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"content": "\u003cp>Tens of thousands of workers in health care, service, research and other roles at the \u003ca href=\"https://www.kqed.org/news/12027153/uc-workers-vote-to-strike-amid-federal-funding-threats\">University of California\u003c/a> walked off the job on Tuesday for the third time in five months as contentious contract negotiations drag on.\u003c/p>\n\u003cp>Labor experts said \u003ca href=\"https://www.kqed.org/news/12028446/tens-of-thousands-uc-workers-strike-disrupting-campuses-hospitals-labs\">yet another strike\u003c/a> across all UC campuses, hospitals and laboratories — this one limited to a single day — points to a high level of frustration with the state’s second-largest employer as workers push for improved wages and staffing.\u003c/p>\n\u003cp>“These workers — who are community members but also patients in the health care system — are determined to make sure that these jobs are sustainable and that they can remain in these jobs,” said Rebecca Givan, a professor of labor studies and employment relations at Rutgers University who has followed the health care industry for decades.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Tuesday’s walkout over UC’s alleged unfair labor practices was initiated by the University Professional and Technical Employees (UPTE), which represents about 20,000 physician assistants, pharmacists, IT analysts and others. An additional 37,000 patient care, technical and service workers represented by the American Federation of State, County and Municipal Employees (AFSCME) joined the strike in solidarity.\u003c/p>\n\u003cp>Both unions have repeatedly gone to state regulators to accuse the UC system of unlawful bad-faith bargaining, which the university strongly denies. The California Public Employment Relations Board is investigating the allegations.\u003c/p>\n\u003cp>At UC Berkeley on Tuesday, a long line of workers marched around campus, holding signs that read “For our patients, for our research, for our students,” and “On Strike,” before a midday rally.\u003c/p>\n\u003cp>[aside postID=news_12032232 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-2201544551-1020x729.jpg']\u003c/p>\n\u003cp>“All we want is to be able to have adequate staffing, to have enough co-workers to accomplish whatever our mission is at our worksite,” said Catherine Callaway, a UC Berkeley museum scientist and UPTE worksite representative. “What it feels like day to day is looking at all the things that you can’t possibly get done, watching your co-workers slowly burn out, watching people leave before they should really have to.”\u003c/p>\n\u003cp>UPTE members \u003ca href=\"https://upte.org/ucstrike\">argue that the university’s plans\u003c/a> to increase their health care costs without bargaining over the changes will exacerbate a recruitment and retention crisis that is hurting patient care and research. The university denies that a staffing crisis is taking place, \u003ca href=\"https://labor.universityofcalifornia.edu/_files/upte-2025-fact-sheet.pdf\">pointing (PDF)\u003c/a> to lower turnover rates and increasing headcounts.\u003c/p>\n\u003cp>Last month, UC President Michael Drake announced \u003ca href=\"https://www.kqed.org/news/12032232/head-of-ucs-largest-union-blasts-top-brass-for-hiring-freeze-amid-massive-vacancy-crisis\">a systemwide hiring freeze\u003c/a> and other cost-saving measures as the university faces threats to its federal and state funding. Since contract negotiations with AFSCME and UPTE began in January and June 2024, respectively, UC has offered “generous wage increases,” expanded sick leave and other benefits to try to avoid strike disruptions, according to a \u003ca href=\"https://www.universityofcalifornia.edu/press-room/statement-april-1-upte-and-afscme-strike\">statement\u003c/a> by the university.\u003c/p>\n\u003cp>“These strikes cost the University system millions of dollars, at a time when federal and state funding is uncertain,” the UC statement read. “UPTE and AFSCME are not being forthright in their characterizations, which is upsetting since we’ve made sincere efforts to find mutually beneficial solutions. Regardless, we are hopeful AFSCME and UPTE will make meaningful efforts to settle these contracts soon.”\u003c/p>\n\u003cfigure id=\"attachment_12034103\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12034103\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250226-UC-STRIKE-MD-12_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250226-UC-STRIKE-MD-12_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250226-UC-STRIKE-MD-12_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250226-UC-STRIKE-MD-12_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250226-UC-STRIKE-MD-12_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250226-UC-STRIKE-MD-12_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250226-UC-STRIKE-MD-12_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Members of the University Professional and Technical Employees Local 9119 and the American Federation of State County and Municipal Employees Local 3299 strike at the UC Mission Bay Campus in San Francisco on Feb. 26, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The unions argue that even if budget reductions are necessary, the cuts should not be disproportionately shouldered by their members’ paychecks and working conditions. They have noted that the university approved big raises for campus chancellors last year and continued to invest in new hospital buildings and other large capital projects.\u003c/p>\n\u003cp>AFSCME and UC representatives are scheduled to meet in the coming weeks, according to a university spokesperson. State regulators have intervened in the UPTE negotiations after that union declared in January that talks with UC broke down.\u003c/p>\n\u003cp>The strikes by UPTE and AFSCME, including for a few days in November and February, have been the largest in the country in 2024 and so far this year, according to Johnnie Kallas, who directs the \u003ca href=\"https://striketracker.ilr.cornell.edu/\">Labor Action Tracker\u003c/a>, a project by Cornell University and the University of Illinois.\u003c/p>\n\u003cp>In health care, education and other settings, limited-duration strikes are much more common than indefinite walkouts, which tend to be more disruptive for employers as well as workers who forgo their paychecks, Kallas added.\u003c/p>\n\u003cp>“Workers and their representatives in the unions are very frustrated that UC hasn’t — at least in their mind — meaningfully come to the table to resolve their outstanding issues,” he said. “But it hasn’t reached the point where, for a variety of reasons, the union and the workers have decided they want to go on an even longer strike, which would be even more disruptive.”