it’s okay for musicians to get paid shit,” Oakland singer-songwriter Madeline Kinney told KQED at the time. [aside postid='arts_13114272']\u003c/p>\n\u003cp>In 2019, \u003ca href=\"https://techcrunch.com/2019/05/21/how-sofar-sounds-works/\" target=\"_blank\" rel=\"noopener noreferrer\">TechCrunch\u003c/a> reported that Sofar upped its fees to $100 per band for a 25 minute set (which can work out to less than minimum wage when factoring in musicians’ travel and rehearsal time). The hosts who volunteered their homes as venues weren’t paid, yet Sofar made at least $1,000 to $1,600 per show, according to the report. In a \u003ca href=\"https://www.sofarsounds.com/blog/articles/how-money-works-at-a-sofar-show\" target=\"_blank\" rel=\"noopener noreferrer\">recent blog post\u003c/a>, Sofar CEO Jim Lucchese promised to increase artist compensation for bigger shows in February 2020. In September 2019, the company also pledged to hire paid, part-time crews to staff its concerts.\u003c/p>\n\u003cp>“When the Department of Labor opened its investigation, Sofar cooperated fully and immediately changed its business model,” the New York State Department of Labor wrote in an announcement. “Sofar now staffs all its events with paid employees. The company also agreed to immediately compensate ambassadors who provided any unpaid work.” [aside postid='arts_13852882']\u003c/p>\n\u003cp>After the settlement was reached, a Sofar spokesperson told \u003cem>Variety\u003c/em>: “Today’s agreement with the New York State Department of Labor stipulates no admission of guilt or wrongdoing and confirms our operating model is fully compliant with New York state law. We thank them for working collaboratively with us in New York, Sofar’s biggest U.S. market. We are excited about resolving these issues and moving forward in 2020, with a continued focus on connecting local and independent musicians with passionate music fans.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Sofar Sounds—a company that books small, acoustic concerts at houses, stores and office spaces—has reached a $460,357.50 settlement with the New York State Department of Labor, \u003ca href=\"https://variety.com/2019/biz/news/whats-next-for-sofar-sounds-and-its-genius-volunteer-based-business-model-1203325982/\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cem>Variety\u003c/em> reports\u003c/a>. The money will be distributed among 654 unpaid workers, or, in Sofar parlance, “ambassadors,” who staffed concerts for the for-profit company between 2016 and 2019. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The settlement comes after years of scrutiny of Sofar Sounds’ business model. Since its debut in London in 2009, the startup expanded to hundreds of cities across the globe, including San Francisco, Santa Cruz and San Jose, and became profitable by charging at the door for “secret shows” while using volunteer crews and paying musicians negligible stipends. When KQED’s Emma Silvers broke the story of \u003ca href=\"https://www.kqed.org/arts/13114272/sofar-sounds-house-shows-airbnb-middleman\" target=\"_blank\" rel=\"noopener noreferrer\">Sofar Sounds’ labor practices\u003c/a> in 2017, the company was valued at an estimated $22 million, with investment from Virgin’s Richard Branson. Meanwhile, bands were compensated with videos of their performances (and no cash), and then paid $50 per concert once they became “Sofar alums” and played additional shows.\u003c/p>\n\u003cp>“I think they talk a lot about supporting local artists, but what they’re actually doing is perpetuating the idea that it’s okay for musicians to get paid shit,” Oakland singer-songwriter Madeline Kinney told KQED at the time. \u003c/p>\u003c/div>",
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"content": "\u003cp>Injured workers in California often wait months or even years to receive the medical evaluations required to get needed treatment, and in some cases to determine the extent of their disability resulting from a work-related injury.\u003c/p>\n\u003cp>The reason? The state lacks enough physicians signed up with the state’s program to serve as experts.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"workers-comp\"]That’s among the findings of a first-ever state\u003ca href=\"https://www.auditor.ca.gov/pdfs/reports/2019-102.pdf\"> audit \u003c/a>of California’s Division of Workers’ Compensation, which noted that the state has not increased the pay schedule for expert doctors, known as Qualified Medical Evaluators, in 13 years.\u003c/p>\n\u003cp>“It’s affecting real workers, and if something is not being done correctly, they need to fix it,” said Democratic Assemblywoman Blanca Rubio of Baldwin Park. She requested the audit as a member of the \u003ca href=\"https://legaudit.assembly.ca.gov/\">Joint Committee on Legislative Audit\u003c/a>, which will hold a \u003ca href=\"https://legaudit.assembly.ca.gov/hearings\">hearing\u003c/a> on the findings Tuesday. “But if it doesn’t get fixed, then we can step in and fix it. The department needs to take it seriously.”\u003c/p>\n\u003cp>One of those workers is Doreen Duarte-Ellis of Livermore, who said she injured herself moving a patient at the nursing home where she worked in 2014. A human resources representative at the company that operates the home declined to comment, saying she was unable to answer questions involving personnel.\u003c/p>\n\u003cp>Duarte-Ellis and her lawyer say it has been tough for her to get treatment and resolution in her case — a situation they blame in part on months and months of delays while she waited to see a workers’ comp medical evaluator.\u003c/p>\n\u003cp>“I’m tired physically, emotionally. This process plays a huge part in it,” she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Duarte-Ellis said she used to be an active woman who rode a Harley, swam and played with her grandchildren. Now, she says, she can’t ride, swim or lift babies anymore because of pain and stiffness — and that she spends most of her day icing her body or trying to find a comfortable position to sit or lie down.\u003c/p>\n\u003cp>“I’m permanently disabled. Had they done stuff sooner possibly I may not have been disabled,” said Duarte-Ellis, 57. “My life came to a screeching halt and I’ve suffered endlessly.”\u003c/p>\n\u003cp>The state auditor found that the Division of Workers’ Compensation:\u003c/p>\n\u003cul>\n\u003cli>“Failed” to address the shortage of medical experts — there were 2,800 medical evaluators to handle some 100,000 new requests for evaluations in 2017-2018.\u003c/li>\n\u003cli>“Inappropriately” disciplined doctors for alleged overbilling issues by not reappointing them, raising “due process concerns.”\u003c/li>\n\u003cli>Has not ensured that the evaluators’ reports meet quality standards as accurate and complete, and has not tracked how often judges reject those reports as a result.\u003c/li>\n\u003c/ul>\n\u003cp>The division is part of the Department of Industrial Relations, which is charged with enforcing labor laws and protecting workers and employers. It is funded by fees paid by employers statewide.\u003c/p>\n\u003cp>The division “acknowledged and accepted” the recommendations in the audit, but indicated it was already working on some solutions. Agency representatives refused to answer CalMatters’ questions about the audit, referring instead to its written response to the auditor.\u003c/p>\n\u003cp>It wrote that it has been working on updating the payment schedule for evaluators since 2017. In August, the agency released a \u003ca href=\"https://www.dir.ca.gov/DIRNews/2019/2019-68.pdf\">proposal\u003c/a> that garnered hundreds of mostly negative public \u003ca href=\"https://www.dir.ca.gov/WCAB/ForumDocs/Forum-%20June2019/Forum-3-Comments.pdf\">comments\u003c/a>. The agency has since revised the proposal, held stakeholder meetings, and in January will hold a public hearing on a final proposal.\u003c/p>\n\u003cp>Its response also cited a statewide doctor shortage, which makes it hard to recruit doctors to the system.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/f8ca3acd-9c6c-4197-8341-e63f92f665df?src=embed\" title=\"Workers Compensation Final\" width=\"800\" height=\"1300\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>But the agency also said not all the certified doctors are busy under the current system, and that it intends to change how evaluators are assigned to panels from which workers and their attorneys choose experts. Doctor advocates say that some doctors, such as orthopedists, are more in demand than others, such as chiropractors.\u003c/p>\n\u003cp>The agency also wrote that it would review its disciplinary procedures and notify doctors earlier in the process if it suspected billing violations.\u003c/p>\n\u003cp>A 2018\u003ca href=\"https://www.rand.org/pubs/working_papers/WR1279.html\"> review\u003c/a> by the Rand Corp. recommended the fees be restructured to ensure that medical experts are fully compensated for their time on complex cases and produce high quality evaluations.\u003c/p>\n\u003cp>Now the Legislature is getting involved too. A \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201920200AB1832\">bill\u003c/a> expected to be heard in committee in January would require the agency to boost pay for medical evaluators based on inflation since 2006, and provide regular raises as a way to keep and attract doctors to the system.\u003c/p>\n\u003cp>When injured workers endure lengthy waits, their health may suffer, their condition could worsen, they may lose their financial footing and some have even lost their homes, according to lawyers representing injured workers.\u003c/p>\n\u003cp>They provide “your recourse to getting access to benefits once they are denied,” said Dr. Gabor Vari, CEO of California Medical Evaluators, a company that connects injured workers with evaluators. “You may be out of work. You may not be getting any benefits like disability payments. You may not have access to medical care because workers’ comp is supposed to treat your injury.”\u003c/p>\n\u003cp>Typically workers require an evaluation when an employer disputes whether an injury is actually work-related, or the worker feels they need more treatment or wants a second opinion regarding temporary or permanent disability.\u003c/p>\n\u003cp>When a worker, or the worker’s attorney, asks for a medical review, the state provides a list of three experts to choose from, but also requires the appointment take place within 60 days. If a doctor can’t do it in that timeframe, the worker will be given a fresh list and the process begins all over again.\u003c/p>\n\u003cp>Workers who have an attorney typically end up with just one expert to schedule, because both sides can strike one of the other’s choices.\u003c/p>\n\u003cp>Oakland attorney Dikla Dolev said she represented a worker who went through nine lists before getting an evaluation in the required time. That process took over a year, said Dolev.\u003c/p>\n\u003cp>“People who don’t have other access to health insurance are literally just sitting out there, and it becomes a situation where your whole life has been delayed,” she said. “They are trying to survive on state disability benefits. They are losing the time they are typically giving to 401(k)s and pensions. It puts their entire life on delay, and frankly there is a staggering effect on someone’s health.”\u003c/p>\n\u003cp>The evaluations also produce documents that are used in legal cases to determine treatment, settlement and future medical care, said Jacob Rosenberg, president of the \u003ca href=\"https://csims.org/\">California Society of Industrial Medicine and Surgery\u003c/a>, which represents physicians who see injured workers.\u003c/p>\n\u003cp>Evaluators can earn around $240 an hour if a case is complex. A complex evaluation and completion of the required report can take hours. Clamping down on how long doctors can take or limiting their compensation may lead them to rush through the process.\u003c/p>\n\u003cp>“It doesn’t pay well enough to get new evaluators and keep old evaluators,” Rosenberg said. “The system is breaking down.”\u003c/p>\n\u003cp>This isn’t the first time the agency has hit controversy. Its previous director\u003ca href=\"https://www.latimes.com/politics/la-pol-ca-fraud-commissioner-nepotism-20190329-story.html\"> resigned\u003c/a> in 2018 after reports of nepotism. That year the agency settled a lawsuit brought by doctors whom it did not reappoint for two-year terms as medical evaluators based on alleged billing violations.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.prnewswire.com/news-releases/rpna-wins-victory-for-california-qmes-in-settlement-agreements-with-the-california-department-of-workers-compensation-300635846.html\">lawsuit\u003c/a> claimed the agency used “underground regulations” to assess bills submitted by evaluators to insurers, and cut them out of the system for alleged overbilling when their terms were up without letting them defend themselves, said attorney Nicolas Roxborough, who represented medical evaluators against the agency.\u003c/p>\n\u003cp>Neither the agency nor the doctors admitted wrongdoing in the \u003ca href=\"http://rpnalaw.com/wp-content/uploads/2018/04/180420.Master-Settlement-Agreement-etc.-FINAL-redacted-pdf-00163418xE15DC.pdf\">settlement\u003c/a>. The agency agreed to follow written regulations when reviewing reports and not impose other rules, Some of the doctors agreed to pay back reduced amounts to insurers for the billing issues.\u003c/p>\n\u003cp>Tigran Garabekyan, a plaintiff and an orthopedic surgeon in Los Angeles, was not reappointed as an evaluator because the agency said he was overbilling insurers on complex cases. He said that forced him to cancel more than a dozen evaluations, leaving injured workers in the lurch.\u003c/p>\n\u003cp>“That is how callous their action was, with seemingly no regard for the damage it had on the injured workers,” Garabekyan said. “I had the rug pulled out from under me. They didn’t provide any avenues to resolve this.”\u003c/p>\n\u003cp>Within months the state settled the case and reappointed him. He agreed to pay several thousand dollars back to various insurers and to take a billing course. He was not accused of fraud.\u003c/p>\n\u003cp>Employers and workers’ compensation insurers agree that the evaluator system is in need of repair and the fees need to be raised, said Jerry Azevedo, spokesman for the Workers’ Compensation Action Network, which represents a coalition of employers and insurers.\u003c/p>\n\u003cp>“There has been complaining and gnashing of teeth about the process for many years,” he said. “Employers are most concerned about the quality issue. This is employer money and workers lives — and if we are going to spend the time and energy and money on what is supposed to be an impartial process, we want to get that right.”\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"http://calmatters.org/\">CalMatters.org\u003c/a> is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"title": "Left Waiting: Workers’ Comp Creates Lengthy Delays for Californians Injured on the Job | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>That’s among the findings of a first-ever state\u003ca href=\"https://www.auditor.ca.gov/pdfs/reports/2019-102.pdf\"> audit \u003c/a>of California’s Division of Workers’ Compensation, which noted that the state has not increased the pay schedule for expert doctors, known as Qualified Medical Evaluators, in 13 years.\u003c/p>\n\u003cp>“It’s affecting real workers, and if something is not being done correctly, they need to fix it,” said Democratic Assemblywoman Blanca Rubio of Baldwin Park. She requested the audit as a member of the \u003ca href=\"https://legaudit.assembly.ca.gov/\">Joint Committee on Legislative Audit\u003c/a>, which will hold a \u003ca href=\"https://legaudit.assembly.ca.gov/hearings\">hearing\u003c/a> on the findings Tuesday. “But if it doesn’t get fixed, then we can step in and fix it. The department needs to take it seriously.”\u003c/p>\n\u003cp>One of those workers is Doreen Duarte-Ellis of Livermore, who said she injured herself moving a patient at the nursing home where she worked in 2014. A human resources representative at the company that operates the home declined to comment, saying she was unable to answer questions involving personnel.\u003c/p>\n\u003cp>Duarte-Ellis and her lawyer say it has been tough for her to get treatment and resolution in her case — a situation they blame in part on months and months of delays while she waited to see a workers’ comp medical evaluator.\u003c/p>\n\u003cp>“I’m tired physically, emotionally. This process plays a huge part in it,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Duarte-Ellis said she used to be an active woman who rode a Harley, swam and played with her grandchildren. Now, she says, she can’t ride, swim or lift babies anymore because of pain and stiffness — and that she spends most of her day icing her body or trying to find a comfortable position to sit or lie down.\u003c/p>\n\u003cp>“I’m permanently disabled. Had they done stuff sooner possibly I may not have been disabled,” said Duarte-Ellis, 57. “My life came to a screeching halt and I’ve suffered endlessly.”\u003c/p>\n\u003cp>The state auditor found that the Division of Workers’ Compensation:\u003c/p>\n\u003cul>\n\u003cli>“Failed” to address the shortage of medical experts — there were 2,800 medical evaluators to handle some 100,000 new requests for evaluations in 2017-2018.\u003c/li>\n\u003cli>“Inappropriately” disciplined doctors for alleged overbilling issues by not reappointing them, raising “due process concerns.”\u003c/li>\n\u003cli>Has not ensured that the evaluators’ reports meet quality standards as accurate and complete, and has not tracked how often judges reject those reports as a result.\u003c/li>\n\u003c/ul>\n\u003cp>The division is part of the Department of Industrial Relations, which is charged with enforcing labor laws and protecting workers and employers. It is funded by fees paid by employers statewide.\u003c/p>\n\u003cp>The division “acknowledged and accepted” the recommendations in the audit, but indicated it was already working on some solutions. Agency representatives refused to answer CalMatters’ questions about the audit, referring instead to its written response to the auditor.\u003c/p>\n\u003cp>It wrote that it has been working on updating the payment schedule for evaluators since 2017. In August, the agency released a \u003ca href=\"https://www.dir.ca.gov/DIRNews/2019/2019-68.pdf\">proposal\u003c/a> that garnered hundreds of mostly negative public \u003ca href=\"https://www.dir.ca.gov/WCAB/ForumDocs/Forum-%20June2019/Forum-3-Comments.pdf\">comments\u003c/a>. The agency has since revised the proposal, held stakeholder meetings, and in January will hold a public hearing on a final proposal.\u003c/p>\n\u003cp>Its response also cited a statewide doctor shortage, which makes it hard to recruit doctors to the system.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/f8ca3acd-9c6c-4197-8341-e63f92f665df?src=embed\" title=\"Workers Compensation Final\" width=\"800\" height=\"1300\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>But the agency also said not all the certified doctors are busy under the current system, and that it intends to change how evaluators are assigned to panels from which workers and their attorneys choose experts. Doctor advocates say that some doctors, such as orthopedists, are more in demand than others, such as chiropractors.\u003c/p>\n\u003cp>The agency also wrote that it would review its disciplinary procedures and notify doctors earlier in the process if it suspected billing violations.\u003c/p>\n\u003cp>A 2018\u003ca href=\"https://www.rand.org/pubs/working_papers/WR1279.html\"> review\u003c/a> by the Rand Corp. recommended the fees be restructured to ensure that medical experts are fully compensated for their time on complex cases and produce high quality evaluations.\u003c/p>\n\u003cp>Now the Legislature is getting involved too. A \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201920200AB1832\">bill\u003c/a> expected to be heard in committee in January would require the agency to boost pay for medical evaluators based on inflation since 2006, and provide regular raises as a way to keep and attract doctors to the system.\u003c/p>\n\u003cp>When injured workers endure lengthy waits, their health may suffer, their condition could worsen, they may lose their financial footing and some have even lost their homes, according to lawyers representing injured workers.\u003c/p>\n\u003cp>They provide “your recourse to getting access to benefits once they are denied,” said Dr. Gabor Vari, CEO of California Medical Evaluators, a company that connects injured workers with evaluators. “You may be out of work. You may not be getting any benefits like disability payments. You may not have access to medical care because workers’ comp is supposed to treat your injury.”\u003c/p>\n\u003cp>Typically workers require an evaluation when an employer disputes whether an injury is actually work-related, or the worker feels they need more treatment or wants a second opinion regarding temporary or permanent disability.\u003c/p>\n\u003cp>When a worker, or the worker’s attorney, asks for a medical review, the state provides a list of three experts to choose from, but also requires the appointment take place within 60 days. If a doctor can’t do it in that timeframe, the worker will be given a fresh list and the process begins all over again.\u003c/p>\n\u003cp>Workers who have an attorney typically end up with just one expert to schedule, because both sides can strike one of the other’s choices.\u003c/p>\n\u003cp>Oakland attorney Dikla Dolev said she represented a worker who went through nine lists before getting an evaluation in the required time. That process took over a year, said Dolev.\u003c/p>\n\u003cp>“People who don’t have other access to health insurance are literally just sitting out there, and it becomes a situation where your whole life has been delayed,” she said. “They are trying to survive on state disability benefits. They are losing the time they are typically giving to 401(k)s and pensions. It puts their entire life on delay, and frankly there is a staggering effect on someone’s health.”\u003c/p>\n\u003cp>The evaluations also produce documents that are used in legal cases to determine treatment, settlement and future medical care, said Jacob Rosenberg, president of the \u003ca href=\"https://csims.org/\">California Society of Industrial Medicine and Surgery\u003c/a>, which represents physicians who see injured workers.\u003c/p>\n\u003cp>Evaluators can earn around $240 an hour if a case is complex. A complex evaluation and completion of the required report can take hours. Clamping down on how long doctors can take or limiting their compensation may lead them to rush through the process.\u003c/p>\n\u003cp>“It doesn’t pay well enough to get new evaluators and keep old evaluators,” Rosenberg said. “The system is breaking down.”\u003c/p>\n\u003cp>This isn’t the first time the agency has hit controversy. Its previous director\u003ca href=\"https://www.latimes.com/politics/la-pol-ca-fraud-commissioner-nepotism-20190329-story.html\"> resigned\u003c/a> in 2018 after reports of nepotism. That year the agency settled a lawsuit brought by doctors whom it did not reappoint for two-year terms as medical evaluators based on alleged billing violations.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.prnewswire.com/news-releases/rpna-wins-victory-for-california-qmes-in-settlement-agreements-with-the-california-department-of-workers-compensation-300635846.html\">lawsuit\u003c/a> claimed the agency used “underground regulations” to assess bills submitted by evaluators to insurers, and cut them out of the system for alleged overbilling when their terms were up without letting them defend themselves, said attorney Nicolas Roxborough, who represented medical evaluators against the agency.\u003c/p>\n\u003cp>Neither the agency nor the doctors admitted wrongdoing in the \u003ca href=\"http://rpnalaw.com/wp-content/uploads/2018/04/180420.Master-Settlement-Agreement-etc.-FINAL-redacted-pdf-00163418xE15DC.pdf\">settlement\u003c/a>. The agency agreed to follow written regulations when reviewing reports and not impose other rules, Some of the doctors agreed to pay back reduced amounts to insurers for the billing issues.\u003c/p>\n\u003cp>Tigran Garabekyan, a plaintiff and an orthopedic surgeon in Los Angeles, was not reappointed as an evaluator because the agency said he was overbilling insurers on complex cases. He said that forced him to cancel more than a dozen evaluations, leaving injured workers in the lurch.\u003c/p>\n\u003cp>“That is how callous their action was, with seemingly no regard for the damage it had on the injured workers,” Garabekyan said. “I had the rug pulled out from under me. They didn’t provide any avenues to resolve this.”\u003c/p>\n\u003cp>Within months the state settled the case and reappointed him. He agreed to pay several thousand dollars back to various insurers and to take a billing course. He was not accused of fraud.\u003c/p>\n\u003cp>Employers and workers’ compensation insurers agree that the evaluator system is in need of repair and the fees need to be raised, said Jerry Azevedo, spokesman for the Workers’ Compensation Action Network, which represents a coalition of employers and insurers.\u003c/p>\n\u003cp>“There has been complaining and gnashing of teeth about the process for many years,” he said. “Employers are most concerned about the quality issue. This is employer money and workers lives — and if we are going to spend the time and energy and money on what is supposed to be an impartial process, we want to get that right.”\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"http://calmatters.org/\">CalMatters.org\u003c/a> is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>A federal judge will not temporarily exempt freelance journalists and photographers from a broad new California labor law, saying they waited too long to challenge restrictions that they fear could put some of them out of business.\u003c/p>\n\u003cp>[aside label=related coverage\" tag=\"ab-5\"]U.S. District Judge Philip Gutierrez in Los Angeles denied the temporary restraining order sought by two freelancers' organizations while he takes more time to consider their objections to the law requiring that many be treated as employees instead of independent contractors.\u003c/p>\n\u003cp>A hearing on their request isn't scheduled until March. An attorney who sued on behalf of the groups said Monday that the harm to their profession is immediate from the law that took effect with the new year.\u003c/p>\n\u003cp>“Freelance journalists in California are losing work each day AB 5 remains in effect,” Jim Manley, an attorney for the nonprofit libertarian Pacific Legal Foundation, said in an email. However, he said the judge's decision to wait for a full hearing \"is understandable given the gravity of the issues.”\u003c/p>\n\u003cp>The judge said the groups waited three months to sue after the bill was signed into law, and just two weeks before it took effect. They sought the temporary restraining order just a day before it became effective.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Plaintiffs’ delay belies their claim that there is an emergency,” Gutierrez said in his ruling Friday. There would have been time for a full hearing had they “promptly filed” their objections, he wrote.\u003c/p>\n\u003cp>Most attention has been on the law's attempt to give wage and benefit protections to people who work for ride-share companies such as Uber and Lyft.\u003c/p>\n\u003cp>The American Society of Journalists and Authors and the National Press Photographers Association contend that the law would unconstitutionally affect free speech and the media by imposing what their lawsuit calls an “irrational and arbitrary” limit of 35 submissions annually to each media outlet.\u003c/p>\n\u003cp>The digital sports media company SB Nation, owned by Vox Media, announced even before the law took effect that it was ending its use of more than 200 California freelancers, switching instead to using a much smaller number of new employees.\u003c/p>\n\u003cp>The law establishes the nation's strictest test for which workers must be considered employees and could set a precedent for other states.\u003c/p>\n\u003cp>But a different federal judge temporarily blocked it from impacting more than 70,000 independent truckers, ruling that the state law is preempted by federal law when it comes to their profession.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>A separate lawsuit by Uber and on-demand meal delivery service Postmates argues that the law violates federal and state constitutional guarantees of equal protection and due process. They want their objections linked to the freelancers' lawsuit and considered by the same judge.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Plaintiffs’ delay belies their claim that there is an emergency,” Gutierrez said in his ruling Friday. There would have been time for a full hearing had they “promptly filed” their objections, he wrote.\u003c/p>\n\u003cp>Most attention has been on the law's attempt to give wage and benefit protections to people who work for ride-share companies such as Uber and Lyft.\u003c/p>\n\u003cp>The American Society of Journalists and Authors and the National Press Photographers Association contend that the law would unconstitutionally affect free speech and the media by imposing what their lawsuit calls an “irrational and arbitrary” limit of 35 submissions annually to each media outlet.\u003c/p>\n\u003cp>The digital sports media company SB Nation, owned by Vox Media, announced even before the law took effect that it was ending its use of more than 200 California freelancers, switching instead to using a much smaller number of new employees.\u003c/p>\n\u003cp>The law establishes the nation's strictest test for which workers must be considered employees and could set a precedent for other states.\u003c/p>\n\u003cp>But a different federal judge temporarily blocked it from impacting more than 70,000 independent truckers, ruling that the state law is preempted by federal law when it comes to their profession.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>A separate lawsuit by Uber and on-demand meal delivery service Postmates argues that the law violates federal and state constitutional guarantees of equal protection and due process. They want their objections linked to the freelancers' lawsuit and considered by the same judge.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The state is facing mounting pressure to enforce \u003ca href=\"https://calmatters.org/projects/california-mental-health-care-parity/\" target=\"_blank\" rel=\"noopener noreferrer\">parity laws that are supposed to guarantee equal care for physical and mental health issues\u003c/a>— with a spotlight this week on mental health care problems at health giant Kaiser Permanente.\u003c/p>\n\u003cp>This week, Kaiser mental health clinicians are on a\u003ca href=\"https://www.kqed.org/news/11791527/kaiser-therapists-strike-again-over-long-wait-times\" target=\"_blank\" rel=\"noopener noreferrer\"> five-day strike\u003c/a>, protesting long patient wait times and strenuous working conditions for providers. They say children and adults with serious mental health needs, including schizophrenia, anxiety and severe depression, are often waiting six to eight weeks — sometimes longer — to see a therapist. And they contend that Kaiser’s behavioral health services have in many ways worsened in recent years, despite being under a corrective plan overseen by the state \u003ca href=\"http://www.dmhc.ca.gov/?referral=healthhelp.ca.gov\" target=\"_blank\" rel=\"noopener noreferrer\">Department of Managed Health Care\u003c/a>.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Fred Seavey, research director for the National Union of Healthcare Workers\"]‘If these were cardiac catheterization services that were not functioning, if a health plan was screwing those up, (the state) would jump on that and require those to be fixed right away. Meanwhile they’re just sitting on their hands.’[/pullquote]\u003c/p>\n\u003cp>Striking clinicians on Thursday plan to march from the Capitol to the state agency to protest what they called “the agency’s failure to enforce parity legislation.” They specifically criticized the agency for not releasing reports from an outside monitor that would show whether Kaiser is meeting mental health access benchmarks outlined in a 2017 settlement agreement.\u003c/p>\n\u003cp>“I’m very disappointed with the DMHC — it’s just stunning,” said Fred Seavey, research director for the National Union of Healthcare Workers, which organized the strike. “It’s just criminal in my mind that they’re not holding Kaiser accountable.”\u003c/p>\n\u003cp>“If these were cardiac catheterization services that were not functioning, if a health plan was screwing those up, (the state) would jump on that and require those to be fixed right away,” he said. “Meanwhile they’re just sitting on their hands. We have people who are dying in the course of this failed enforcement by the DMHC.”\u003c/p>\n\u003cp>Seavey criticized Kaiser’s “massive influence” with the department, and said the union may call an open-ended strike in early 2020 if Kaiser does not improve mental health services.\u003c/p>\n\u003cp>After the state’s agreement with Kaiser in 2017, the health plan created a process to ensure that follow-up appointments are available in a timely manner, the state agency said in an emailed statement. Providers who cannot get their patients in for follow-up care are supposed to notify their managers.\u003c/p>\n\u003cp>The department fined Kaiser $4 million in 2013, but the plan did not agree to a settlement with corrective actions until 2017. That \u003ca href=\"https://wpso.dmhc.ca.gov/enfactions/docs/2895/1500394196511.pdf\">settlement agreement\u003c/a> is publicly available. But while the state department receives regular updates about the plan’s progress, it says it keeps that information confidential “in compliance with federal and state laws.”\u003c/p>\n\u003cp>Kaiser spokesman Marc Brown called the strikes “disruptive to patient access, operational care and service and…frankly irresponsible.” In an emailed statement, he said this is the union’s sixth strike this year (Seavey said most of these strikes were done at individual clinics, as opposed to statewide).\u003c/p>\n\u003cp>[aside postID=\"arts_13871243,news_11786202,news_11756742\" label=\"Mental Health Care in California\"]“We take any concern raised about our care very seriously, and always investigate and respond thoroughly,” Brown said. “However, it is inappropriate for the union to file multiple, often unwarranted complaints, and attack Kaiser Permanente’s reputation.”\u003c/p>\n\u003cp>More than a dozen complaints the union has filed with the DMHC in the past year — and sought to publicize — decry violations of network adequacy rules, timely access rules and long appointment wait times, among others. One complaint said patients in Pasadena with schizophrenia, serious major depression and bipolar disorder were waiting three or four months for an appointment. Another complaint said therapists in San Francisco were being told to keep alternative paper wait lists — or tell patients to call back later — to hide its failure to see children in a timely manner.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/projects/californians-struggle-to-get-mental-health-care/\">Frustration with access to mental health services at Kaiser\u003c/a> extends beyond the HMO as well. According to a\u003ca href=\"https://www.chcf.org/publication/poll-shows-californians-health-priorities-new-governor-legislature/\"> statewide poll\u003c/a> by the Kaiser Family Foundation and the California Health Care Foundation released earlier this year, more than half of those surveyed thought that most people with mental health conditions are unable to get the services they need. A \u003ca href=\"http://www.milliman.com/bowman/\">recent analysis by healthcare consultants Milliman Inc.\u003c/a> showed that California patients were more than five times more likely to have office visits for mental health or addiction problems from providers outside their insurance plan’s network compared with their counterparts seeking medical or surgical care.\u003c/p>\n\u003cp>Concerned about these access problems, State Controller Betty Yee, who sits on the board of the California Public Employees’ Retirement System, wrote a letter to its executive officer requesting a series of hearings with its largest plans: Kaiser, Anthem, Blue Shield and United Healthcare. Kaiser, with more than 640,000 enrollees, has by far the highest membership.\u003c/p>\n\u003cp>“We negotiate contracts; we have leverage,” Yee said Tuesday, as the CalPERS board was conducting its third hearing on the subject. “To the extent that parity is not guaranteed, we need to make sure that our plans are living up to the law.”\u003c/p>\n\u003cp>State Treasurer Fiona Ma, who also sits on the board, said she’s seen firsthand how her own mother and brother have struggled to get adequate, timely care for depression. She’s been writing letters asking plans to explain the long wait times and high cost of care, and the growing numbers of people suffering from mental illnesses. Plans need to get more creative in finding solutions, she said.\u003cbr>\n[pullquote size=\"medium\" align=\"right\" citation=\"Cindy Striegel, a vice president at Kaiser\"]‘This is not an issue or an area that we can solve overnight. We can’t just throw more money at it. We can’t throw more effort at it. We’re doing the things that we feel are the most important.’[/pullquote]\u003c/p>\n\u003cp>“Kaiser is out on strike again today,” she said. “Why is that? Is it because everything is going well? No, it’s because things are not going well in the system and patients are getting sicker and sicker.”\u003c/p>\n\u003cp>Kaiser and the Department of Managed Health Care both sent representatives to speak at a November meeting of the CalPERS Pension and Benefits Committee.\u003c/p>\n\u003cp>DMHC director Shelley Rouillard told board members that day that the department takes its responsibility as a consumer protection agency very seriously, and outlined some of its offerings: a consumer help center, independent medical review process, regular monitoring of plans to ensure they have enough providers and enforcement actions against plans that violate timely access requirements. She said Kaiser has met all of the benchmarks of the 2017 settlement agreement so far.\u003c/p>\n\u003cp>But she also acknowledged that, in some cases, it takes years to correct problems with plans.\u003c/p>\n\u003cp>https://youtu.be/zDuLZ1oJR8k\u003c/p>\n\u003cp>Cindy Striegel, a vice president at Kaiser, said it has hired more than 1,200 full-time therapists or clinicians since 2015, an increase of 30 percent. At the same time, she said, membership has grown about 20 percent. Kaiser is continuing to recruit and currently has about 300 positions posted or in the hiring process.\u003c/p>\n\u003cp>“This is not an issue or an area that we can solve overnight,” she said. “We can’t just throw more money at it. We can’t throw more effort at it. We’re doing the things that we feel are the most important. They just take some time to implement.”\u003c/p>\n\u003cp>Susan Whitney, a psychiatric social worker at the Kern County Kaiser Medical Center in Bakersfield, said she has worked for Kaiser for 15 years. Since the state first cited Kaiser in 2013, she said, “access to care has definitely gotten worse.” She believes that’s because the state has focused its scrutiny on how long it takes to get patients in the door for an initial appointment.\u003c/p>\n\u003cp>“People can get in right away to be seen, but then we’re left saying we don’t have a follow-up appointment for them for 6 to 8 or 12 weeks,’” she said. Whitney, who works with children and teenagers, said those delays in follow-up care exist even for children have anxiety so bad they can’t go to school, or show signs of being suicidal. The network of community providers that Kaiser sometimes outsources care to has been “completely overwhelmed,” she said.\u003c/p>\n\u003cp>“There is no therapy treatment model where you see a provider every 6 to 8 weeks,” she said. “Therapy just doesn’t work that way.”\u003c/p>\n\u003cp>Vicki Hoskins, a psychiatric therapist at Kaiser’s Euclid Medical Offices in Anaheim, said last week she spent the day on the phone telling patients in crisis they can’t get an appointment for a therapist until March.\u003c/p>\n\u003cp>“It’s super stressful,” she said. “Everyone’s frustrated. It’s always been bad, but this is the worst it’s ever been.”\u003c/p>\n\u003cp>She attributes the problem, in part, to Kaiser adding members before they build up their base of clinicians, along with greater awareness of suicidality and depression. A reduced stigma around mental illness also has led more people to seek help.\u003c/p>\n\u003cp>“When someone finally decides to seek help and then are told they can’t get help for 3 months, it makes them feel worse,” she said.\u003c/p>\n\u003cp>[aside tag=\"kaiser-permanente\" label=\"More on Kaiser\"]Des Michel, 27, from Oakland, said they reached out to Kaiser in July of 2018 in crisis, seeking care for gender identity affirming therapy. Michel’s first appointment was at the end of October, at which point they received referrals to Beacon Health Services and then, a few months later to Magellan.