\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/bkrans\">\u003cem>Brian Krans\u003c/em>\u003c/a>\u003cem> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“All we want is to be able to have adequate staffing, to have enough co-workers to accomplish whatever our mission is at our worksite,” said Catherine Callaway, a UC Berkeley museum scientist and UPTE worksite representative. “What it feels like day to day is looking at all the things that you can’t possibly get done, watching your co-workers slowly burn out, watching people leave before they should really have to.”\u003c/p>\n\u003cp>UPTE members \u003ca href=\"https://upte.org/ucstrike\">argue that the university’s plans\u003c/a> to increase their health care costs without bargaining over the changes will exacerbate a recruitment and retention crisis that is hurting patient care and research. The university denies that a staffing crisis is taking place, \u003ca href=\"https://labor.universityofcalifornia.edu/_files/upte-2025-fact-sheet.pdf\">pointing (PDF)\u003c/a> to lower turnover rates and increasing headcounts.\u003c/p>\n\u003cp>Last month, UC President Michael Drake announced \u003ca href=\"https://www.kqed.org/news/12032232/head-of-ucs-largest-union-blasts-top-brass-for-hiring-freeze-amid-massive-vacancy-crisis\">a systemwide hiring freeze\u003c/a> and other cost-saving measures as the university faces threats to its federal and state funding. Since contract negotiations with AFSCME and UPTE began in January and June 2024, respectively, UC has offered “generous wage increases,” expanded sick leave and other benefits to try to avoid strike disruptions, according to a \u003ca href=\"https://www.universityofcalifornia.edu/press-room/statement-april-1-upte-and-afscme-strike\">statement\u003c/a> by the university.\u003c/p>\n\u003cp>“These strikes cost the University system millions of dollars, at a time when federal and state funding is uncertain,” the UC statement read. “UPTE and AFSCME are not being forthright in their characterizations, which is upsetting since we’ve made sincere efforts to find mutually beneficial solutions. Regardless, we are hopeful AFSCME and UPTE will make meaningful efforts to settle these contracts soon.”\u003c/p>\n\u003cfigure id=\"attachment_12034103\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12034103\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250226-UC-STRIKE-MD-12_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250226-UC-STRIKE-MD-12_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250226-UC-STRIKE-MD-12_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250226-UC-STRIKE-MD-12_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250226-UC-STRIKE-MD-12_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250226-UC-STRIKE-MD-12_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250226-UC-STRIKE-MD-12_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Members of the University Professional and Technical Employees Local 9119 and the American Federation of State County and Municipal Employees Local 3299 strike at the UC Mission Bay Campus in San Francisco on Feb. 26, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The unions argue that even if budget reductions are necessary, the cuts should not be disproportionately shouldered by their members’ paychecks and working conditions. They have noted that the university approved big raises for campus chancellors last year and continued to invest in new hospital buildings and other large capital projects.\u003c/p>\n\u003cp>AFSCME and UC representatives are scheduled to meet in the coming weeks, according to a university spokesperson. State regulators have intervened in the UPTE negotiations after that union declared in January that talks with UC broke down.\u003c/p>\n\u003cp>The strikes by UPTE and AFSCME, including for a few days in November and February, have been the largest in the country in 2024 and so far this year, according to Johnnie Kallas, who directs the \u003ca href=\"https://striketracker.ilr.cornell.edu/\">Labor Action Tracker\u003c/a>, a project by Cornell University and the University of Illinois.\u003c/p>\n\u003cp>In health care, education and other settings, limited-duration strikes are much more common than indefinite walkouts, which tend to be more disruptive for employers as well as workers who forgo their paychecks, Kallas added.\u003c/p>\n\u003cp>“Workers and their representatives in the unions are very frustrated that UC hasn’t — at least in their mind — meaningfully come to the table to resolve their outstanding issues,” he said. “But it hasn’t reached the point where, for a variety of reasons, the union and the workers have decided they want to go on an even longer strike, which would be even more disruptive.”\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/bkrans\">\u003cem>Brian Krans\u003c/em>\u003c/a>\u003cem> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Cross-border politics have cost the UCSF Medical Center a leading heart surgeon from Canada who was set to start his job this month but changed his mind. The reason: \u003ca href=\"https://www.kqed.org/forum/2010101909303/canadians-to-trump-we-are-not-having-it\">economic and political hostility toward our northern neighbor\u003c/a> emanating from the Trump administration.\u003c/p>\n\u003cp>UCSF touted the hiring of Dr. Marc Ruel late last year, saying he would be relocating from Canada to serve as the chief of the Division of Adult Cardiothoracic Surgery.\u003c/p>\n\u003cp>“Dr. Ruel is one of the world’s most highly regarded cardiac surgeons, and his leadership will undoubtedly elevate our division to new heights across all our missions,” Dr. Julie Ann Sosa, chair of the Department of Surgery at UCSF, wrote in its December newsletter.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Ruel, too, had notified colleagues in Canada that he was leaving his post at the \u003ca href=\"https://www.ottawaheart.ca/profile/ruel-marc\">University of Ottawa Heart Institute\u003c/a> (UOHI) to head up the division at UCSF, a position he accepted last fall. But a message from Sosa and another UCSF physician sent on March 4 to colleagues notified staff that Ruel had decided not to move to California, apparently influenced by President Donald Trump’s \u003ca href=\"https://www.kqed.org/news/12025404/canada-tariffs-paused-california-wineries-fear-trade-dispute-would-be-crushing\">threats of tariffs\u003c/a> and talk of annexing Canada as the 51st state.\u003c/p>\n\u003cp>The message, signed by Sosa and Dr. Joshua Adler, acknowledged that much preparation had been made for Ruel’s arrival, adding that he “made the personal decision not to move forward with his relocation, given the evolving political climate and his commitment to serving his current institution in Ottawa.”\u003c/p>\n\u003cfigure id=\"attachment_12024922\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12024922 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2194989581.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2194989581.