\u003c/p>\n\u003cp>“It was overall, and still is, a very negative experience for my mental health,” Michel said. “It’s been a year and a half. I’m probably just going to suck it up and pay privately, but financially and ethically it wasn’t something I wanted to do because I feel strongly that Kaiser has an obligation to their patients to be providing mental health care.”\u003c/p>\n\u003cp>Jeanette Zollinger, 42, of Thousand Oaks, said she, too, ended up paying out of pocket to see an outside therapist when she was having a “pretty rough breakdown.”\u003c/p>\n\u003cp>“It was literally life-saving,” she said. “I really didn’t feel like I had an option to go through Kaiser when I really needed help. They just didn’t have the staffing.”\u003c/p>\n\u003cp>Rouillard at the state Department of Managed Health Care maintains that the state is doing its job, but it is challenging given the shortage of providers.\u003c/p>\n\u003cp>“Access to behavioral health care services is a very high priority for our governor and for the Secretary of the Health and Human Services Agency,” she said. “The department has been working hard to ensure health plans comply with all requirements regarding timely access to care and federal and state mental health law — parity laws.”\u003c/p>\n\u003cp>Critics are unconvinced. Meiram Bendat, a Los Angeles attorney and psychotherapist, won a much-touted case this spring in which a Northern California federal court found that United Behavioral Health had wrongly restricted treatment for patients with mental health and substance abuse disorders in order to cut costs.\u003c/p>\n\u003cp>Kaiser therapists “have every reason to be fed up with the DMHC, which over the years has created an illusion of public service by fining it a few million dollars – trivial penalties that have no actual deterrent effect,” he said. He said Kaiser could compensate for network inadequacies by covering out-of-network mental health treatment at billed charges\u003c/p>\n\u003cp>“If DMHC were truly committed to mental health reforms and not just to its public image, it would have insisted on such measures long ago,” he said.\u003c/p>\n\u003cp>\u003cem>Jocelyn Wiener is a CalMatters contributing writer. Her reporting is made possible by a grant from the California Health Care Foundation.\u003c/em>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"http://CalMatters.org\" target=\"_blank\" rel=\"noopener noreferrer\">CalMatters.org \u003c/a>is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Striking clinicians on Thursday plan to march from the Capitol to the state agency to protest what they called “the agency’s failure to enforce parity legislation.” They specifically criticized the agency for not releasing reports from an outside monitor that would show whether Kaiser is meeting mental health access benchmarks outlined in a 2017 settlement agreement.\u003c/p>\n\u003cp>“I’m very disappointed with the DMHC — it’s just stunning,” said Fred Seavey, research director for the National Union of Healthcare Workers, which organized the strike. “It’s just criminal in my mind that they’re not holding Kaiser accountable.”\u003c/p>\n\u003cp>“If these were cardiac catheterization services that were not functioning, if a health plan was screwing those up, (the state) would jump on that and require those to be fixed right away,” he said. “Meanwhile they’re just sitting on their hands. We have people who are dying in the course of this failed enforcement by the DMHC.”\u003c/p>\n\u003cp>Seavey criticized Kaiser’s “massive influence” with the department, and said the union may call an open-ended strike in early 2020 if Kaiser does not improve mental health services.\u003c/p>\n\u003cp>After the state’s agreement with Kaiser in 2017, the health plan created a process to ensure that follow-up appointments are available in a timely manner, the state agency said in an emailed statement. Providers who cannot get their patients in for follow-up care are supposed to notify their managers.\u003c/p>\n\u003cp>The department fined Kaiser $4 million in 2013, but the plan did not agree to a settlement with corrective actions until 2017. That \u003ca href=\"https://wpso.dmhc.ca.gov/enfactions/docs/2895/1500394196511.pdf\">settlement agreement\u003c/a> is publicly available. But while the state department receives regular updates about the plan’s progress, it says it keeps that information confidential “in compliance with federal and state laws.”\u003c/p>\n\u003cp>Kaiser spokesman Marc Brown called the strikes “disruptive to patient access, operational care and service and…frankly irresponsible.” In an emailed statement, he said this is the union’s sixth strike this year (Seavey said most of these strikes were done at individual clinics, as opposed to statewide).\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“We take any concern raised about our care very seriously, and always investigate and respond thoroughly,” Brown said. “However, it is inappropriate for the union to file multiple, often unwarranted complaints, and attack Kaiser Permanente’s reputation.”\u003c/p>\n\u003cp>More than a dozen complaints the union has filed with the DMHC in the past year — and sought to publicize — decry violations of network adequacy rules, timely access rules and long appointment wait times, among others. One complaint said patients in Pasadena with schizophrenia, serious major depression and bipolar disorder were waiting three or four months for an appointment. Another complaint said therapists in San Francisco were being told to keep alternative paper wait lists — or tell patients to call back later — to hide its failure to see children in a timely manner.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/projects/californians-struggle-to-get-mental-health-care/\">Frustration with access to mental health services at Kaiser\u003c/a> extends beyond the HMO as well. According to a\u003ca href=\"https://www.chcf.org/publication/poll-shows-californians-health-priorities-new-governor-legislature/\"> statewide poll\u003c/a> by the Kaiser Family Foundation and the California Health Care Foundation released earlier this year, more than half of those surveyed thought that most people with mental health conditions are unable to get the services they need. A \u003ca href=\"http://www.milliman.com/bowman/\">recent analysis by healthcare consultants Milliman Inc.\u003c/a> showed that California patients were more than five times more likely to have office visits for mental health or addiction problems from providers outside their insurance plan’s network compared with their counterparts seeking medical or surgical care.\u003c/p>\n\u003cp>Concerned about these access problems, State Controller Betty Yee, who sits on the board of the California Public Employees’ Retirement System, wrote a letter to its executive officer requesting a series of hearings with its largest plans: Kaiser, Anthem, Blue Shield and United Healthcare. Kaiser, with more than 640,000 enrollees, has by far the highest membership.\u003c/p>\n\u003cp>“We negotiate contracts; we have leverage,” Yee said Tuesday, as the CalPERS board was conducting its third hearing on the subject. “To the extent that parity is not guaranteed, we need to make sure that our plans are living up to the law.”\u003c/p>\n\u003cp>State Treasurer Fiona Ma, who also sits on the board, said she’s seen firsthand how her own mother and brother have struggled to get adequate, timely care for depression. She’s been writing letters asking plans to explain the long wait times and high cost of care, and the growing numbers of people suffering from mental illnesses. Plans need to get more creative in finding solutions, she said.\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "‘This is not an issue or an area that we can solve overnight. We can’t just throw more money at it. We can’t throw more effort at it. We’re doing the things that we feel are the most important.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Kaiser is out on strike again today,” she said. “Why is that? Is it because everything is going well? No, it’s because things are not going well in the system and patients are getting sicker and sicker.”\u003c/p>\n\u003cp>Kaiser and the Department of Managed Health Care both sent representatives to speak at a November meeting of the CalPERS Pension and Benefits Committee.\u003c/p>\n\u003cp>DMHC director Shelley Rouillard told board members that day that the department takes its responsibility as a consumer protection agency very seriously, and outlined some of its offerings: a consumer help center, independent medical review process, regular monitoring of plans to ensure they have enough providers and enforcement actions against plans that violate timely access requirements. She said Kaiser has met all of the benchmarks of the 2017 settlement agreement so far.\u003c/p>\n\u003cp>But she also acknowledged that, in some cases, it takes years to correct problems with plans.\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/zDuLZ1oJR8k'\n title='//www.youtube.com/embed/zDuLZ1oJR8k'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>Cindy Striegel, a vice president at Kaiser, said it has hired more than 1,200 full-time therapists or clinicians since 2015, an increase of 30 percent. At the same time, she said, membership has grown about 20 percent. Kaiser is continuing to recruit and currently has about 300 positions posted or in the hiring process.\u003c/p>\n\u003cp>“This is not an issue or an area that we can solve overnight,” she said. “We can’t just throw more money at it. We can’t throw more effort at it. We’re doing the things that we feel are the most important. They just take some time to implement.”\u003c/p>\n\u003cp>Susan Whitney, a psychiatric social worker at the Kern County Kaiser Medical Center in Bakersfield, said she has worked for Kaiser for 15 years. Since the state first cited Kaiser in 2013, she said, “access to care has definitely gotten worse.” She believes that’s because the state has focused its scrutiny on how long it takes to get patients in the door for an initial appointment.\u003c/p>\n\u003cp>“People can get in right away to be seen, but then we’re left saying we don’t have a follow-up appointment for them for 6 to 8 or 12 weeks,’” she said. Whitney, who works with children and teenagers, said those delays in follow-up care exist even for children have anxiety so bad they can’t go to school, or show signs of being suicidal. The network of community providers that Kaiser sometimes outsources care to has been “completely overwhelmed,” she said.\u003c/p>\n\u003cp>“There is no therapy treatment model where you see a provider every 6 to 8 weeks,” she said. “Therapy just doesn’t work that way.”\u003c/p>\n\u003cp>Vicki Hoskins, a psychiatric therapist at Kaiser’s Euclid Medical Offices in Anaheim, said last week she spent the day on the phone telling patients in crisis they can’t get an appointment for a therapist until March.\u003c/p>\n\u003cp>“It’s super stressful,” she said. “Everyone’s frustrated. It’s always been bad, but this is the worst it’s ever been.”\u003c/p>\n\u003cp>She attributes the problem, in part, to Kaiser adding members before they build up their base of clinicians, along with greater awareness of suicidality and depression. A reduced stigma around mental illness also has led more people to seek help.\u003c/p>\n\u003cp>“When someone finally decides to seek help and then are told they can’t get help for 3 months, it makes them feel worse,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Des Michel, 27, from Oakland, said they reached out to Kaiser in July of 2018 in crisis, seeking care for gender identity affirming therapy. Michel’s first appointment was at the end of October, at which point they received referrals to Beacon Health Services and then, a few months later to Magellan.\u003c/p>\n\u003cp>“It was overall, and still is, a very negative experience for my mental health,” Michel said. “It’s been a year and a half. I’m probably just going to suck it up and pay privately, but financially and ethically it wasn’t something I wanted to do because I feel strongly that Kaiser has an obligation to their patients to be providing mental health care.”\u003c/p>\n\u003cp>Jeanette Zollinger, 42, of Thousand Oaks, said she, too, ended up paying out of pocket to see an outside therapist when she was having a “pretty rough breakdown.”\u003c/p>\n\u003cp>“It was literally life-saving,” she said. “I really didn’t feel like I had an option to go through Kaiser when I really needed help. They just didn’t have the staffing.”\u003c/p>\n\u003cp>Rouillard at the state Department of Managed Health Care maintains that the state is doing its job, but it is challenging given the shortage of providers.\u003c/p>\n\u003cp>“Access to behavioral health care services is a very high priority for our governor and for the Secretary of the Health and Human Services Agency,” she said. “The department has been working hard to ensure health plans comply with all requirements regarding timely access to care and federal and state mental health law — parity laws.”\u003c/p>\n\u003cp>Critics are unconvinced. Meiram Bendat, a Los Angeles attorney and psychotherapist, won a much-touted case this spring in which a Northern California federal court found that United Behavioral Health had wrongly restricted treatment for patients with mental health and substance abuse disorders in order to cut costs.\u003c/p>\n\u003cp>Kaiser therapists “have every reason to be fed up with the DMHC, which over the years has created an illusion of public service by fining it a few million dollars – trivial penalties that have no actual deterrent effect,” he said. He said Kaiser could compensate for network inadequacies by covering out-of-network mental health treatment at billed charges\u003c/p>\n\u003cp>“If DMHC were truly committed to mental health reforms and not just to its public image, it would have insisted on such measures long ago,” he said.\u003c/p>\n\u003cp>\u003cem>Jocelyn Wiener is a CalMatters contributing writer. Her reporting is made possible by a grant from the California Health Care Foundation.\u003c/em>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"http://CalMatters.org\" target=\"_blank\" rel=\"noopener noreferrer\">CalMatters.org \u003c/a>is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cem>Updated 8:30 a.m. on 12/14/19\u003c/em>\u003c/p>\n\u003cp>A Monterey County judge has sentenced the employer of the only person to die in 2016’s Soberanes Fire to 300 days of home confinement and three years of felony probation for violating a series of state labor laws.\u003c/p>\n\u003cp>Ian Czirban employed Robert Reagan, a contract bulldozer operator \u003ca href=\"https://www.kqed.org/news/11042061/cal-fire-probe-details-death-of-dozer-driver-in-big-sur-blaze\" target=\"_blank\" rel=\"noopener noreferrer\">killed\u003c/a> in the first days of a blaze that eventually burned more 130,000 acres in the mountains along the Big Sur coast.\u003c/p>\n\u003cp>Czirban was \u003ca href=\"https://www.kqed.org/news/11780384/employer-in-key-wildfire-gig-economy-trial-from-soberanes-blaze-found-guilty\" target=\"_blank\" rel=\"noopener noreferrer\">convicted\u003c/a> in October of two counts of willfully failing to file a payroll tax return, one count of not carrying workers’ compensation and one count of filing a false document.\u003c/p>\n\u003cp>Friday’s sentencing by Monterey County Superior Court Judge Andrew Liu ends one chapter in a case that highlighted the prominent role of independent contractors in fighting California wildfires and illustrated some of the many \u003ca href=\"https://www.kqed.org/news/11367902/casualties-in-big-sur-blaze-point-to-hazards-of-wildfire-gig-economy\" target=\"_blank\" rel=\"noopener noreferrer\">dangers\u003c/a> they face on the fire lines.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Reagan died late the night of July 26, 2016, shortly after beginning a shift operating a bulldozer assigned to create a containment line on one flank of the Soberanes Fire. He suffered fatal injuries when his dozer flipped over on a steep slope.\u003c/p>\n\u003cp>Reagan left behind a wife, Morgan Kemple, and two young children. They have \u003ca href=\"https://www.kqed.org/news/11405049/widow-of-bulldozer-operator-killed-in-soberanes-fire-struggles-to-get-by\" target=\"_blank\" rel=\"noopener noreferrer\">struggled financially in the aftermath of his death, in part because Czirban did not carry a valid workers’ comp policy.\u003c/a>\u003c/p>\n\u003cp>But Kemple joined Czirban’s lawyer, Daniel Olmos, in asking the judge to be lenient in the sentencing.\u003c/p>\n\u003cp>“I am thankful that he will not serve time in jail,” Kemple said in a text message Friday. “I specifically asked the judge not to take him from his children for any length of time.”\u003c/p>\n\u003cp>In a sentencing memo filed before Friday’s hearing, Olmos wrote that Czirban, too, has had a tough time in the aftermath of Reagan’s death. He lost his contractor’s license and faced financial trouble, the attorney told the court, but has worked hard to be a good father for his son and three daughters.\u003c/p>\n\u003cp>“More than anything, he does not want to leave his family,” Olmos wrote.\u003c/p>\n\u003cp>“Regarding the death of Mr. Reagan, Ian regrets not doing enough to protect the families of loved ones who perform dangerous work. He continues to believe that he is innocent of criminal charges, but he grieves daily for the loss of his friend and for the continuing hardship of Mr. Reagan’s family,” Olmos wrote.\u003c/p>\n\u003cp>Monterey County Deputy District Attorney John Hubanks praised the sentencing.\u003c/p>\n\u003cp>“The court’s sentence conveys a strong message to individuals who operate in – or are tempted to operate in – California’s underground economy in order to evade state tax and insurance obligations,” Hubanks said in an email.\u003c/p>\n\u003cp>Czirban is expected to serve half of his sentence because of state law for probationary and other nonviolent sentences, according to Olmos, who plans to appeal the conviction.\u003c/p>\n\u003cp>Olmos indicated in his sentencing document that the key to his appeal argument will be that Reagan was not Czirban’s employee but instead, an independent contractor.\u003c/p>\n\u003cp>“It is entirely likely that this case will provide an additional opportunity for higher courts to consider whether to continue the shift toward limiting the circumstances in which employers are permitted to designate workers as independent contractors,” Olmos wrote.\u003c/p>\n\u003cp>He was referring to a 2018 California Supreme Court decision, \u003ca href=\"https://scocal.stanford.edu/opinion/dynamex-operations-west-inc-v-superior-court-34584\" target=\"_blank\" rel=\"noopener noreferrer\">Dynamex Operations West v. Superior Court\u003c/a>, that generally made it harder for businesses to classify workers as independent contractors. The decision prompted this year’s \u003ca href=\"https://www.kqed.org/news/11774025/which-jobs-will-be-impacted-by-ab-5-californias-landmark-employment-measure\" target=\"_blank\" rel=\"noopener noreferrer\">AB 5\u003c/a>, now signed into law, which created exemptions in the general worker classification rules for some industries and professions.\u003c/p>\n\u003cp>A hearing on how much Czirban will be sentenced to pay in restitution has yet to be scheduled. Hubanks said his office will ask the court to have Czirban compensate Kemple and her children.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The two sides return to court Jan. 20.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Reagan died late the night of July 26, 2016, shortly after beginning a shift operating a bulldozer assigned to create a containment line on one flank of the Soberanes Fire. He suffered fatal injuries when his dozer flipped over on a steep slope.\u003c/p>\n\u003cp>Reagan left behind a wife, Morgan Kemple, and two young children. They have \u003ca href=\"https://www.kqed.org/news/11405049/widow-of-bulldozer-operator-killed-in-soberanes-fire-struggles-to-get-by\" target=\"_blank\" rel=\"noopener noreferrer\">struggled financially in the aftermath of his death, in part because Czirban did not carry a valid workers’ comp policy.\u003c/a>\u003c/p>\n\u003cp>But Kemple joined Czirban’s lawyer, Daniel Olmos, in asking the judge to be lenient in the sentencing.\u003c/p>\n\u003cp>“I am thankful that he will not serve time in jail,” Kemple said in a text message Friday. “I specifically asked the judge not to take him from his children for any length of time.”\u003c/p>\n\u003cp>In a sentencing memo filed before Friday’s hearing, Olmos wrote that Czirban, too, has had a tough time in the aftermath of Reagan’s death. He lost his contractor’s license and faced financial trouble, the attorney told the court, but has worked hard to be a good father for his son and three daughters.\u003c/p>\n\u003cp>“More than anything, he does not want to leave his family,” Olmos wrote.\u003c/p>\n\u003cp>“Regarding the death of Mr. Reagan, Ian regrets not doing enough to protect the families of loved ones who perform dangerous work. He continues to believe that he is innocent of criminal charges, but he grieves daily for the loss of his friend and for the continuing hardship of Mr. Reagan’s family,” Olmos wrote.\u003c/p>\n\u003cp>Monterey County Deputy District Attorney John Hubanks praised the sentencing.\u003c/p>\n\u003cp>“The court’s sentence conveys a strong message to individuals who operate in – or are tempted to operate in – California’s underground economy in order to evade state tax and insurance obligations,” Hubanks said in an email.\u003c/p>\n\u003cp>Czirban is expected to serve half of his sentence because of state law for probationary and other nonviolent sentences, according to Olmos, who plans to appeal the conviction.\u003c/p>\n\u003cp>Olmos indicated in his sentencing document that the key to his appeal argument will be that Reagan was not Czirban’s employee but instead, an independent contractor.\u003c/p>\n\u003cp>“It is entirely likely that this case will provide an additional opportunity for higher courts to consider whether to continue the shift toward limiting the circumstances in which employers are permitted to designate workers as independent contractors,” Olmos wrote.\u003c/p>\n\u003cp>He was referring to a 2018 California Supreme Court decision, \u003ca href=\"https://scocal.stanford.edu/opinion/dynamex-operations-west-inc-v-superior-court-34584\" target=\"_blank\" rel=\"noopener noreferrer\">Dynamex Operations West v. Superior Court\u003c/a>, that generally made it harder for businesses to classify workers as independent contractors. The decision prompted this year’s \u003ca href=\"https://www.kqed.org/news/11774025/which-jobs-will-be-impacted-by-ab-5-californias-landmark-employment-measure\" target=\"_blank\" rel=\"noopener noreferrer\">AB 5\u003c/a>, now signed into law, which created exemptions in the general worker classification rules for some industries and professions.\u003c/p>\n\u003cp>A hearing on how much Czirban will be sentenced to pay in restitution has yet to be scheduled. Hubanks said his office will ask the court to have Czirban compensate Kemple and her children.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The two sides return to court Jan. 20.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "‘Brain Waste': Highly Skilled Immigrants Struggle to Fill Workforce Gaps",