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2194989581-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2194989581-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2194989581-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2194989581-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2194989581-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">President Donald Trump signs executive orders in the Oval Office on Jan. 20, 2025, in Washington, D.C. \u003ccite>(Anna Monkeymaker/Getty)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The message also noted the “tremendous effort” UCSF teams put into preparing for Ruel’s arrival, “laying the groundwork for his transition … and extending a warm welcome to him and his family.” Despite that lost effort, the physicians said the medical center “respects his decision.”\u003c/p>\n\u003cp>The impact of Ruel’s decision is being felt by patients in the Bay Area, including Jennifer Friedman of Berkeley. She has a hereditary condition leading to a partially blocked artery to her heart — a condition she was told could, at some point, require invasive open-heart surgery and a very long recovery.\u003c/p>\n\u003cp>She was excited to learn from UCSF that Ruel could treat her using a far less invasive procedure. The two connected by text, email and phone to get her on his schedule at UCSF.\u003c/p>\n\u003cp>“Dr. Ruel was the hero surgeon that was coming to teach everybody at UCSF how to do the magical procedure,” Friedman told KQED. “And I was so excited that he was coming.”[aside postID=news_12032263 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250320-JAPANESEAMERICANSDENOUNCE-03-BL-KQED-1020x680.jpg']Friedman said it was her understanding that in preparation for Ruel’s arrival, UCSF was going to “send a team of people from UCSF to Canada to see what his whole operating room situation looked like so they could basically recreate it here in San Francisco. And I don’t know if that happened or not, but then Trump was elected.”\u003c/p>\n\u003cp>The internal UCSF letter to staff was careful not to weigh in on the U.S. political situation — not surprising given the enormous amount of federal dollars UCSF receives — but said, “We respect his need to adapt to changing circumstances — just as we do every day to advance our mission and provide world-class care to our patients.”\u003c/p>\n\u003cp>In 2023, UCSF received $789 million in grants from the National Institutes of Health (NIH), which the Trump administration is trying to slash. In February, the University of California announced its \u003ca href=\"https://www.universityofcalifornia.edu/press-room/uc-supports-legal-action-against-misguided-plan-cut-vital-nih-research-funds\">support for a lawsuit \u003c/a>filed by Attorney General Rob Bonta and 21 other states seeking to block the action. Earlier this month, a federal judge extended a temporary restraining order pausing \u003ca href=\"https://www.kqed.org/news/12026447/judge-blocks-trump-plan-cut-research-funding-after-california-other-states-sue\">efforts to cut NIH medical and scientific research grants\u003c/a> to universities and hospitals.\u003c/p>\n\u003cp>UCSF did not publicly announce the loss of Ruel and declined KQED’s repeated requests for comment while referring us to the doctor. A spokesperson for the University of Ottawa confirmed that Ruel changed his mind over political considerations and will likely stay there.\u003c/p>\n\u003cfigure id=\"attachment_11974804\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11974804\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth.jpg\" alt=\"The exterior shot of the UCSF Health building in San Francisco.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">The outside of UCSF Health in San Francisco. \u003ccite>(Smith Collection/Gado/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>According to UOHI’s website, Ruel, who was trained at Harvard, led its Division of Cardiac Surgery for 11 years. The university notes that the focus of Ruel’s research and work has been to make cardiac surgery “less invasive, more evidence-based, and performed with better patient outcomes.” He is currently the director of Minimally Invasive Cardiac Surgery at UOHI.\u003c/p>\n\u003cp>In an email to Friedman sent on March 4, Ruel told her of his regrets that he would no longer be coming to UCSF, stressing that it was his personal affection for his nation that drove his decision.\u003c/p>\n\u003cp>“I am a proud Canadian, above all else, and I cannot in my patriotic conscience ignore what is happening,” Ruel wrote.\u003c/p>\n\u003cp>Now Friedman, 57, is back to square one, looking for a new surgeon. \u003cstrong>“\u003c/strong>I’m disappointed, I’m sad and I’m scared. And I feel like this is just the beginning of the ramifications” of Trump’s policies, she said.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Cross-border politics have cost the UCSF Medical Center a leading heart surgeon from Canada who was set to start his job this month but changed his mind. The reason: \u003ca href=\"https://www.kqed.org/forum/2010101909303/canadians-to-trump-we-are-not-having-it\">economic and political hostility toward our northern neighbor\u003c/a> emanating from the Trump administration.\u003c/p>\n\u003cp>UCSF touted the hiring of Dr. Marc Ruel late last year, saying he would be relocating from Canada to serve as the chief of the Division of Adult Cardiothoracic Surgery.\u003c/p>\n\u003cp>“Dr. Ruel is one of the world’s most highly regarded cardiac surgeons, and his leadership will undoubtedly elevate our division to new heights across all our missions,” Dr. Julie Ann Sosa, chair of the Department of Surgery at UCSF, wrote in its December newsletter.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Ruel, too, had notified colleagues in Canada that he was leaving his post at the \u003ca href=\"https://www.ottawaheart.ca/profile/ruel-marc\">University of Ottawa Heart Institute\u003c/a> (UOHI) to head up the division at UCSF, a position he accepted last fall. But a message from Sosa and another UCSF physician sent on March 4 to colleagues notified staff that Ruel had decided not to move to California, apparently influenced by President Donald Trump’s \u003ca href=\"https://www.kqed.org/news/12025404/canada-tariffs-paused-california-wineries-fear-trade-dispute-would-be-crushing\">threats of tariffs\u003c/a> and talk of annexing Canada as the 51st state.\u003c/p>\n\u003cp>The message, signed by Sosa and Dr. Joshua Adler, acknowledged that much preparation had been made for Ruel’s arrival, adding that he “made the personal decision not to move forward with his relocation, given the evolving political climate and his commitment to serving his current institution in Ottawa.”\u003c/p>\n\u003cfigure id=\"attachment_12024922\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12024922 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2194989581.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2194989581.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2194989581-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2194989581-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2194989581-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2194989581-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2194989581-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">President Donald Trump signs executive orders in the Oval Office on Jan. 20, 2025, in Washington, D.C. \u003ccite>(Anna Monkeymaker/Getty)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The message also noted the “tremendous effort” UCSF teams put into preparing for Ruel’s arrival, “laying the groundwork for his transition … and extending a warm welcome to him and his family.” Despite that lost effort, the physicians said the medical center “respects his decision.”\u003c/p>\n\u003cp>The impact of Ruel’s decision is being felt by patients in the Bay Area, including Jennifer Friedman of Berkeley. She has a hereditary condition leading to a partially blocked artery to her heart — a condition she was told could, at some point, require invasive open-heart surgery and a very long recovery.\u003c/p>\n\u003cp>She was excited to learn from UCSF that Ruel could treat her using a far less invasive procedure. The two connected by text, email and phone to get her on his schedule at UCSF.\u003c/p>\n\u003cp>“Dr. Ruel was the hero surgeon that was coming to teach everybody at UCSF how to do the magical procedure,” Friedman told KQED. “And I was so excited that he was coming.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Friedman said it was her understanding that in preparation for Ruel’s arrival, UCSF was going to “send a team of people from UCSF to Canada to see what his whole operating room situation looked like so they could basically recreate it here in San Francisco. And I don’t know if that happened or not, but then Trump was elected.”\u003c/p>\n\u003cp>The internal UCSF letter to staff was careful not to weigh in on the U.S. political situation — not surprising given the enormous amount of federal dollars UCSF receives — but said, “We respect his need to adapt to changing circumstances — just as we do every day to advance our mission and provide world-class care to our patients.”\u003c/p>\n\u003cp>In 2023, UCSF received $789 million in grants from the National Institutes of Health (NIH), which the Trump administration is trying to slash. In February, the University of California announced its \u003ca href=\"https://www.universityofcalifornia.edu/press-room/uc-supports-legal-action-against-misguided-plan-cut-vital-nih-research-funds\">support for a lawsuit \u003c/a>filed by Attorney General Rob Bonta and 21 other states seeking to block the action. Earlier this month, a federal judge extended a temporary restraining order pausing \u003ca href=\"https://www.kqed.org/news/12026447/judge-blocks-trump-plan-cut-research-funding-after-california-other-states-sue\">efforts to cut NIH medical and scientific research grants\u003c/a> to universities and hospitals.\u003c/p>\n\u003cp>UCSF did not publicly announce the loss of Ruel and declined KQED’s repeated requests for comment while referring us to the doctor. A spokesperson for the University of Ottawa confirmed that Ruel changed his mind over political considerations and will likely stay there.\u003c/p>\n\u003cfigure id=\"attachment_11974804\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11974804\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth.jpg\" alt=\"The exterior shot of the UCSF Health building in San Francisco.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">The outside of UCSF Health in San Francisco. \u003ccite>(Smith Collection/Gado/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>According to UOHI’s website, Ruel, who was trained at Harvard, led its Division of Cardiac Surgery for 11 years. The university notes that the focus of Ruel’s research and work has been to make cardiac surgery “less invasive, more evidence-based, and performed with better patient outcomes.” He is currently the director of Minimally Invasive Cardiac Surgery at UOHI.\u003c/p>\n\u003cp>In an email to Friedman sent on March 4, Ruel told her of his regrets that he would no longer be coming to UCSF, stressing that it was his personal affection for his nation that drove his decision.\u003c/p>\n\u003cp>“I am a proud Canadian, above all else, and I cannot in my patriotic conscience ignore what is happening,” Ruel wrote.\u003c/p>\n\u003cp>Now Friedman, 57, is back to square one, looking for a new surgeon. \u003cstrong>“\u003c/strong>I’m disappointed, I’m sad and I’m scared. And I feel like this is just the beginning of the ramifications” of Trump’s policies, she said.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cem>Updated 4 p.m. Wednesday\u003c/em>\u003c/p>\n\u003cp>Tens of thousands of \u003ca href=\"https://www.kqed.org/news/12027153/uc-workers-vote-to-strike-amid-federal-funding-threats\">University of California\u003c/a> health care, research and technical employees began a multiday strike Wednesday, disrupting daily operations at UC campuses, hospitals and laboratories after contract negotiations with the university reached an impasse early last month.\u003c/p>\n\u003cp>More than 50,000 UC workers represented by the University Professional and Technical Employees Local 9119 and the American Federation of State, County and Municipal Employees Local 3299 could walk out this week over top union concerns such as low wages and severe understaffing, which the university disputes.\u003c/p>\n\u003cp>In San Francisco, about 6,000 people represented by AFSCME joined the picket line, according to union representatives. At UC Berkeley, hundreds of workers from both labor groups were joined by students and community members as they marched through campus.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Carmen Lee, a shuttle driver at UC San Francisco and AFSCME executive board member, said she decided to strike because of the ongoing affordability crisis. Lee said workers need better compensation so they can keep up with increases in housing and health care costs. She believes the university has the funds available.\u003c/p>\n\u003cp>Lee pointed out that the university increased compensation for top executives last year while refusing to pay its service and patient care workers enough money to afford housing near UC campuses.\u003c/p>\n\u003cp>“Patient care and service workers in the UC system left because the university is not invested in taking care of them or really prioritizing their well-being,” said Liz Perlman, executive director of AFSCME Local 3299, which represents more than 30,000 UC employees statewide.\u003c/p>\n\u003cp>UPTE Local 9119, which represents approximately 20,000 workers, authorized the strike earlier this month with 98% approval.\u003c/p>\n\u003cp>Contract negotiations between the two unions and UC — one of the state’s largest employers with over 200,000 workers — began months ago, but no agreements have been reached.\u003c/p>\n\u003cp>The university offered UPTE a \u003ca href=\"https://labor.universityofcalifornia.edu/upte/\">5% wage increase\u003c/a> starting July 1, 2025, followed by a 3% raise both in 2026 and 2027. Its offer for AFSCME included \u003ca href=\"https://labor.universityofcalifornia.edu/afscme/\">raises of 5% in 2025\u003c/a>, 4% in 2026, and 3% in 2027, 2028 and 2029. The unions have said the proposals are insufficient and suggested wage increases do not accurately reflect the increased cost of living.