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"headTitle": "‘Brain Waste’: Highly Skilled Immigrants Struggle to Fill Workforce Gaps | KQED",
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"content": "\u003cp>Burmese doctors dish sushi at a restaurant, a Jordanian computer engineer drives for Uber, and a Nepali non-profit program officer stocks shelves at a Walmart.\u003c/p>\n\u003cp>Nearly two million college-educated immigrants labor in jobs for which they are overqualified, or cannot find work at all.\u003c/p>\n\u003cp>The so-called “brain waste” phenomenon is costing California and other states billions of dollars per year in lost individual earnings and tax revenues, according to estimates by the Migration Policy Institute. The problem is worsening as, among immigrants continuing to arrive in the United States, there’s a greater proportion of college-educated individuals, experts warn.\u003c/p>\n\u003cp>[audio src=\"https://od1.kqed.org/anon.kqed/radio/tcr/2020/01/JhabvalaRomeroRefugeeWorkforce.mp3\" /]\u003c/p>\n\u003cp>New immigrants face barriers to obtaining high-skilled jobs that may take years to overcome, \u003ca href=\"http://www.ncsl.org/research/labor-and-employment/barriers-to-work-immigrants-with-work-authorization.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">including\u003c/a> the lack of U.S. professional work experience and technical English fluency. The process for getting foreign credentials recognized in this country can be long, complicated and expensive, especially in highly regulated fields like health care.\u003c/p>\n\u003cp>Wilmer Garcia Ricardo, a physician in Cuba and Venezuela for seven years, was admitted to the U.S. in 2012 through a now-defunct government humanitarian parole program for Cuban medical professionals. But once he resettled in Louisville, Ky., Garcia Ricardo was left on his own to figure out how to work again as a doctor in America.\u003c/p>\n\u003cp>“It has been years of study and sacrifice,” said Garcia Ricardo, now 38 years old.\u003c/p>\n\u003cfigure id=\"attachment_11790706\" class=\"wp-caption alignright\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11790706\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2019/12/RS40416_Photo-2-qut.jpg\" alt=\"\" width=\"1920\" height=\"1440\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40416_Photo-2-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40416_Photo-2-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40416_Photo-2-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40416_Photo-2-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40416_Photo-2-qut-1200x900.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40416_Photo-2-qut-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40416_Photo-2-qut-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40416_Photo-2-qut-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40416_Photo-2-qut-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40416_Photo-2-qut-536x402.jpg 536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">International Rescue Committee staffer Saeideh Mahdavisefat leads a job interview workshop with recently arrived refugees at the resettlement agency’s offices in San Jose on Oct. 16, 2019. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>He took classes to improve his English. He bought books online and looked into blogs and forums about other immigrant physicians going through the rigorous U.S. medical licensing process. Meanwhile, he got a job as a patient care aide at a nursing home to pay his bills.\u003c/p>\n\u003cp>“That was like, being a doctor in January 2012, and then, three months after, going to the bottom of the health care system in America,” said Garcia Ricardo. “It was frustrating.”\u003c/p>\n\u003cp>Professional demotion is typical among the recent immigrants, including refugees, asylees and other humanitarian migrants who get help adjusting to life in America through the International Rescue Committee, said Kevin Davis, career development coordinator at the resettlement agency’s offices in San Jose.\u003c/p>\n\u003cp>IRC’s program focuses on helping humanitarian migrants rebuild or start careers in the U.S. through training, coaching and scholarships.\u003c/p>\n\u003cp>While many of these immigrants come with limited English or professional work experience, Davis estimates about half of the 200 clients in his program per year are highly skilled or college educated.\u003c/p>\n\u003cp>Regardless of their talents and expertise, nearly all of them get what Davis calls “survival jobs” in retail, hospitality, security and other industries during their first months in the U.S.\u003c/p>\n\u003cp>“The survival job is like a stepping stone,” he said. “And once they can pay their immediate bills, then we will work with them to sort of say, ‘All right, well, what comes next?’”\u003c/p>\n\u003cfigure id=\"attachment_11790707\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11790707\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2019/12/RS40415_Photo-5-qut.jpg\" alt=\"\" width=\"1920\" height=\"1440\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40415_Photo-5-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40415_Photo-5-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40415_Photo-5-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40415_Photo-5-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40415_Photo-5-qut-1200x900.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40415_Photo-5-qut-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40415_Photo-5-qut-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40415_Photo-5-qut-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40415_Photo-5-qut-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40415_Photo-5-qut-536x402.jpg 536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A billboard at the International Rescue Committee San Jose office displays advice for newly arrived immigrants to handle job interviews. The resettlement agency provides training, coaching and scholarships for humanitarian migrants to start or rebuild careers in the U.S. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>‘Brain Waste’\u003c/h3>\n\u003cp>In California, about 450,000 immigrants with at least a bachelor’s degree are underemployed, meaning they have low-skilled jobs , or they can’t find work at all, according to an \u003ca href=\"https://www.migrationpolicy.org/research/untapped-talent-costs-brain-waste-among-highly-skilled-immigrants-united-states\" target=\"_blank\" rel=\"noopener noreferrer\">analysis\u003c/a> by the Migration Policy Institute. About 25 percent of highly skilled immigrants are overqualified for their jobs in the state compared to 19 percent for the U.S. born workers.\u003c/p>\n\u003cp>The cost to California, the state with the largest immigrant population, is significant: about $9.4 billion in lost annual earnings that result in nearly $700 million foregone state and local taxes, said Jeanne Batalova, a senior policy analyst at the institute and co-author of the report.\u003c/p>\n\u003cp>Compared to the U.S., countries like Canada and Australia have invested more resources to help immigrants understand and navigate licensing and other requirements to make their way into professional occupations, she said.\u003c/p>\n\u003cp>“The United States has a fairly laissez faire approach to helping immigrants integrate into the labor market. And really the approach is sink or swim,” said Batalova. “Unfortunately, at the national level, there hasn’t really been a strategy developed to deal with what we call ‘brain waste.’”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The issue has become more pronounced as the U.S. economy increasingly depends on highly skilled workers. Moreover, in recent years, a larger proportion of immigrants — about \u003ca href=\"https://www.migrationpolicy.org/news/mpi-reveals-striking-finding-nearly-half-immigrant-adults-arriving-us-2011-have-college-degree\" target=\"_blank\" rel=\"noopener noreferrer\">48 percent\u003c/a> — arrive in the U.S. with at least a bachelor’s degree, said Batalova.\u003c/p>\n\u003cp>“That can become an important talent pool, if their skills are put to good use,” she said.\u003c/p>\n\u003cp>On the other hand, employers often don’t know how to interpret and determine the value of an applicant’s credentials from foreign universities, said Jina Krause-Vilmar, CEO at Upwardly Global, a non-profit founded in San Francisco that helps place high-skilled immigrants and refugees in professional careers in the U.S.\u003c/p>\n\u003cp>“How do you value somebody from the University of Baghdad versus somebody from UCLA?” said Krause-Vilmar, whose organization frequently works with employers. “Part of it is building that awareness amongst employers so that they can effectively understand what this untapped talent pool offers.”\u003c/p>\n\u003cfigure id=\"attachment_11790712\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11790712\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2019/12/RS40413_Photo-3-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40413_Photo-3-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40413_Photo-3-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40413_Photo-3-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40413_Photo-3-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40413_Photo-3-qut-1200x800.jpg 1200w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Wilmer Garcia Ricardo is now a medical resident in the San Joaquin General Hospitals’ family medicine department. He said obtaining work experience in the U.S. through the UCLA International Medical Graduate program was key to obtaining his residency position. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>One Doctor’s Story\u003c/h3>\n\u003cp>Garcia Ricardo, who trained as a family medicine practitioner in Cuba, knew of the need for more physicians in the U.S. In the next decade, California will face a shortfall of 4,100 primary care clinicians, which is \u003ca href=\"https://calmatters.org/projects/california-doctor-shortage-free-med-school-loan-repayment-recruiting-solutions/\" target=\"_blank\" rel=\"noopener noreferrer\">already affecting\u003c/a> rural and low-income urban areas, \u003ca href=\"https://futurehealthworkforce.org/2019/02/04/ca-looming-workforce-crisis/\" target=\"_blank\" rel=\"noopener noreferrer\">according to\u003c/a> the California Future Health Workforce Commission.\u003c/p>\n\u003cp>[aside postID=\"news_11722933\" label=\"\"]The Cuban immigrant said he spent six years and more than $10,000 to eventually pass the U.S. medical licensing exams and apply for residency programs, which he needs to be licensed as a doctor in any state. He drove Uber and Lyft on the side to make ends meet, he said.\u003c/p>\n\u003cp>“I applied to 166 programs, and I received one interview invitation,” said Garcia Ricardo. “And at the end of a process, all that money was lost. I was not granted a position.”\u003c/p>\n\u003cp>He figures a big reason was that, unlike domestic medical graduates, he didn’t have any “hands-on medical experience” in this country.\u003c/p>\n\u003cp>“All my experience as a doctor was from Cuba and Venezuela, and all my work experience in the U.S. was as a patient assistant,” said Garcia Ricardo, with a shrug.\u003c/p>\n\u003cp>But he didn’t give up.\u003c/p>\n\u003cp>It was a unique program in California, the UCLA International Medical Graduate Program, that finally gave him the qualifications and training to better compete for coveted residency spots in family medicine.\u003c/p>\n\u003cp>Applying to residency programs is an extremely competitive process, and those positions are very limited, especially in rural and low-income communities, said Dr. Michelle Bholat, an associate professor at the UCLA Department of Family Medicine and co-director of the IMG program.\u003c/p>\n\u003cp>“If I had a magic wand, I would say ‘Let us get some additional residency positions available in our most underserved areas in California,’” said Bholat.\u003c/p>\n\u003cp>Thanks to a \u003ca href=\"https://sd30.senate.ca.gov/news/press-releases/2012-07-16-holly-mitchell-bill-will-add-new-doctors-underserved-communities\" target=\"_blank\" rel=\"noopener noreferrer\">state law\u003c/a> approved in 2012, Spanish-speaking physicians in the IMG program can work under supervision with patients at a Los Angeles family clinic and hospital, so they learn the U.S. health care system and gain valuable work experience.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Dr. Michelle Bholat, co-director of the IMG program\"]‘What we have seen, at least in our program, is that the residents that are from those backgrounds tend to want to stay in that community and serve those patients long term.’[/pullquote]Although there are hundreds of applicants to the program each year, only about 15 physicians are admitted, said Bholat.\u003c/p>\n\u003cp>In exchange for the training, the doctors commit to working at least two years in underserved medical communities once they are licensed. Since 2006, 140 doctors have graduated from the IMG program.\u003c/p>\n\u003cp>Bholat has high hopes for one of this year’s graduates, Garcia Ricardo. Now, he is a medical resident at San Joaquin General Hospital, south of Stockton. Most patients at the county hospital qualify for Medi-Cal, and about 40 percent speak Spanish, according to doctors.\u003c/p>\n\u003cp>“He’s going to be a role model for that Latino community to know that ‘You know what? I have a doctor that understands me. I have a doctor who’s going to be there for my family,”’ said Bholat.\u003c/p>\n\u003cp>Garcia Ricardo compared the years he struggled in America to regain his profession to feeling like a fish out of water, gasping for air and flopping around.\u003c/p>\n\u003cp>“And then you put the fish back in the water? That’s the same feeling I had when I had a white coat back on,” said Garcia Ricardo, and smiled.\u003c/p>\n\u003cp>Dr. Elyas Parsa, who oversees San Joaquin General Hospital’s family residency program, said it’s “invaluable” to have a physician like Garcia Ricardo who culturally understands patients and speaks their language. Immigrant physicians are also passionate about working with underserved communities, said Parsa.\u003c/p>\n\u003cp>“What we have seen, at least in our program, is that the residents that are from those backgrounds tend to want to stay in that community and serve those patients long term,” said Parsa, himself a political refugee from Iran.\u003c/p>\n\u003ch3>Rules Vary State by State\u003c/h3>\n\u003cp>While the federal government oversees immigration, state governments regulate the practice of occupations. Those requirements often vary across state lines and can be cumbersome to navigate.\u003c/p>\n\u003cp>[aside postID=\"news_11682562,news_11299596,news_13815450\" label=\"Related coverage\"]Some states like Utah and South Dakota have modified certain licensing requirements to make it easier for internationally trained professionals to re-enter fields such as occupational therapy or dentistry, according to a \u003ca href=\"http://www.ncsl.org/research/labor-and-employment/barriers-to-work-immigrants-with-work-authorization.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">report\u003c/a> by the National Conference of State Legislatures.\u003c/p>\n\u003cp>In recent years, U.S. Department of Labor has provided \u003ca href=\"https://www.dol.gov/newsroom/releases/eta/eta20180625\" target=\"_blank\" rel=\"noopener noreferrer\">grants\u003c/a> for states to study how to streamline occupational licensing rules, in part to make it easier for people to be recertified after they move to another state.\u003c/p>\n\u003cp>The federal government could also provide additional financial support to organizations that help internationally educated professionals integrate into the U.S. workforce, said Batalova of the Migration Policy Institute.\u003c/p>\n\u003cp>Refugees, asylees and other immigrants can access limited federal and local financial support while they look for work. But there’s a lot of pressure to earn income as soon as possible, especially in high-cost regions like the Bay Area. Davis at the IRC said his program often coaches immigrants to take gradual steps into careers in healthcare and other industries desperate for workers.\u003c/p>\n\u003cp>Eden Asfaha, 38, followed that trajectory.\u003c/p>\n\u003cfigure id=\"attachment_11790710\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11790710\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2019/12/RS40414_Photo-4-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40414_Photo-4-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40414_Photo-4-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40414_Photo-4-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40414_Photo-4-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40414_Photo-4-qut-1200x800.jpg 1200w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Eden Asfaha, an asylee from Eritrea, works the cashier at a Holiday Inn restaurant in San Jose, Calif. on Nov. 14, 2019. Asfaha is finishing training to be licensed as a phlebotomy technician. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Starting a New Path\u003c/h3>\n\u003cp>Asfaha was a secretary for a European Union diplomatic office in her native Eritrea, and worked in community development for European-based non-profits.\u003c/p>\n\u003cp>After winning asylum in the U.S. in 2014, she attended an IRC job fair to land her first American job as a cashier and hostess at a San Jose restaurant. That allowed her to enroll in classes at De Anza Community College in Cupertino to become a phlebotomy technician.\u003c/p>\n\u003cp>“I decided to switch to something that’s practical that I can find a job in the laboratory,” said Asfaha, an evangelical Christian who fled Eritrea to escape religious persecution.\u003c/p>\n\u003cp>She eventually plans to go back to school to train as a medical lab technician, she said.