\u003c/p>\n\u003cfigure id=\"attachment_12028885\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12028885 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250226-UC-STRIKE-MD-10_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250226-UC-STRIKE-MD-10_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250226-UC-STRIKE-MD-10_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250226-UC-STRIKE-MD-10_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250226-UC-STRIKE-MD-10_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250226-UC-STRIKE-MD-10_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250226-UC-STRIKE-MD-10_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Members of the University Professional and Technical Employees Local 9119 and the American Federation of State County and Municipal Employees Local 3299 strike at the UC Mission Bay Campus in San Francisco on Feb. 26, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Over the last four years, more than 13,000 UC patient care and service workers have resigned from their posts, according to a Tuesday press release from AFSCME. Despite the invaluable services UC workers provide to the university, they’re dealing with a 10% inflationary cut to their real wages, Perlman said.\u003c/p>\n\u003cp>Many employees are struggling to keep up with rising housing and health care costs, forcing some to sleep in their cars or endure hours-long commutes just to continue working at the university, she added.\u003c/p>\n\u003cp>Union representatives and UC employees have also expressed frustration with what they say are pervasive staffing shortages at many of the university’s medical facilities.\u003c/p>\n\u003cp>“There’s so much demand in the hospital and not enough staff to address patient needs… so patients are staying longer,” Shawn Singh, a nurse case manager at UCSF, said. “It just really creates the recipe for burnout, moral distress and poor quality in patient care within the hospital system.”\u003c/p>\n\u003cp>Singh said health care workers and technicians, expected to handle an exorbitant number of responsibilities, are being stretched thin. It’s starting to harm their patients, which is why the employees decided to go on strike, he added.\u003c/p>\n\u003cfigure id=\"attachment_12028926\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12028926 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250226-UC-STRIKE-MD-09_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250226-UC-STRIKE-MD-09_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250226-UC-STRIKE-MD-09_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250226-UC-STRIKE-MD-09_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250226-UC-STRIKE-MD-09_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250226-UC-STRIKE-MD-09_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250226-UC-STRIKE-MD-09_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Sarah Roberts, a medical interpreter at UCSF and other members of the University Professional and Technical Employees Local 9119 and the American Federation of State County and Municipal Employees Local 3299 strike at the UC Mission Bay Campus in San Francisco on Feb. 26, 2025. \u003c/figcaption>\u003c/figure>\n\u003cp>Sarah Roberts, a Spanish medical interpreter at UCSF Medical Center, is one of the thousands of striking medical workers. She said her department has been cut in half despite the demand for language interpretation services at UC facilities staying consistent. Roberts said discharging patients after serious procedures without a language interpreter leads to more medical complications and higher readmittance rates.\u003c/p>\n\u003cp>“I see patients that should be getting the services of a qualified in-person medical interpreter not getting that, and their care is suffering because of it,” she said. “I am completely burnt out. I don’t know how much longer I can even stay here if this continues to be the way the university wants to do things.”\u003c/p>\n\u003cp>In January 2023, UC Chief Financial Officer Nathan Brostrom told the Board of Regents that vacancy staff rates have tripled since the pandemic, but the university is arguing the opposite. Heather Hansen, a spokesperson with the UC Office of the President, said university data indicates that the headcount of UPTE members has increased and turnover rates are flattening.\u003c/p>\n\u003cp>“There is no truth to the claim that we have a vacancy issue,” Hansen said. “They want to demand we freeze positions and have them set aside for union members in perpetuity, but that would severely limit our ability to adapt to changing operational needs and unforeseen consequences such as a pandemic.”[aside postID=news_12028309 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/241023-SFUSDSuperintendent-12-BL_qed-1020x680.jpg']\u003c/p>\n\u003cp>Hansen said the university is disappointed in the two unions for deciding to strike, but she said the UC is ready to resolve a contract with both unions. The university has plans to bring in contract workers to minimize disruptions to patients, students and school operations.\u003c/p>\n\u003cp>On Sunday, the parties agreed that dozens of employees essential to health and safety operations will not participate in the strike. The UC withdrew its request to the California Public Employment Relation Board for a court injunction against the unions, according to Felix De La Torre, general counsel for the PERB.\u003c/p>\n\u003cp>Both UPTE Local 9119 and AFSCME Local 3299 have accused the university of engaging in unfair labor practices before state regulators, including for an alleged crackdown on free speech, which the university denies. The PERB is investigating the charges, and Hansen said the process could take months.\u003c/p>\n\u003cp>“Because of our responsibility to our patients, it’s important that we are able to speak out when we see things that are detrimental to the quality of that care,” said Michael McGlenn, a clinical psychologist at UC San Diego. “The UC has moved to restrict our ability to speak out and advocate for our patient… Our providers care too much about the folks that we serve to be silenced and we’re not going to keep our heads down any longer.”\u003c/p>\n\u003cp>The labor action comes as the federal government and the National Institutes of Health threaten to cut funding for biomedical and public research at universities and research facilities across the country. Earlier this month, a federal judge in Massachusetts placed a temporary block on the cuts, which the university said would amount to hundreds of millions of dollars per year, after \u003ca href=\"https://www.kqed.org/news/12026447/judge-blocks-trump-plan-cut-research-funding-after-california-other-states-sue\">California and several other states filed suit\u003c/a>. The pause was extended last week.\u003c/p>\n\u003cp>Workers with UPTE Local 9119 will be on strike through Friday, and those represented by AFSCME Local 3229 will be on strike through Thursday.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 4 p.m. Wednesday\u003c/em>\u003c/p>\n\u003cp>Tens of thousands of \u003ca href=\"https://www.kqed.org/news/12027153/uc-workers-vote-to-strike-amid-federal-funding-threats\">University of California\u003c/a> health care, research and technical employees began a multiday strike Wednesday, disrupting daily operations at UC campuses, hospitals and laboratories after contract negotiations with the university reached an impasse early last month.\u003c/p>\n\u003cp>More than 50,000 UC workers represented by the University Professional and Technical Employees Local 9119 and the American Federation of State, County and Municipal Employees Local 3299 could walk out this week over top union concerns such as low wages and severe understaffing, which the university disputes.\u003c/p>\n\u003cp>In San Francisco, about 6,000 people represented by AFSCME joined the picket line, according to union representatives. At UC Berkeley, hundreds of workers from both labor groups were joined by students and community members as they marched through campus.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Carmen Lee, a shuttle driver at UC San Francisco and AFSCME executive board member, said she decided to strike because of the ongoing affordability crisis. Lee said workers need better compensation so they can keep up with increases in housing and health care costs. She believes the university has the funds available.\u003c/p>\n\u003cp>Lee pointed out that the university increased compensation for top executives last year while refusing to pay its service and patient care workers enough money to afford housing near UC campuses.\u003c/p>\n\u003cp>“Patient care and service workers in the UC system left because the university is not invested in taking care of them or really prioritizing their well-being,” said Liz Perlman, executive director of AFSCME Local 3299, which represents more than 30,000 UC employees statewide.\u003c/p>\n\u003cp>UPTE Local 9119, which represents approximately 20,000 workers, authorized the strike earlier this month with 98% approval.\u003c/p>\n\u003cp>Contract negotiations between the two unions and UC — one of the state’s largest employers with over 200,000 workers — began months ago, but no agreements have been reached.\u003c/p>\n\u003cp>The university offered UPTE a \u003ca href=\"https://labor.universityofcalifornia.edu/upte/\">5% wage increase\u003c/a> starting July 1, 2025, followed by a 3% raise both in 2026 and 2027. Its offer for AFSCME included \u003ca href=\"https://labor.universityofcalifornia.edu/afscme/\">raises of 5% in 2025\u003c/a>, 4% in 2026, and 3% in 2027, 2028 and 2029. The unions have said the proposals are insufficient and suggested wage increases do not accurately reflect the increased cost of living.\u003c/p>\n\u003cfigure id=\"attachment_12028885\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12028885 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250226-UC-STRIKE-MD-10_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250226-UC-STRIKE-MD-10_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250226-UC-STRIKE-MD-10_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250226-UC-STRIKE-MD-10_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250226-UC-STRIKE-MD-10_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250226-UC-STRIKE-MD-10_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250226-UC-STRIKE-MD-10_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Members of the University Professional and Technical Employees Local 9119 and the American Federation of State County and Municipal Employees Local 3299 strike at the UC Mission Bay Campus in San Francisco on Feb. 26, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Over the last four years, more than 13,000 UC patient care and service workers have resigned from their posts, according to a Tuesday press release from AFSCME. Despite the invaluable services UC workers provide to the university, they’re dealing with a 10% inflationary cut to their real wages, Perlman said.\u003c/p>\n\u003cp>Many employees are struggling to keep up with rising housing and health care costs, forcing some to sleep in their cars or endure hours-long commutes just to continue working at the university, she added.\u003c/p>\n\u003cp>Union representatives and UC employees have also expressed frustration with what they say are pervasive staffing shortages at many of the university’s medical facilities.\u003c/p>\n\u003cp>“There’s so much demand in the hospital and not enough staff to address patient needs… so patients are staying longer,” Shawn Singh, a nurse case manager at UCSF, said. “It just really creates the recipe for burnout, moral distress and poor quality in patient care within the hospital system.”\u003c/p>\n\u003cp>Singh said health care workers and technicians, expected to handle an exorbitant number of responsibilities, are being stretched thin. It’s starting to harm their patients, which is why the employees decided to go on strike, he added.\u003c/p>\n\u003cfigure id=\"attachment_12028926\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12028926 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250226-UC-STRIKE-MD-09_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250226-UC-STRIKE-MD-09_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250226-UC-STRIKE-MD-09_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250226-UC-STRIKE-MD-09_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250226-UC-STRIKE-MD-09_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250226-UC-STRIKE-MD-09_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250226-UC-STRIKE-MD-09_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Sarah Roberts, a medical interpreter at UCSF and other members of the University Professional and Technical Employees Local 9119 and the American Federation of State County and Municipal Employees Local 3299 strike at the UC Mission Bay Campus in San Francisco on Feb. 26, 2025. \u003c/figcaption>\u003c/figure>\n\u003cp>Sarah Roberts, a Spanish medical interpreter at UCSF Medical Center, is one of the thousands of striking medical workers. She said her department has been cut in half despite the demand for language interpretation services at UC facilities staying consistent. Roberts said discharging patients after serious procedures without a language interpreter leads to more medical complications and higher readmittance rates.\u003c/p>\n\u003cp>“I see patients that should be getting the services of a qualified in-person medical interpreter not getting that, and their care is suffering because of it,” she said. “I am completely burnt out. I don’t know how much longer I can even stay here if this continues to be the way the university wants to do things.”\u003c/p>\n\u003cp>In January 2023, UC Chief Financial Officer Nathan Brostrom told the Board of Regents that vacancy staff rates have tripled since the pandemic, but the university is arguing the opposite. Heather Hansen, a spokesperson with the UC Office of the President, said university data indicates that the headcount of UPTE members has increased and turnover rates are flattening.