\u003c/p>\n\u003cp>“When I came here, I knew I would be starting from scratch. I knew it was going to be a hard road ahead,” said Asfaha. “I just have to take the steps I need to get in there.”\u003c/p>\n\u003cp>\u003cem>The California Dream series is a statewide media collaboration of CalMatters, KPBS, KPCC, KQED and Capital Public Radio, with support from the Corporation for Public Broadcasting, the James Irvine Foundation and the College Futures Foundation.\u003c/em>\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11768052\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2019/08/CADreamBanner-1-800x219.jpg\" alt=\"\" width=\"800\" height=\"219\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/CADreamBanner-1-800x219.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/CADreamBanner-1-800x219-160x44.jpg 160w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Burmese doctors dish sushi at a restaurant, a Jordanian computer engineer drives for Uber, and a Nepali non-profit program officer stocks shelves at a Walmart.\u003c/p>\n\u003cp>Nearly two million college-educated immigrants labor in jobs for which they are overqualified, or cannot find work at all.\u003c/p>\n\u003cp>The so-called “brain waste” phenomenon is costing California and other states billions of dollars per year in lost individual earnings and tax revenues, according to estimates by the Migration Policy Institute. The problem is worsening as, among immigrants continuing to arrive in the United States, there’s a greater proportion of college-educated individuals, experts warn.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>New immigrants face barriers to obtaining high-skilled jobs that may take years to overcome, \u003ca href=\"http://www.ncsl.org/research/labor-and-employment/barriers-to-work-immigrants-with-work-authorization.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">including\u003c/a> the lack of U.S. professional work experience and technical English fluency. The process for getting foreign credentials recognized in this country can be long, complicated and expensive, especially in highly regulated fields like health care.\u003c/p>\n\u003cp>Wilmer Garcia Ricardo, a physician in Cuba and Venezuela for seven years, was admitted to the U.S. in 2012 through a now-defunct government humanitarian parole program for Cuban medical professionals. But once he resettled in Louisville, Ky., Garcia Ricardo was left on his own to figure out how to work again as a doctor in America.\u003c/p>\n\u003cp>“It has been years of study and sacrifice,” said Garcia Ricardo, now 38 years old.\u003c/p>\n\u003cfigure id=\"attachment_11790706\" class=\"wp-caption alignright\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11790706\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2019/12/RS40416_Photo-2-qut.jpg\" alt=\"\" width=\"1920\" height=\"1440\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40416_Photo-2-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40416_Photo-2-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40416_Photo-2-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40416_Photo-2-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40416_Photo-2-qut-1200x900.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40416_Photo-2-qut-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40416_Photo-2-qut-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40416_Photo-2-qut-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40416_Photo-2-qut-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40416_Photo-2-qut-536x402.jpg 536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">International Rescue Committee staffer Saeideh Mahdavisefat leads a job interview workshop with recently arrived refugees at the resettlement agency’s offices in San Jose on Oct. 16, 2019. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>He took classes to improve his English. He bought books online and looked into blogs and forums about other immigrant physicians going through the rigorous U.S. medical licensing process. Meanwhile, he got a job as a patient care aide at a nursing home to pay his bills.\u003c/p>\n\u003cp>“That was like, being a doctor in January 2012, and then, three months after, going to the bottom of the health care system in America,” said Garcia Ricardo. “It was frustrating.”\u003c/p>\n\u003cp>Professional demotion is typical among the recent immigrants, including refugees, asylees and other humanitarian migrants who get help adjusting to life in America through the International Rescue Committee, said Kevin Davis, career development coordinator at the resettlement agency’s offices in San Jose.\u003c/p>\n\u003cp>IRC’s program focuses on helping humanitarian migrants rebuild or start careers in the U.S. through training, coaching and scholarships.\u003c/p>\n\u003cp>While many of these immigrants come with limited English or professional work experience, Davis estimates about half of the 200 clients in his program per year are highly skilled or college educated.\u003c/p>\n\u003cp>Regardless of their talents and expertise, nearly all of them get what Davis calls “survival jobs” in retail, hospitality, security and other industries during their first months in the U.S.\u003c/p>\n\u003cp>“The survival job is like a stepping stone,” he said. “And once they can pay their immediate bills, then we will work with them to sort of say, ‘All right, well, what comes next?’”\u003c/p>\n\u003cfigure id=\"attachment_11790707\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11790707\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2019/12/RS40415_Photo-5-qut.jpg\" alt=\"\" width=\"1920\" height=\"1440\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40415_Photo-5-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40415_Photo-5-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40415_Photo-5-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40415_Photo-5-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40415_Photo-5-qut-1200x900.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40415_Photo-5-qut-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40415_Photo-5-qut-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40415_Photo-5-qut-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40415_Photo-5-qut-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40415_Photo-5-qut-536x402.jpg 536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A billboard at the International Rescue Committee San Jose office displays advice for newly arrived immigrants to handle job interviews. The resettlement agency provides training, coaching and scholarships for humanitarian migrants to start or rebuild careers in the U.S. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>‘Brain Waste’\u003c/h3>\n\u003cp>In California, about 450,000 immigrants with at least a bachelor’s degree are underemployed, meaning they have low-skilled jobs , or they can’t find work at all, according to an \u003ca href=\"https://www.migrationpolicy.org/research/untapped-talent-costs-brain-waste-among-highly-skilled-immigrants-united-states\" target=\"_blank\" rel=\"noopener noreferrer\">analysis\u003c/a> by the Migration Policy Institute. About 25 percent of highly skilled immigrants are overqualified for their jobs in the state compared to 19 percent for the U.S. born workers.\u003c/p>\n\u003cp>The cost to California, the state with the largest immigrant population, is significant: about $9.4 billion in lost annual earnings that result in nearly $700 million foregone state and local taxes, said Jeanne Batalova, a senior policy analyst at the institute and co-author of the report.\u003c/p>\n\u003cp>Compared to the U.S., countries like Canada and Australia have invested more resources to help immigrants understand and navigate licensing and other requirements to make their way into professional occupations, she said.\u003c/p>\n\u003cp>“The United States has a fairly laissez faire approach to helping immigrants integrate into the labor market. And really the approach is sink or swim,” said Batalova. “Unfortunately, at the national level, there hasn’t really been a strategy developed to deal with what we call ‘brain waste.’”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The issue has become more pronounced as the U.S. economy increasingly depends on highly skilled workers. Moreover, in recent years, a larger proportion of immigrants — about \u003ca href=\"https://www.migrationpolicy.org/news/mpi-reveals-striking-finding-nearly-half-immigrant-adults-arriving-us-2011-have-college-degree\" target=\"_blank\" rel=\"noopener noreferrer\">48 percent\u003c/a> — arrive in the U.S. with at least a bachelor’s degree, said Batalova.\u003c/p>\n\u003cp>“That can become an important talent pool, if their skills are put to good use,” she said.\u003c/p>\n\u003cp>On the other hand, employers often don’t know how to interpret and determine the value of an applicant’s credentials from foreign universities, said Jina Krause-Vilmar, CEO at Upwardly Global, a non-profit founded in San Francisco that helps place high-skilled immigrants and refugees in professional careers in the U.S.\u003c/p>\n\u003cp>“How do you value somebody from the University of Baghdad versus somebody from UCLA?” said Krause-Vilmar, whose organization frequently works with employers. “Part of it is building that awareness amongst employers so that they can effectively understand what this untapped talent pool offers.”\u003c/p>\n\u003cfigure id=\"attachment_11790712\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11790712\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2019/12/RS40413_Photo-3-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40413_Photo-3-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40413_Photo-3-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40413_Photo-3-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40413_Photo-3-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40413_Photo-3-qut-1200x800.jpg 1200w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Wilmer Garcia Ricardo is now a medical resident in the San Joaquin General Hospitals’ family medicine department. He said obtaining work experience in the U.S. through the UCLA International Medical Graduate program was key to obtaining his residency position. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>One Doctor’s Story\u003c/h3>\n\u003cp>Garcia Ricardo, who trained as a family medicine practitioner in Cuba, knew of the need for more physicians in the U.S. In the next decade, California will face a shortfall of 4,100 primary care clinicians, which is \u003ca href=\"https://calmatters.org/projects/california-doctor-shortage-free-med-school-loan-repayment-recruiting-solutions/\" target=\"_blank\" rel=\"noopener noreferrer\">already affecting\u003c/a> rural and low-income urban areas, \u003ca href=\"https://futurehealthworkforce.org/2019/02/04/ca-looming-workforce-crisis/\" target=\"_blank\" rel=\"noopener noreferrer\">according to\u003c/a> the California Future Health Workforce Commission.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The Cuban immigrant said he spent six years and more than $10,000 to eventually pass the U.S. medical licensing exams and apply for residency programs, which he needs to be licensed as a doctor in any state. He drove Uber and Lyft on the side to make ends meet, he said.\u003c/p>\n\u003cp>“I applied to 166 programs, and I received one interview invitation,” said Garcia Ricardo. “And at the end of a process, all that money was lost. I was not granted a position.”\u003c/p>\n\u003cp>He figures a big reason was that, unlike domestic medical graduates, he didn’t have any “hands-on medical experience” in this country.\u003c/p>\n\u003cp>“All my experience as a doctor was from Cuba and Venezuela, and all my work experience in the U.S. was as a patient assistant,” said Garcia Ricardo, with a shrug.\u003c/p>\n\u003cp>But he didn’t give up.\u003c/p>\n\u003cp>It was a unique program in California, the UCLA International Medical Graduate Program, that finally gave him the qualifications and training to better compete for coveted residency spots in family medicine.\u003c/p>\n\u003cp>Applying to residency programs is an extremely competitive process, and those positions are very limited, especially in rural and low-income communities, said Dr. Michelle Bholat, an associate professor at the UCLA Department of Family Medicine and co-director of the IMG program.\u003c/p>\n\u003cp>“If I had a magic wand, I would say ‘Let us get some additional residency positions available in our most underserved areas in California,’” said Bholat.\u003c/p>\n\u003cp>Thanks to a \u003ca href=\"https://sd30.senate.ca.gov/news/press-releases/2012-07-16-holly-mitchell-bill-will-add-new-doctors-underserved-communities\" target=\"_blank\" rel=\"noopener noreferrer\">state law\u003c/a> approved in 2012, Spanish-speaking physicians in the IMG program can work under supervision with patients at a Los Angeles family clinic and hospital, so they learn the U.S. health care system and gain valuable work experience.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘What we have seen, at least in our program, is that the residents that are from those backgrounds tend to want to stay in that community and serve those patients long term.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Although there are hundreds of applicants to the program each year, only about 15 physicians are admitted, said Bholat.\u003c/p>\n\u003cp>In exchange for the training, the doctors commit to working at least two years in underserved medical communities once they are licensed. Since 2006, 140 doctors have graduated from the IMG program.\u003c/p>\n\u003cp>Bholat has high hopes for one of this year’s graduates, Garcia Ricardo. Now, he is a medical resident at San Joaquin General Hospital, south of Stockton. Most patients at the county hospital qualify for Medi-Cal, and about 40 percent speak Spanish, according to doctors.\u003c/p>\n\u003cp>“He’s going to be a role model for that Latino community to know that ‘You know what? I have a doctor that understands me. I have a doctor who’s going to be there for my family,”’ said Bholat.\u003c/p>\n\u003cp>Garcia Ricardo compared the years he struggled in America to regain his profession to feeling like a fish out of water, gasping for air and flopping around.\u003c/p>\n\u003cp>“And then you put the fish back in the water? That’s the same feeling I had when I had a white coat back on,” said Garcia Ricardo, and smiled.\u003c/p>\n\u003cp>Dr. Elyas Parsa, who oversees San Joaquin General Hospital’s family residency program, said it’s “invaluable” to have a physician like Garcia Ricardo who culturally understands patients and speaks their language. Immigrant physicians are also passionate about working with underserved communities, said Parsa.\u003c/p>\n\u003cp>“What we have seen, at least in our program, is that the residents that are from those backgrounds tend to want to stay in that community and serve those patients long term,” said Parsa, himself a political refugee from Iran.\u003c/p>\n\u003ch3>Rules Vary State by State\u003c/h3>\n\u003cp>While the federal government oversees immigration, state governments regulate the practice of occupations. Those requirements often vary across state lines and can be cumbersome to navigate.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Some states like Utah and South Dakota have modified certain licensing requirements to make it easier for internationally trained professionals to re-enter fields such as occupational therapy or dentistry, according to a \u003ca href=\"http://www.ncsl.org/research/labor-and-employment/barriers-to-work-immigrants-with-work-authorization.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">report\u003c/a> by the National Conference of State Legislatures.\u003c/p>\n\u003cp>In recent years, U.S. Department of Labor has provided \u003ca href=\"https://www.dol.gov/newsroom/releases/eta/eta20180625\" target=\"_blank\" rel=\"noopener noreferrer\">grants\u003c/a> for states to study how to streamline occupational licensing rules, in part to make it easier for people to be recertified after they move to another state.\u003c/p>\n\u003cp>The federal government could also provide additional financial support to organizations that help internationally educated professionals integrate into the U.S. workforce, said Batalova of the Migration Policy Institute.\u003c/p>\n\u003cp>Refugees, asylees and other immigrants can access limited federal and local financial support while they look for work. But there’s a lot of pressure to earn income as soon as possible, especially in high-cost regions like the Bay Area. Davis at the IRC said his program often coaches immigrants to take gradual steps into careers in healthcare and other industries desperate for workers.\u003c/p>\n\u003cp>Eden Asfaha, 38, followed that trajectory.\u003c/p>\n\u003cfigure id=\"attachment_11790710\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11790710\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2019/12/RS40414_Photo-4-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40414_Photo-4-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40414_Photo-4-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40414_Photo-4-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40414_Photo-4-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/RS40414_Photo-4-qut-1200x800.jpg 1200w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Eden Asfaha, an asylee from Eritrea, works the cashier at a Holiday Inn restaurant in San Jose, Calif. on Nov. 14, 2019. Asfaha is finishing training to be licensed as a phlebotomy technician. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Starting a New Path\u003c/h3>\n\u003cp>Asfaha was a secretary for a European Union diplomatic office in her native Eritrea, and worked in community development for European-based non-profits.\u003c/p>\n\u003cp>After winning asylum in the U.S. in 2014, she attended an IRC job fair to land her first American job as a cashier and hostess at a San Jose restaurant. That allowed her to enroll in classes at De Anza Community College in Cupertino to become a phlebotomy technician.\u003c/p>\n\u003cp>“I decided to switch to something that’s practical that I can find a job in the laboratory,” said Asfaha, an evangelical Christian who fled Eritrea to escape religious persecution.\u003c/p>\n\u003cp>She eventually plans to go back to school to train as a medical lab technician, she said.\u003c/p>\n\u003cp>“When I came here, I knew I would be starting from scratch. I knew it was going to be a hard road ahead,” said Asfaha. “I just have to take the steps I need to get in there.”\u003c/p>\n\u003cp>\u003cem>The California Dream series is a statewide media collaboration of CalMatters, KPBS, KPCC, KQED and Capital Public Radio, with support from the Corporation for Public Broadcasting, the James Irvine Foundation and the College Futures Foundation.\u003c/em>\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11768052\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2019/08/CADreamBanner-1-800x219.jpg\" alt=\"\" width=\"800\" height=\"219\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/CADreamBanner-1-800x219.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/CADreamBanner-1-800x219-160x44.jpg 160w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Gig Economy Regulations Leave Artists’ Futures Unclear",