\u003c/p>\n\u003cp>“There is no truth to the claim that we have a vacancy issue,” Hansen said. “They want to demand we freeze positions and have them set aside for union members in perpetuity, but that would severely limit our ability to adapt to changing operational needs and unforeseen consequences such as a pandemic.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Hansen said the university is disappointed in the two unions for deciding to strike, but she said the UC is ready to resolve a contract with both unions. The university has plans to bring in contract workers to minimize disruptions to patients, students and school operations.\u003c/p>\n\u003cp>On Sunday, the parties agreed that dozens of employees essential to health and safety operations will not participate in the strike. The UC withdrew its request to the California Public Employment Relation Board for a court injunction against the unions, according to Felix De La Torre, general counsel for the PERB.\u003c/p>\n\u003cp>Both UPTE Local 9119 and AFSCME Local 3299 have accused the university of engaging in unfair labor practices before state regulators, including for an alleged crackdown on free speech, which the university denies. The PERB is investigating the charges, and Hansen said the process could take months.\u003c/p>\n\u003cp>“Because of our responsibility to our patients, it’s important that we are able to speak out when we see things that are detrimental to the quality of that care,” said Michael McGlenn, a clinical psychologist at UC San Diego. “The UC has moved to restrict our ability to speak out and advocate for our patient… Our providers care too much about the folks that we serve to be silenced and we’re not going to keep our heads down any longer.”\u003c/p>\n\u003cp>The labor action comes as the federal government and the National Institutes of Health threaten to cut funding for biomedical and public research at universities and research facilities across the country. Earlier this month, a federal judge in Massachusetts placed a temporary block on the cuts, which the university said would amount to hundreds of millions of dollars per year, after \u003ca href=\"https://www.kqed.org/news/12026447/judge-blocks-trump-plan-cut-research-funding-after-california-other-states-sue\">California and several other states filed suit\u003c/a>. The pause was extended last week.\u003c/p>\n\u003cp>Workers with UPTE Local 9119 will be on strike through Friday, and those represented by AFSCME Local 3229 will be on strike through Thursday.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "uc-workers-vote-to-strike-amid-federal-funding-threats",
"title": "Thousands of UC Employees Vote to Strike Amid Federal Funding Threats",
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"content": "\u003cp>Thousands of \u003ca href=\"https://www.kqed.org/news/tag/uc-system\">University of California\u003c/a> health care, research and technical employees have voted to authorize their union to call a strike, potentially disrupting hospitals and research facilities statewide as the \u003ca href=\"https://www.kqed.org/news/12026447/judge-blocks-trump-plan-cut-research-funding-after-california-other-states-sue\">federal government threatens cuts\u003c/a> to the university’s funding.\u003c/p>\n\u003cp>The vote, which concluded Thursday, passed with 98% support, according to a Friday press release from the University Professional and Technical Employees Local 9119, which represents more than 20,000 UC employees. The union said the strike has been scheduled for Feb. 26–28 and will involve members across all UC campuses.\u003c/p>\n\u003cp>It represents the latest escalation in a \u003ca href=\"https://www.kqed.org/news/12011878/thousands-of-uc-san-francisco-workers-are-preparing-to-strike\">conflict over top union concerns such as staffing levels and compensation\u003c/a> that sparked a two-day work stoppage at UC San Francisco in November. Also on Friday, the American Federation of State County and Municipal Employees Local 3299, which represents more than 37,000 UC patient care and service workers, announced a strike at all UC campuses and five medical centers from Feb. 26–27.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Contract negotiations between UPTE and UC, the state’s third-largest employer, began eight months ago. However, both parties remain far apart on the union’s goal of fixing the alleged recruitment and retention crisis that is harming patients, research and students, according to Dan Russell, UPTE’s president and lead negotiator.\u003c/p>\n\u003cp>“We don’t want to have to strike. But we’re also not going to let this crisis continue to drag out,” said Russell, a business technology support analyst at UC Berkeley. “We hear these stories from almost every group of workers, whether it’s pay is too low, people are leaving to go to Kaiser or people just feeling disaffected.”\u003c/p>\n\u003cp>Physician assistants, mental health clinicians, laboratory scientists, IT workers and other UC employees are fed up with the lack of progress, he added. The union declared an impasse on Jan. 3, and the two parties met with mediators later in the month.\u003c/p>\n\u003cp>UC has \u003ca href=\"https://labor.universityofcalifornia.edu/upte/\">proposed\u003c/a> wage increases for UPTE-represented employees of 5% starting in July, 3% in 2026 and 3% in 2027. The university also offered to streamline some of its career growth mechanisms and expand access to vacation time.\u003c/p>\n\u003cp>A spokesperson for the university called the union’s talk of preparing for a work stoppage “disheartening.”[aside postID=forum_2010101908476 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2015/10/10714834-thumb.jpg']\u003c/p>\n\u003cp>“The university has been and remains ready to settle these contracts: we have offered UPTE what it has asked for,” Heather Hansen, a spokesperson with the UC Office of the President, said in a statement. “In the event of a strike, the University is prepared to make every effort to ensure the critical operations of the University system, which includes patient care, continue at a level of excellence UC patients, students, faculty and staff expect.”\u003c/p>\n\u003cp>UPTE and UC have accused each other of engaging in bad-faith bargaining on key issues. The union charged the university with unfair labor practices before the California Public Employment Relations Board, including for allegedly failing to provide job vacancy and financial data to assess the extent of staffing issues, increasing employee health care costs without negotiating over the changes and \u003ca href=\"https://upte.org/news/upte-files-major-charge-against-ucs-crackdown-on-free-speech\">limiting worker and union speech\u003c/a>.\u003c/p>\n\u003cp>Hansen told KQED last October that the university was working to produce information on vacancy rates and other data. But Russell said the union has yet to receive that information. In a Friday email, Hansen told KQED UC has provided turnover rate data, as well as data that show headcount is going up as separations decline.