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"content": "\u003cp>\u003cspan style=\"font-weight: 400\">Like many artists, comedian \u003c/span>\u003ca href=\"https://dhayacomedy.com/about.html\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan style=\"font-weight: 400\">Dhaya Lakshminarayanan\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> juggles multiple roles to make a living. “We've always sort of pieced together a tour, submitted a script, did a web series or a paid gig for Intel,” says Lakshminarayanan, who lives in San Francisco and performs all over the country. “And then we go and do a ten-dollar-tip-jar show.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Since Governor Gavin Newsom signed \u003c/span>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201920200AB5\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan style=\"font-weight: 400\">Assembly Bill 5\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> (AB5) into law in September, many California contractors—particularly those who work regular shifts for a single company—have shown up at rallies in support of the legislation. The new law, which will reclassify many former freelancers as employees \u003c/span>\u003cspan style=\"font-weight: 400\">when it takes effect \u003c/span>\u003cspan style=\"font-weight: 400\">on Jan. 1 next year, will grant more benefits such as paid sick leave, overtime and expense reimbursement to workers across the state.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Yet it’s still\u003c/span> \u003cspan style=\"font-weight: 400\">unclear how the law will affect artists and entertainers like Lakshminarayanan, who do all kinds of gigs for all kinds of clients, and whose practices don’t always align with the legal requirements of an employer-employee relationship. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">AB5 came from an \u003c/span>\u003cspan style=\"font-weight: 400\">effort to \u003c/span>\u003cspan style=\"font-weight: 400\">prevent employers from skimping on employee benefits, as the gig economy \u003c/span>\u003ca href=\"https://www.npr.org/2018/01/22/578825135/rise-of-the-contract-workers-work-is-different-now\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan style=\"font-weight: 400\">redefined Americans’ relationship to the workplace\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> in the last decade. While targeted at ride share companies such as Uber and Lyft, this overhaul of California labor law comes with \u003c/span>\u003cspan style=\"font-weight: 400\">unintended consequences for other types of industries that, let's face it, also thrive on \u003c/span>\u003ca href=\"https://www.kqed.org/arts/13857471/artist-passion-exploitation-duke-study\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan style=\"font-weight: 400\">cheap or even free labor to function\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, including arts organizations. Many arts institutions and freelance artists alike now find themselves in a state of confusion about how they will continue to do business come next year. \u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_13870715\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-13870715 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/2/2019/12/GettyImages-1147843872-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/2/2019/12/GettyImages-1147843872-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/2/2019/12/GettyImages-1147843872-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/2/2019/12/GettyImages-1147843872-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/2/2019/12/GettyImages-1147843872-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/2/2019/12/GettyImages-1147843872-1200x800.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/2/2019/12/GettyImages-1147843872-1920x1280.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Supporters of ride share drivers from Uber and Lyft hold a sign during a protest in front of Uber headquarters on May 08, 2019 in San Francisco. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cspan style=\"font-weight: 400\">Even though she doesn’t see much upside to the legislation for her own situation, Lakshminarayanan supports AB5 in principle. She says it will provide more stability for the many artists she knows who work side jobs for extra money.\u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“For comedians who use Uber and Lyft as their ‘day job’ while they're trying to make it, I think AB5 is really beneficial, because you're looking for some stability and benefits,” she says. “You can't have two jobs where you're struggling with both of them.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Other cultural workers in the Bay Area are expressing anxiety around the incoming bill. \u003c/span>\u003cspan style=\"font-weight: 400\">Musical theater composer and lyricist \u003c/span>\u003ca href=\"http://www.ronlytle.com/\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan style=\"font-weight: 400\">Ron Lytle\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> says he feels like he’s in the dark about how to conduct his business going forward. \u003c/span>\u003cspan style=\"font-weight: 400\">“I\u003c/span>\u003cspan style=\"font-weight: 400\">'m concerned about my future as a small independent who needs to produce demo recordings and albums to promote my work,” says Lytle. “I engage orchestrators, singers, musicians and studio engineers, which are necessary to produce a show or record an album. Without these tools, I can't license my shows.” \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">There’s also the issue of how AB5 will affect creative workers’ control over their intellectual property. “When you are an employee, your employer has the right to your intellectual property,” says Julie Baker, executive director of the statewide arts and culture advocacy group \u003c/span>\u003ca href=\"https://www.californiansforthearts.org\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan style=\"font-weight: 400\">Californians for the Arts\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">. “So that's a very important aspect of why many artists and creatives want to remain independent contractors.” \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Under AB5, in order to legally work with artists as freelancers, employers have to prove that they don’t control or direct the freelancer’s work, the freelancer is an established contractor in their field and that the freelancer performs work that lies outside an employer’s main line of business. The first two requirements are often easier to satisfy than the third. If the freelancer performs work similar to the employer’s main line of business, they may be covered by one of the law’s 50-plus exemptions—as long as they meet another specific set of criteria, including maintaining a separate business location, having a business license and negotiating their own rates for the services performed.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The complicated legislation is confusing even for labor experts. Lakshminarayan says if she is asked to become an employee to continue working for any of her clients, she plans to form her own limited liability company (LLC) to continue operating as a freelancer. “Create an LLC, and then you can be your own entity that collaborates with other artists,” she says. “Lots of comedians have done that.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The new legislation isn’t just causing concern for individual artists. Baker says AB5 is a burden for the state’s cultural sector as a whole, which accounts for 7 percent of the state’s economy, according to the \u003c/span>\u003ca href=\"https://www.arts.gov/sites/default/files/BEA_2019_State_Summary.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan style=\"font-weight: 400\">U.S. Bureau of Economic Analysis\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“\u003c/span>\u003cspan style=\"font-weight: 400\">Our industry is mostly run by nonprofit organizations with small budgets,\u003c/span>\u003cspan style=\"font-weight: 400\">” says Baker. “\u003c/span>\u003cspan style=\"font-weight: 400\">They mostly operate on a seasonal, performance, exhibit or classroom model. They do not generally fit into standard employment models\u003c/span>\u003cspan style=\"font-weight: 400\">.”\u003c/span>\u003c/p>\n\u003cp>\u003ca href=\"https://www.berkeleyrep.org/\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan style=\"font-weight: 400\">Berkeley Repertory Theatre\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">’s managing director Susie Medak says she cannot see any advantages of AB5 to California’s creative industries. \u003c/span>\u003cspan style=\"font-weight: 400\">“We have to figure out how to apply standard work rules to people who don't spend all their time working for us, whose work is not clearly defined and whose collective bargaining agreements allow them to work in less structured ways,” says Medak. “It's terribly complicated.” \u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_13870716\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-13870716\" src=\"https://ww2.kqed.org/app/uploads/sites/2/2019/12/Julie-Baker-left-leads-a-workshop-on-AB5-on-behalf-of-Californians-for-the-Arts-photo-by-Toyin-Moses-800x600.jpg\" alt=\"Julie Baker (left) leads a workshop on AB5 on behalf of Californians for the Arts.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/2/2019/12/Julie-Baker-left-leads-a-workshop-on-AB5-on-behalf-of-Californians-for-the-Arts-photo-by-Toyin-Moses-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/2/2019/12/Julie-Baker-left-leads-a-workshop-on-AB5-on-behalf-of-Californians-for-the-Arts-photo-by-Toyin-Moses-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/2/2019/12/Julie-Baker-left-leads-a-workshop-on-AB5-on-behalf-of-Californians-for-the-Arts-photo-by-Toyin-Moses-768x576.jpg 768w, https://ww2.kqed.org/app/uploads/sites/2/2019/12/Julie-Baker-left-leads-a-workshop-on-AB5-on-behalf-of-Californians-for-the-Arts-photo-by-Toyin-Moses-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/2/2019/12/Julie-Baker-left-leads-a-workshop-on-AB5-on-behalf-of-Californians-for-the-Arts-photo-by-Toyin-Moses.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Julie Baker (left) leads a workshop on AB5 on behalf of Californians for the Arts. \u003ccite>(Toyin Moses)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cspan style=\"font-weight: 400\">But some arts organizations have a more favorable view of AB5, and have even already taken steps to comply with the incoming legislation. \u003c/span>\u003cspan style=\"font-weight: 400\">The \u003c/span>\u003ca href=\"https://museumca.org/\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan style=\"font-weight: 400\">Oakland Museum of California\u003c/span>\u003c/a> \u003cspan style=\"font-weight: 400\">is increasingly looking to temporary staffing agencies \u003c/span>\u003cspan style=\"font-weight: 400\">to fill jobs that might have previously gone to contractors. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“It actually opened the door for more people to think about museums as a career opportunity,” says the museum’s human resources director, Ayanna Reed. “So it created a more diverse workforce for us.”\u003c/span> \u003cb>\u003cbr>\n\u003c/b>\u003cb>\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">But Reed also says complying with AB5 is likely to be costly and time-consuming for her organization, and could make many former freelancers feel like they’re making less money. “We're paying for worker's comp, we're paying unemployment—all of those things that AB5 set out to protect individuals with, and that's wonderful,” Reed says. “But that means we're also not paying that higher hourly rate that they would have received as an independent contractor.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">There are other gray areas with how AB5 is going to work. The legislation’s long list of exemptions includes “fine artists.” However, there’s fuzziness around what that category actually means. The bill’s author, California Assemblywoman Lorena Gonzalez, isn’t clear on who fits into the category.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“Obviously, a muralist is a fine artist,” she says. “A musician is a fine artist.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">In fact, there’s currently no AB5 exemption specifically for musicians. Music industry advocates are among the strongest voices \u003c/span>\u003ca href=\"https://www.billboard.com/articles/business/legal-and-management/8529517/california-bill-music-industry-exemption\">\u003cspan style=\"font-weight: 400\">lobbying state lawmakers to tweak the new legislation\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> to better suit their needs. Lobbyists say the definitions may end up being worked out in court. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Gonzalez says she is continuing to clarify how the law applies to musical artists and discussions with the unions and the industry are ongoing.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The legislative session starts in January, so no further changes to the law can be made before the end of 2019. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">She says she is open to adapting the law in the future. \u003c/span>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“I think as our world changes, the definition of a fine artist changes,” she says. “This is going to be an ongoing discussion.”\u003c/span>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan style=\"font-weight: 400\">Like many artists, comedian \u003c/span>\u003ca href=\"https://dhayacomedy.com/about.html\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan style=\"font-weight: 400\">Dhaya Lakshminarayanan\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> juggles multiple roles to make a living. “We've always sort of pieced together a tour, submitted a script, did a web series or a paid gig for Intel,” says Lakshminarayanan, who lives in San Francisco and performs all over the country. “And then we go and do a ten-dollar-tip-jar show.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Since Governor Gavin Newsom signed \u003c/span>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201920200AB5\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan style=\"font-weight: 400\">Assembly Bill 5\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> (AB5) into law in September, many California contractors—particularly those who work regular shifts for a single company—have shown up at rallies in support of the legislation. The new law, which will reclassify many former freelancers as employees \u003c/span>\u003cspan style=\"font-weight: 400\">when it takes effect \u003c/span>\u003cspan style=\"font-weight: 400\">on Jan. 1 next year, will grant more benefits such as paid sick leave, overtime and expense reimbursement to workers across the state.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Yet it’s still\u003c/span> \u003cspan style=\"font-weight: 400\">unclear how the law will affect artists and entertainers like Lakshminarayanan, who do all kinds of gigs for all kinds of clients, and whose practices don’t always align with the legal requirements of an employer-employee relationship. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">AB5 came from an \u003c/span>\u003cspan style=\"font-weight: 400\">effort to \u003c/span>\u003cspan style=\"font-weight: 400\">prevent employers from skimping on employee benefits, as the gig economy \u003c/span>\u003ca href=\"https://www.npr.org/2018/01/22/578825135/rise-of-the-contract-workers-work-is-different-now\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan style=\"font-weight: 400\">redefined Americans’ relationship to the workplace\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> in the last decade. While targeted at ride share companies such as Uber and Lyft, this overhaul of California labor law comes with \u003c/span>\u003cspan style=\"font-weight: 400\">unintended consequences for other types of industries that, let's face it, also thrive on \u003c/span>\u003ca href=\"https://www.kqed.org/arts/13857471/artist-passion-exploitation-duke-study\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan style=\"font-weight: 400\">cheap or even free labor to function\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, including arts organizations. Many arts institutions and freelance artists alike now find themselves in a state of confusion about how they will continue to do business come next year. \u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_13870715\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-13870715 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/2/2019/12/GettyImages-1147843872-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/2/2019/12/GettyImages-1147843872-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/2/2019/12/GettyImages-1147843872-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/2/2019/12/GettyImages-1147843872-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/2/2019/12/GettyImages-1147843872-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/2/2019/12/GettyImages-1147843872-1200x800.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/2/2019/12/GettyImages-1147843872-1920x1280.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Supporters of ride share drivers from Uber and Lyft hold a sign during a protest in front of Uber headquarters on May 08, 2019 in San Francisco. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cspan style=\"font-weight: 400\">Even though she doesn’t see much upside to the legislation for her own situation, Lakshminarayanan supports AB5 in principle. She says it will provide more stability for the many artists she knows who work side jobs for extra money.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“For comedians who use Uber and Lyft as their ‘day job’ while they're trying to make it, I think AB5 is really beneficial, because you're looking for some stability and benefits,” she says. “You can't have two jobs where you're struggling with both of them.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Other cultural workers in the Bay Area are expressing anxiety around the incoming bill. \u003c/span>\u003cspan style=\"font-weight: 400\">Musical theater composer and lyricist \u003c/span>\u003ca href=\"http://www.ronlytle.com/\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan style=\"font-weight: 400\">Ron Lytle\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> says he feels like he’s in the dark about how to conduct his business going forward. \u003c/span>\u003cspan style=\"font-weight: 400\">“I\u003c/span>\u003cspan style=\"font-weight: 400\">'m concerned about my future as a small independent who needs to produce demo recordings and albums to promote my work,” says Lytle. “I engage orchestrators, singers, musicians and studio engineers, which are necessary to produce a show or record an album. Without these tools, I can't license my shows.” \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">There’s also the issue of how AB5 will affect creative workers’ control over their intellectual property. “When you are an employee, your employer has the right to your intellectual property,” says Julie Baker, executive director of the statewide arts and culture advocacy group \u003c/span>\u003ca href=\"https://www.californiansforthearts.org\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan style=\"font-weight: 400\">Californians for the Arts\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">. “So that's a very important aspect of why many artists and creatives want to remain independent contractors.” \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Under AB5, in order to legally work with artists as freelancers, employers have to prove that they don’t control or direct the freelancer’s work, the freelancer is an established contractor in their field and that the freelancer performs work that lies outside an employer’s main line of business. The first two requirements are often easier to satisfy than the third. If the freelancer performs work similar to the employer’s main line of business, they may be covered by one of the law’s 50-plus exemptions—as long as they meet another specific set of criteria, including maintaining a separate business location, having a business license and negotiating their own rates for the services performed.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The complicated legislation is confusing even for labor experts. Lakshminarayan says if she is asked to become an employee to continue working for any of her clients, she plans to form her own limited liability company (LLC) to continue operating as a freelancer. “Create an LLC, and then you can be your own entity that collaborates with other artists,” she says. “Lots of comedians have done that.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The new legislation isn’t just causing concern for individual artists. Baker says AB5 is a burden for the state’s cultural sector as a whole, which accounts for 7 percent of the state’s economy, according to the \u003c/span>\u003ca href=\"https://www.arts.gov/sites/default/files/BEA_2019_State_Summary.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan style=\"font-weight: 400\">U.S. Bureau of Economic Analysis\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“\u003c/span>\u003cspan style=\"font-weight: 400\">Our industry is mostly run by nonprofit organizations with small budgets,\u003c/span>\u003cspan style=\"font-weight: 400\">” says Baker. “\u003c/span>\u003cspan style=\"font-weight: 400\">They mostly operate on a seasonal, performance, exhibit or classroom model. They do not generally fit into standard employment models\u003c/span>\u003cspan style=\"font-weight: 400\">.”\u003c/span>\u003c/p>\n\u003cp>\u003ca href=\"https://www.berkeleyrep.org/\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan style=\"font-weight: 400\">Berkeley Repertory Theatre\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">’s managing director Susie Medak says she cannot see any advantages of AB5 to California’s creative industries. \u003c/span>\u003cspan style=\"font-weight: 400\">“We have to figure out how to apply standard work rules to people who don't spend all their time working for us, whose work is not clearly defined and whose collective bargaining agreements allow them to work in less structured ways,” says Medak. “It's terribly complicated.” \u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_13870716\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-13870716\" src=\"https://ww2.kqed.org/app/uploads/sites/2/2019/12/Julie-Baker-left-leads-a-workshop-on-AB5-on-behalf-of-Californians-for-the-Arts-photo-by-Toyin-Moses-800x600.jpg\" alt=\"Julie Baker (left) leads a workshop on AB5 on behalf of Californians for the Arts.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/2/2019/12/Julie-Baker-left-leads-a-workshop-on-AB5-on-behalf-of-Californians-for-the-Arts-photo-by-Toyin-Moses-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/2/2019/12/Julie-Baker-left-leads-a-workshop-on-AB5-on-behalf-of-Californians-for-the-Arts-photo-by-Toyin-Moses-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/2/2019/12/Julie-Baker-left-leads-a-workshop-on-AB5-on-behalf-of-Californians-for-the-Arts-photo-by-Toyin-Moses-768x576.jpg 768w, https://ww2.kqed.org/app/uploads/sites/2/2019/12/Julie-Baker-left-leads-a-workshop-on-AB5-on-behalf-of-Californians-for-the-Arts-photo-by-Toyin-Moses-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/2/2019/12/Julie-Baker-left-leads-a-workshop-on-AB5-on-behalf-of-Californians-for-the-Arts-photo-by-Toyin-Moses.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Julie Baker (left) leads a workshop on AB5 on behalf of Californians for the Arts. \u003ccite>(Toyin Moses)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cspan style=\"font-weight: 400\">But some arts organizations have a more favorable view of AB5, and have even already taken steps to comply with the incoming legislation. \u003c/span>\u003cspan style=\"font-weight: 400\">The \u003c/span>\u003ca href=\"https://museumca.org/\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cspan style=\"font-weight: 400\">Oakland Museum of California\u003c/span>\u003c/a> \u003cspan style=\"font-weight: 400\">is increasingly looking to temporary staffing agencies \u003c/span>\u003cspan style=\"font-weight: 400\">to fill jobs that might have previously gone to contractors. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“It actually opened the door for more people to think about museums as a career opportunity,” says the museum’s human resources director, Ayanna Reed. “So it created a more diverse workforce for us.”\u003c/span> \u003cb>\u003cbr>\n\u003c/b>\u003cb>\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">But Reed also says complying with AB5 is likely to be costly and time-consuming for her organization, and could make many former freelancers feel like they’re making less money. “We're paying for worker's comp, we're paying unemployment—all of those things that AB5 set out to protect individuals with, and that's wonderful,” Reed says. “But that means we're also not paying that higher hourly rate that they would have received as an independent contractor.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">There are other gray areas with how AB5 is going to work. The legislation’s long list of exemptions includes “fine artists.” However, there’s fuzziness around what that category actually means. The bill’s author, California Assemblywoman Lorena Gonzalez, isn’t clear on who fits into the category.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“Obviously, a muralist is a fine artist,” she says. “A musician is a fine artist.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">In fact, there’s currently no AB5 exemption specifically for musicians. Music industry advocates are among the strongest voices \u003c/span>\u003ca href=\"https://www.billboard.com/articles/business/legal-and-management/8529517/california-bill-music-industry-exemption\">\u003cspan style=\"font-weight: 400\">lobbying state lawmakers to tweak the new legislation\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> to better suit their needs. Lobbyists say the definitions may end up being worked out in court. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Gonzalez says she is continuing to clarify how the law applies to musical artists and discussions with the unions and the industry are ongoing.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The legislative session starts in January, so no further changes to the law can be made before the end of 2019. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">She says she is open to adapting the law in the future. \u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“I think as our world changes, the definition of a fine artist changes,” she says. “This is going to be an ongoing discussion.”\u003c/span>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Labor Waits and Watches as 2020 Democratic Primary Heats Up",
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"content": "\u003cp>As the 2020 presidential primary heats up and California Democrats head to Long Beach for another state party convention this weekend, organized labor is in no hurry to throw its considerable weight behind any of the candidates running for president.\u003c/p>\n\u003cp>\"We're not seeing labor unions coming to a consensus right now,” said Steve Smith, communications director for the California Labor Federation. “You may see some individual unions do endorsements. A lot will be waiting until next year.\"\u003c/p>\n\u003cp>More than 10 of the presidential wannabes are expected to participate in a candidates’ forum co-sponsored with Univision this weekend — but two top-tier candidates, former Vice President Joe Biden and Massachusetts Sen. Elizabeth Warren, won't be attending.\u003c/p>\n\u003cp>Smith said all of the candidates are more than acceptable to labor.\u003c/p>\n\u003cp>“In 2019, progressive economics are at the center of the debate as opposed to the fringes,” said Smith. “The whole field has moved to the left on economic issues, and that means labor unions have been discussed more than in past years.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>That includes issues front and center in California, like \u003ca href=\"https://www.kqed.org/news/tag/ab5\">Assembly Bill 5\u003c/a>, which spells out when workers can and cannot be classified as contractors who aren’t entitled to benefits or union representation.\u003c/p>\n\u003cp>[pullquote size=“medium” align=\"right\" citation=\"Taylor Dark, political science professor, CSU Los Angeles\"]'Unions are facing the same problem that the entirety of the Democratic Party is right now, which is trying to decide on an ideal candidate.'[/pullquote]\u003c/p>\n\u003cp>The bill was vigorously opposed by ride-hailing companies Lyft and Uber. But all the leading Democratic candidates for president endorsed AB 5 before Gov. Gavin Newsom signed it. Warren even authored \u003ca href=\"https://www.sacbee.com/opinion/article233987982.html\">an op-ed piece\u003c/a> in the Sacramento Bee on behalf of AB 5.\u003c/p>\n\u003cp>It was enough for San Diego Assemblywoman Lorena Gonzalez, AB 5's author and one of labor’s strongest allies in the state Legislature, to endorse Warren for president.\u003c/p>\n\u003cp>\"I actually had planned not to get involved specifically with a candidate before the primary,” Gonzalez said, adding that she went to Stanford University with two of the candidates, Julian Castro and Cory Booker.\u003c/p>\n\u003cp>\"But Senator Warren was vocal about her support for so many of the things we've been working on. I just realized when it came to the things I care most about, I think she'd be the most effective president,\" Gonzalez said.\u003c/p>\n\u003cfigure id=\"attachment_11786700\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11786700\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2019/11/Elizabeth-Warren-800x533.jpg\" alt=\"Sen. Elizabeth Warren speaks at the DNC's summer meeting in San Francisco on Aug. 23, 2019.\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/11/Elizabeth-Warren-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/Elizabeth-Warren-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/Elizabeth-Warren-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/Elizabeth-Warren-1200x800.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/Elizabeth-Warren.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Sen. Elizabeth Warren speaks at the DNC's summer meeting in San Francisco on Aug. 23, 2019. \u003ccite>(Stephanie Lister/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>There are some notable exceptions to labor's wait-and-see attitude.\u003c/p>\n\u003cp>Biden picked up an early endorsement from the International Association of Fire Fighters. And on Friday in Oakland, National Nurses United (NNU) will officially endorse Vermont Sen. Bernie Sanders, who has long championed their signature cause: \"Medicare for All.\"\u003c/p>\n\u003cp>Jean Ross, co-president of the NNU, said it was a close call between Sanders and Warren, who also is making \"Medicare for All\" a centerpiece of her campaign.\u003c/p>\n\u003cp>\"We just know that Bernie's commitment to our issues, not just Medicare for All, but ... his commitment to social justice and trade unionism, democracy in the workplace, has been steadfast also for decades,\" Ross said. “So we don't have to guess as to whether he's going to waffle.\"\u003c/p>\n\u003cp>But some candidates didn't even respond to the NNU's request for an endorsement interview with union members — including Sen. Kamala Harris, who has struggled to define her health care position in the primary. Harris walked back her full support for Medicare for All earlier this year, after first saying she favored doing away with private insurance.\u003c/p>\n\u003cp>[aside label=\"Election 2020\" tag=\"election-2020\"]Ross said she was surprised that most of the candidates ignored the union.\u003c/p>\n\u003cp>\"I would think they would want to know what the nurses, above all, think of their platform,\" she added.\u003c/p>\n\u003cp>The union also considered endorsing Sen. Warren, who has also made \"Medicare for All\" a key part of her platform. In fact the National Union of Health Care Workers in California did endorse her.\u003c/p>\n\u003cp>But Taylor Dark, political science professor at CSU Los Angeles, said since there's no clear front-runner in the current field of Democrats, labor doesn’t want to jump on someone’s bandwagon only to see the wheels fall off.\u003c/p>\n\u003cp>\"Some of them might have been some that would have endorsed Harris early on,” said Dark. \"But now you see her campaign really falling apart. And so I think the unions have learned over time that it's better to just wait a while. Unions are facing the same problem that the entirety of the Democratic Party is right now, which is trying to decide on an ideal candidate.”\u003c/p>\n\u003cp>The California Labor Federation's Smith says the AFL-CIO will wait until the spring to make its national endorsement, in part because the race is so fluid right now and there are so many acceptable candidates.\u003c/p>\n\u003cp>\"I wouldn’t expect unions rushing to endorse any one of them,\" Smith said. \"Once we get closer to the California primary, we’ll see where their viability is.\"\u003c/p>\n\u003cp>There’s also the cost of internal frustration and conflict that can come with an early endorsement. In 2016 for example, many union members resented the rush to support Hillary Clinton over Sanders.\u003c/p>\n\u003cp>So as California Democrats convene in Long Beach this weekend, party chair Rusty Hicks says all the delegates, including those from labor, will be listening and “kicking the tires” of Democrats participating in the forum Saturday.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Obviously, there’s a lot on the line in 2020,\" Hicks said. \"I actually don’t think there’s probably much difference between where both the party is and where the labor movement is with regards to the presidential field. I think everyone is listening and learning as to what each candidate has to offer.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As the 2020 presidential primary heats up and California Democrats head to Long Beach for another state party convention this weekend, organized labor is in no hurry to throw its considerable weight behind any of the candidates running for president.\u003c/p>\n\u003cp>\"We're not seeing labor unions coming to a consensus right now,” said Steve Smith, communications director for the California Labor Federation. “You may see some individual unions do endorsements. A lot will be waiting until next year.\"\u003c/p>\n\u003cp>More than 10 of the presidential wannabes are expected to participate in a candidates’ forum co-sponsored with Univision this weekend — but two top-tier candidates, former Vice President Joe Biden and Massachusetts Sen. Elizabeth Warren, won't be attending.\u003c/p>\n\u003cp>Smith said all of the candidates are more than acceptable to labor.\u003c/p>\n\u003cp>“In 2019, progressive economics are at the center of the debate as opposed to the fringes,” said Smith. “The whole field has moved to the left on economic issues, and that means labor unions have been discussed more than in past years.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>That includes issues front and center in California, like \u003ca href=\"https://www.kqed.org/news/tag/ab5\">Assembly Bill 5\u003c/a>, which spells out when workers can and cannot be classified as contractors who aren’t entitled to benefits or union representation.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The bill was vigorously opposed by ride-hailing companies Lyft and Uber. But all the leading Democratic candidates for president endorsed AB 5 before Gov. Gavin Newsom signed it. Warren even authored \u003ca href=\"https://www.sacbee.com/opinion/article233987982.html\">an op-ed piece\u003c/a> in the Sacramento Bee on behalf of AB 5.\u003c/p>\n\u003cp>It was enough for San Diego Assemblywoman Lorena Gonzalez, AB 5's author and one of labor’s strongest allies in the state Legislature, to endorse Warren for president.\u003c/p>\n\u003cp>\"I actually had planned not to get involved specifically with a candidate before the primary,” Gonzalez said, adding that she went to Stanford University with two of the candidates, Julian Castro and Cory Booker.\u003c/p>\n\u003cp>\"But Senator Warren was vocal about her support for so many of the things we've been working on. I just realized when it came to the things I care most about, I think she'd be the most effective president,\" Gonzalez said.\u003c/p>\n\u003cfigure id=\"attachment_11786700\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11786700\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2019/11/Elizabeth-Warren-800x533.jpg\" alt=\"Sen. Elizabeth Warren speaks at the DNC's summer meeting in San Francisco on Aug. 23, 2019.\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/11/Elizabeth-Warren-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/Elizabeth-Warren-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/Elizabeth-Warren-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/Elizabeth-Warren-1200x800.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/Elizabeth-Warren.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Sen. Elizabeth Warren speaks at the DNC's summer meeting in San Francisco on Aug. 23, 2019. \u003ccite>(Stephanie Lister/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>There are some notable exceptions to labor's wait-and-see attitude.\u003c/p>\n\u003cp>Biden picked up an early endorsement from the International Association of Fire Fighters. And on Friday in Oakland, National Nurses United (NNU) will officially endorse Vermont Sen. Bernie Sanders, who has long championed their signature cause: \"Medicare for All.\"\u003c/p>\n\u003cp>Jean Ross, co-president of the NNU, said it was a close call between Sanders and Warren, who also is making \"Medicare for All\" a centerpiece of her campaign.\u003c/p>\n\u003cp>\"We just know that Bernie's commitment to our issues, not just Medicare for All, but ... his commitment to social justice and trade unionism, democracy in the workplace, has been steadfast also for decades,\" Ross said. “So we don't have to guess as to whether he's going to waffle.\"\u003c/p>\n\u003cp>But some candidates didn't even respond to the NNU's request for an endorsement interview with union members — including Sen. Kamala Harris, who has struggled to define her health care position in the primary. Harris walked back her full support for Medicare for All earlier this year, after first saying she favored doing away with private insurance.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Ross said she was surprised that most of the candidates ignored the union.\u003c/p>\n\u003cp>\"I would think they would want to know what the nurses, above all, think of their platform,\" she added.\u003c/p>\n\u003cp>The union also considered endorsing Sen. Warren, who has also made \"Medicare for All\" a key part of her platform. In fact the National Union of Health Care Workers in California did endorse her.\u003c/p>\n\u003cp>But Taylor Dark, political science professor at CSU Los Angeles, said since there's no clear front-runner in the current field of Democrats, labor doesn’t want to jump on someone’s bandwagon only to see the wheels fall off.\u003c/p>\n\u003cp>\"Some of them might have been some that would have endorsed Harris early on,” said Dark. \"But now you see her campaign really falling apart. And so I think the unions have learned over time that it's better to just wait a while. Unions are facing the same problem that the entirety of the Democratic Party is right now, which is trying to decide on an ideal candidate.”\u003c/p>\n\u003cp>The California Labor Federation's Smith says the AFL-CIO will wait until the spring to make its national endorsement, in part because the race is so fluid right now and there are so many acceptable candidates.\u003c/p>\n\u003cp>\"I wouldn’t expect unions rushing to endorse any one of them,\" Smith said. \"Once we get closer to the California primary, we’ll see where their viability is.\"\u003c/p>\n\u003cp>There’s also the cost of internal frustration and conflict that can come with an early endorsement. In 2016 for example, many union members resented the rush to support Hillary Clinton over Sanders.\u003c/p>\n\u003cp>So as California Democrats convene in Long Beach this weekend, party chair Rusty Hicks says all the delegates, including those from labor, will be listening and “kicking the tires” of Democrats participating in the forum Saturday.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Obviously, there’s a lot on the line in 2020,\" Hicks said. \"I actually don’t think there’s probably much difference between where both the party is and where the labor movement is with regards to the presidential field. I think everyone is listening and learning as to what each candidate has to offer.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "In a Sign of Changing Economy, Iconic Half Moon Bay Flower Company Closes Its Doors",
"title": "In a Sign of Changing Economy, Iconic Half Moon Bay Flower Company Closes Its Doors",
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"content": "\u003cp>Each morning, just after the sun lights up the shores of Half Moon Bay, Rosa Manrriquez steps out her door, walks past the neatly manicured flowers lining her walkway and drives to the Bay City Flower Company, a place she has called a second home since 1979, when she began working there.\u003c/p>\n\u003cp>But on this October morning, the trip to work is one of her last. On Nov. 10, the family-owned flower operation will close its doors for good, marking the end of an era for a company, started 110 years ago by a Japanese immigrant, that survived the Great Depression and the family’s internment during World War II, and grew into one of the largest employers in Half Moon Bay.\u003c/p>\n\u003cp>Many area residents fear that the closure, which the company attributes in part to rising labor and production costs, is an ominous sign for the remaining nurseries in San Mateo County, which in recent years have struggled to keep up with a changing economy and the global flower market.\u003c/p>\n\u003cp>For those who work there, the end of Bay City means the loss not just of a steady paycheck in a coastal community that has seen steep cost of living increases but of a sense of belonging. Nearly 200 workers — on average, the flower company’s employees have worked there for 21 years — will lose their jobs.\u003c/p>\n\u003cp>“It feels like a milestone in the community is going away,” says Judith Guerrero, the executive director of the nonprofit Coastside Hope. “There are people who have been working in that nursery since they were 16 years old.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Manrriquez’s history with the company spans four decades and three generations of company leadership. During that time, she learned how to cultivate plants from hydrangeas to calla lilies, lived through the boom and bust of the flower industry, had three children and earned enough money to buy a house a short drive from the beach.\u003c/p>\n\u003cp>In just a week, though, she will walk into the white domed greenhouse where she has spent so much time over the years and say goodbye to it forever.\u003c/p>\n\u003cp>“I liked the work, I liked the whole situation,” Manrriquez says. “[Bay City] recognized our abilities. They gave us opportunities to grow. Bay City in the community meant a lot.”\u003c/p>\n\u003cp>In 1910, the company’s founder, Nobuo Higaki, immigrated to the United States from Japan and started a nursery in Redwood City. His was one of a number of influential Japanese-owned nurseries in the Bay Area at the time. But the 1941 bombing of Pearl Harbor brought a harsh new chapter for the Higakis. They were forced into internment and Nobuo was separated from the family and sent to a camp in North Dakota.\u003c/p>\n\u003cp>Thanks to a local grower who leased their greenhouses while they were gone and looked after their crops, the Higaki’s nursery survived, and after the war, the family came back to it. Nobuo’s son, Harry, became president of the Bay City. In 1960, the nursery moved to Half Moon Bay and Harry was later succeeded by his son, Harrison, the company’s current president.\u003c/p>\n\u003cp>“When I first started my job, it was one of the first farms that I heard beautiful stories about,” says Krystlyn Giedt, the president and CEO of the Half Moon Bay Coastside Chamber of Commerce and Visitors’ Bureau. “About how they made it through the war. So to hear about them closing and knowing how it had been a family legacy for them for so long, it’s really sad.”\u003c/p>\n\u003cfigure id=\"attachment_11785831\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/11/SJM-L-FLOWERS-10XX-14-1-800x533.jpg\" alt=\"Harry Higaki, 99, walks alone down a row of greenhouses at at Bay City Flower Company in Half Moon Bay on Oct. 29, 2019. Harry is the son of the original owner Nobuo Higaki who started the business over 100 years ago. Next month the company will close its doors.\" width=\"800\" height=\"533\" class=\"size-medium wp-image-11785831\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/11/SJM-L-FLOWERS-10XX-14-1-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/SJM-L-FLOWERS-10XX-14-1-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/SJM-L-FLOWERS-10XX-14-1-1020x679.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/SJM-L-FLOWERS-10XX-14-1.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Harry Higaki, 99, walks alone down a row of greenhouses at at Bay City Flower Company in Half Moon Bay on Oct. 29, 2019. Harry is the son of the original owner Nobuo Higaki who started the business over 100 years ago. Next month the company will close its doors. \u003ccite>(Randy Vazquez/Bay Area News Group)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Workers got word of the closure on Sept. 10, when Higaki announced that the company, which primarily sells potted plants and distributes them nationally, would send out its final flower shipment next month. About 50 employees were laid off, said Victor Gaitan, a management analyst with the city of Half Moon Bay, who is leading job recovery efforts for the workers. In total, 195 employees will lose their jobs when the nursery closes, according to paperwork filed with the California Employment Development Department.\u003c/p>\n\u003cp>In an email, Higaki said the family convened earlier this year. “We realized that it was the time to bring closure to the flower business,” he said. “We prayed that God would provide a buyer for our nursery that would employ more than half our associates, most that have worked with the company for 10-40 years. We also prayed that we could pay off all of the debt owed to our wonderful and loyal vendors.\u003c/p>\n\u003cp>“With this vision in our hearts,” he added, “we have been actively marketing our properties.”\u003c/p>\n\u003cp>Higaki said the decision to close was based on a number of factors, but pointed to the cost of labor as the primary driver. The minimum wage in California for employers with at least 26 employees is $12 per hour and is slated to rise to $15 by January 2022.\u003c/p>\n\u003cp>“Labor is our single highest expense category,” he said. “The writing was on the wall.”\u003c/p>\n\u003cp>The Half Moon Bay region was once one of the world’s top flower producers, said San Mateo County Agricultural Commissioner Fred Crowder. But beginning in the 1990s, the once thriving industry began to falter. In 1991, to discourage the cultivation of coca plants, used to make cocaine, the U.S. government removed tariffs on Colombian flowers, opening up the market to competition. Then, in 1994, the North American Free Trade Agreement, or NAFTA, went into effect, which lowered tariffs and removed trade restrictions between the United States, Canada and Mexico, making it even harder for local producers to compete.\u003c/p>\n\u003cp>“With NAFTA and the dropping of the tariffs on South American flowers, that whole industry just got destroyed,” Crowder said. By 2000, he said, the industry “started to decline. And it has declined ever since.”\u003c/p>\n\u003cp>From 2001 to 2011, the production value of floral and nursery crops in San Mateo County decreased by 45% when adjusted for inflation, according to a 2015 report by the County Department of Agriculture, the most recent analysis available.\u003c/p>\n\u003cp>Crowder cited the introduction of online flower vendors and the move away from agriculture and toward tourism on the San Mateo coastline as additional challenges.\u003c/p>\n\u003cp>“The price of land, labor, commodities, everything goes up,” he says. “So you start losing your irrigation supplier, your tractor repair guy, your farm supplies. Now you have to go to Salinas or Watsonville in order to get services to supply your farm.”\u003c/p>\n\u003cp>With Bay City’s closure imminent, Teresa Covarrubias, a gregarious employee who has been with the company since 1994, is on the hunt for another job. But she is sad to leave it behind, she said.\u003c/p>\n\u003cp>Covarrubias said she is “grateful” that the company hired her as a single mom and allowed her to leave work during the day to pick up her three children from school and bring them to appointments. Now, with an uncertain future on the horizon, Covarrubias says she and other workers are feeling tense.\u003c/p>\n\u003cp>“Rent doesn’t wait, bills don’t wait,” she says. “People are stressed. It’s very hard.”\u003c/p>\n\u003cp>When Higaki told employees the operation would wind down, she said, “All the workers dropped their heads when he made the announcement. It was a very sad day.”\u003c/p>\n\u003cfigure id=\"attachment_11785832\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/11/SJM-L-FLOWERS-10XX-6-800x533.jpg\" alt=\"Rosa Marriquez picks out some flowers at Bay City Flower Company in Half Moon Bay on Oct. 29, 2019. Marriquez started working at the company in 1979. After more than 100 years in business the company will be closing, leaving many like Marriquez out of work.\" width=\"800\" height=\"533\" class=\"size-medium wp-image-11785832\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/11/SJM-L-FLOWERS-10XX-6-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/SJM-L-FLOWERS-10XX-6-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/SJM-L-FLOWERS-10XX-6-1020x679.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/SJM-L-FLOWERS-10XX-6.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Rosa Marriquez picks out some flowers at Bay City Flower Company in Half Moon Bay on Oct. 29, 2019. Marriquez started working at the company in 1979. After more than 100 years in business the company will be closing, leaving many like Marriquez out of work. \u003ccite>(Randy Vazquez/Bay Area News Group)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The city of Half Moon Bay is rallying behind the affected workers and recently hosted a job and resource fair, which included leads from local employers and booths staffed by service agencies. But many concede it will be hard for all of them to find agricultural jobs nearby.\u003c/p>\n\u003cp>“Because our agriculture has slipped down so much it’s very difficult to find jobs in the areas that they are the most skilled,” Giedt says. “I think a lot of them are going to have to go out there a little bit on a wing and a prayer and learn some new things.”\u003c/p>\n\u003cp>Covarrubias would like to stay in Half Moon Bay but knows she may have to relocate if she finds work elsewhere.\u003c/p>\n\u003cp>For now, though, she’s cautiously optimistic.\u003c/p>\n\u003cp>“We’ll move forward,” she says. “I think we will be OK but it will be a slow process.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Erica Hellerstein is a Mercury News reporter who is part of \u003ca href=\"https://calmatters.org/divide/\" rel=\"noopener\" target=\"_blank\">The California Divide\u003c/a>, a collaboration among newsrooms examining income inequity and economic survival in California.\u003c/em>\u003c/p>\n\n",
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"excerpt": "The Bay City Flower Company will close after 110 years, leaving its nearly 200 employees without jobs, which mostly pay minimum wage. Labor cost is the main reason, owner says.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Each morning, just after the sun lights up the shores of Half Moon Bay, Rosa Manrriquez steps out her door, walks past the neatly manicured flowers lining her walkway and drives to the Bay City Flower Company, a place she has called a second home since 1979, when she began working there.\u003c/p>\n\u003cp>But on this October morning, the trip to work is one of her last. On Nov. 10, the family-owned flower operation will close its doors for good, marking the end of an era for a company, started 110 years ago by a Japanese immigrant, that survived the Great Depression and the family’s internment during World War II, and grew into one of the largest employers in Half Moon Bay.\u003c/p>\n\u003cp>Many area residents fear that the closure, which the company attributes in part to rising labor and production costs, is an ominous sign for the remaining nurseries in San Mateo County, which in recent years have struggled to keep up with a changing economy and the global flower market.\u003c/p>\n\u003cp>For those who work there, the end of Bay City means the loss not just of a steady paycheck in a coastal community that has seen steep cost of living increases but of a sense of belonging. Nearly 200 workers — on average, the flower company’s employees have worked there for 21 years — will lose their jobs.\u003c/p>\n\u003cp>“It feels like a milestone in the community is going away,” says Judith Guerrero, the executive director of the nonprofit Coastside Hope. “There are people who have been working in that nursery since they were 16 years old.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Manrriquez’s history with the company spans four decades and three generations of company leadership. During that time, she learned how to cultivate plants from hydrangeas to calla lilies, lived through the boom and bust of the flower industry, had three children and earned enough money to buy a house a short drive from the beach.\u003c/p>\n\u003cp>In just a week, though, she will walk into the white domed greenhouse where she has spent so much time over the years and say goodbye to it forever.\u003c/p>\n\u003cp>“I liked the work, I liked the whole situation,” Manrriquez says. “[Bay City] recognized our abilities. They gave us opportunities to grow. Bay City in the community meant a lot.”\u003c/p>\n\u003cp>In 1910, the company’s founder, Nobuo Higaki, immigrated to the United States from Japan and started a nursery in Redwood City. His was one of a number of influential Japanese-owned nurseries in the Bay Area at the time. But the 1941 bombing of Pearl Harbor brought a harsh new chapter for the Higakis. They were forced into internment and Nobuo was separated from the family and sent to a camp in North Dakota.\u003c/p>\n\u003cp>Thanks to a local grower who leased their greenhouses while they were gone and looked after their crops, the Higaki’s nursery survived, and after the war, the family came back to it. Nobuo’s son, Harry, became president of the Bay City. In 1960, the nursery moved to Half Moon Bay and Harry was later succeeded by his son, Harrison, the company’s current president.\u003c/p>\n\u003cp>“When I first started my job, it was one of the first farms that I heard beautiful stories about,” says Krystlyn Giedt, the president and CEO of the Half Moon Bay Coastside Chamber of Commerce and Visitors’ Bureau. “About how they made it through the war. So to hear about them closing and knowing how it had been a family legacy for them for so long, it’s really sad.”\u003c/p>\n\u003cfigure id=\"attachment_11785831\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/11/SJM-L-FLOWERS-10XX-14-1-800x533.jpg\" alt=\"Harry Higaki, 99, walks alone down a row of greenhouses at at Bay City Flower Company in Half Moon Bay on Oct. 29, 2019. Harry is the son of the original owner Nobuo Higaki who started the business over 100 years ago. Next month the company will close its doors.\" width=\"800\" height=\"533\" class=\"size-medium wp-image-11785831\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/11/SJM-L-FLOWERS-10XX-14-1-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/SJM-L-FLOWERS-10XX-14-1-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/SJM-L-FLOWERS-10XX-14-1-1020x679.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/SJM-L-FLOWERS-10XX-14-1.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Harry Higaki, 99, walks alone down a row of greenhouses at at Bay City Flower Company in Half Moon Bay on Oct. 29, 2019. Harry is the son of the original owner Nobuo Higaki who started the business over 100 years ago. Next month the company will close its doors. \u003ccite>(Randy Vazquez/Bay Area News Group)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Workers got word of the closure on Sept. 10, when Higaki announced that the company, which primarily sells potted plants and distributes them nationally, would send out its final flower shipment next month. About 50 employees were laid off, said Victor Gaitan, a management analyst with the city of Half Moon Bay, who is leading job recovery efforts for the workers. In total, 195 employees will lose their jobs when the nursery closes, according to paperwork filed with the California Employment Development Department.\u003c/p>\n\u003cp>In an email, Higaki said the family convened earlier this year. “We realized that it was the time to bring closure to the flower business,” he said. “We prayed that God would provide a buyer for our nursery that would employ more than half our associates, most that have worked with the company for 10-40 years. We also prayed that we could pay off all of the debt owed to our wonderful and loyal vendors.\u003c/p>\n\u003cp>“With this vision in our hearts,” he added, “we have been actively marketing our properties.”\u003c/p>\n\u003cp>Higaki said the decision to close was based on a number of factors, but pointed to the cost of labor as the primary driver. The minimum wage in California for employers with at least 26 employees is $12 per hour and is slated to rise to $15 by January 2022.\u003c/p>\n\u003cp>“Labor is our single highest expense category,” he said. “The writing was on the wall.”\u003c/p>\n\u003cp>The Half Moon Bay region was once one of the world’s top flower producers, said San Mateo County Agricultural Commissioner Fred Crowder. But beginning in the 1990s, the once thriving industry began to falter. In 1991, to discourage the cultivation of coca plants, used to make cocaine, the U.S. government removed tariffs on Colombian flowers, opening up the market to competition. Then, in 1994, the North American Free Trade Agreement, or NAFTA, went into effect, which lowered tariffs and removed trade restrictions between the United States, Canada and Mexico, making it even harder for local producers to compete.\u003c/p>\n\u003cp>“With NAFTA and the dropping of the tariffs on South American flowers, that whole industry just got destroyed,” Crowder said. By 2000, he said, the industry “started to decline. And it has declined ever since.”\u003c/p>\n\u003cp>From 2001 to 2011, the production value of floral and nursery crops in San Mateo County decreased by 45% when adjusted for inflation, according to a 2015 report by the County Department of Agriculture, the most recent analysis available.\u003c/p>\n\u003cp>Crowder cited the introduction of online flower vendors and the move away from agriculture and toward tourism on the San Mateo coastline as additional challenges.\u003c/p>\n\u003cp>“The price of land, labor, commodities, everything goes up,” he says. “So you start losing your irrigation supplier, your tractor repair guy, your farm supplies. Now you have to go to Salinas or Watsonville in order to get services to supply your farm.”\u003c/p>\n\u003cp>With Bay City’s closure imminent, Teresa Covarrubias, a gregarious employee who has been with the company since 1994, is on the hunt for another job. But she is sad to leave it behind, she said.\u003c/p>\n\u003cp>Covarrubias said she is “grateful” that the company hired her as a single mom and allowed her to leave work during the day to pick up her three children from school and bring them to appointments. Now, with an uncertain future on the horizon, Covarrubias says she and other workers are feeling tense.\u003c/p>\n\u003cp>“Rent doesn’t wait, bills don’t wait,” she says. “People are stressed. It’s very hard.”\u003c/p>\n\u003cp>When Higaki told employees the operation would wind down, she said, “All the workers dropped their heads when he made the announcement. It was a very sad day.”\u003c/p>\n\u003cfigure id=\"attachment_11785832\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/11/SJM-L-FLOWERS-10XX-6-800x533.jpg\" alt=\"Rosa Marriquez picks out some flowers at Bay City Flower Company in Half Moon Bay on Oct. 29, 2019. Marriquez started working at the company in 1979. After more than 100 years in business the company will be closing, leaving many like Marriquez out of work.\" width=\"800\" height=\"533\" class=\"size-medium wp-image-11785832\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/11/SJM-L-FLOWERS-10XX-6-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/SJM-L-FLOWERS-10XX-6-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/SJM-L-FLOWERS-10XX-6-1020x679.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/11/SJM-L-FLOWERS-10XX-6.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Rosa Marriquez picks out some flowers at Bay City Flower Company in Half Moon Bay on Oct. 29, 2019. Marriquez started working at the company in 1979. After more than 100 years in business the company will be closing, leaving many like Marriquez out of work. \u003ccite>(Randy Vazquez/Bay Area News Group)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The city of Half Moon Bay is rallying behind the affected workers and recently hosted a job and resource fair, which included leads from local employers and booths staffed by service agencies. But many concede it will be hard for all of them to find agricultural jobs nearby.\u003c/p>\n\u003cp>“Because our agriculture has slipped down so much it’s very difficult to find jobs in the areas that they are the most skilled,” Giedt says. “I think a lot of them are going to have to go out there a little bit on a wing and a prayer and learn some new things.”\u003c/p>\n\u003cp>Covarrubias would like to stay in Half Moon Bay but knows she may have to relocate if she finds work elsewhere.\u003c/p>\n\u003cp>For now, though, she’s cautiously optimistic.\u003c/p>\n\u003cp>“We’ll move forward,” she says. “I think we will be OK but it will be a slow process.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"info": "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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"soldout": {
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"title": "SOLD OUT: Rethinking Housing in America",
"tagline": "A new future for housing",
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"tagline": "True-life supernatural stories",
"info": "",
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