\u003c/p>\n\u003cp>The labor standoff comes as a federal judge in Boston temporarily blocked this week the National Institutes of Health from reducing funding that supports biomedical and public health research at universities, after California and 21 other states sued. The NIH is the largest funder of UC research, and the university said it could lose hundreds of millions of dollars per year, leading to layoffs and disruptions to life-saving research. A hearing in the case is set for Feb. 21.[aside postID=news_12011878 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSF-Strike.jpg']\u003c/p>\n\u003cp>The union was relieved the proposed NIH funding cuts were paused, Russell said, though he noted that reductions would represent a relatively small fraction of the \u003ca href=\"https://lao.ca.gov/Publications/Report/4862#:~:text=UC%20Budget%20Currently%20Is%20%2451.4,Fund%20and%20student%20tuition%20revenue.\">$51.4 billion budget\u003c/a> for UC in 2023–24.\u003c/p>\n\u003cp>John Logan, who chairs the labor and employment studies department at San Francisco State University, said UC is bracing for challenges with the Trump administration over various issues that could impact federal funding, including policies affecting transgender, LGBTQ and undocumented students, as well as diversity, equity and inclusion measures.\u003c/p>\n\u003cp>Financial uncertainty under the Trump administration could make UC administrators reluctant to give out generous multi-year labor deals. However, the timing of a large, disruptive walkout could also be disastrous, he added.\u003c/p>\n\u003cp>“A strike which would cause major disruptions — would be the absolute last thing that university administrators would want at this time when it is trying to protect its funding and talk about the value of medical research at places like UCSF and UC San Diego,” Logan said. “The university, while being very concerned about the potential financial implications of what the Trump administration is trying to do, should also be concerned about its public image.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Thousands of \u003ca href=\"https://www.kqed.org/news/tag/uc-system\">University of California\u003c/a> health care, research and technical employees have voted to authorize their union to call a strike, potentially disrupting hospitals and research facilities statewide as the \u003ca href=\"https://www.kqed.org/news/12026447/judge-blocks-trump-plan-cut-research-funding-after-california-other-states-sue\">federal government threatens cuts\u003c/a> to the university’s funding.\u003c/p>\n\u003cp>The vote, which concluded Thursday, passed with 98% support, according to a Friday press release from the University Professional and Technical Employees Local 9119, which represents more than 20,000 UC employees. The union said the strike has been scheduled for Feb. 26–28 and will involve members across all UC campuses.\u003c/p>\n\u003cp>It represents the latest escalation in a \u003ca href=\"https://www.kqed.org/news/12011878/thousands-of-uc-san-francisco-workers-are-preparing-to-strike\">conflict over top union concerns such as staffing levels and compensation\u003c/a> that sparked a two-day work stoppage at UC San Francisco in November. Also on Friday, the American Federation of State County and Municipal Employees Local 3299, which represents more than 37,000 UC patient care and service workers, announced a strike at all UC campuses and five medical centers from Feb. 26–27.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Contract negotiations between UPTE and UC, the state’s third-largest employer, began eight months ago. However, both parties remain far apart on the union’s goal of fixing the alleged recruitment and retention crisis that is harming patients, research and students, according to Dan Russell, UPTE’s president and lead negotiator.\u003c/p>\n\u003cp>“We don’t want to have to strike. But we’re also not going to let this crisis continue to drag out,” said Russell, a business technology support analyst at UC Berkeley. “We hear these stories from almost every group of workers, whether it’s pay is too low, people are leaving to go to Kaiser or people just feeling disaffected.”\u003c/p>\n\u003cp>Physician assistants, mental health clinicians, laboratory scientists, IT workers and other UC employees are fed up with the lack of progress, he added. The union declared an impasse on Jan. 3, and the two parties met with mediators later in the month.\u003c/p>\n\u003cp>UC has \u003ca href=\"https://labor.universityofcalifornia.edu/upte/\">proposed\u003c/a> wage increases for UPTE-represented employees of 5% starting in July, 3% in 2026 and 3% in 2027. The university also offered to streamline some of its career growth mechanisms and expand access to vacation time.\u003c/p>\n\u003cp>A spokesperson for the university called the union’s talk of preparing for a work stoppage “disheartening.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“The university has been and remains ready to settle these contracts: we have offered UPTE what it has asked for,” Heather Hansen, a spokesperson with the UC Office of the President, said in a statement. “In the event of a strike, the University is prepared to make every effort to ensure the critical operations of the University system, which includes patient care, continue at a level of excellence UC patients, students, faculty and staff expect.”\u003c/p>\n\u003cp>UPTE and UC have accused each other of engaging in bad-faith bargaining on key issues. The union charged the university with unfair labor practices before the California Public Employment Relations Board, including for allegedly failing to provide job vacancy and financial data to assess the extent of staffing issues, increasing employee health care costs without negotiating over the changes and \u003ca href=\"https://upte.org/news/upte-files-major-charge-against-ucs-crackdown-on-free-speech\">limiting worker and union speech\u003c/a>.\u003c/p>\n\u003cp>Hansen told KQED last October that the university was working to produce information on vacancy rates and other data. But Russell said the union has yet to receive that information. In a Friday email, Hansen told KQED UC has provided turnover rate data, as well as data that show headcount is going up as separations decline.\u003c/p>\n\u003cp>The labor standoff comes as a federal judge in Boston temporarily blocked this week the National Institutes of Health from reducing funding that supports biomedical and public health research at universities, after California and 21 other states sued. The NIH is the largest funder of UC research, and the university said it could lose hundreds of millions of dollars per year, leading to layoffs and disruptions to life-saving research. A hearing in the case is set for Feb. 21.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The union was relieved the proposed NIH funding cuts were paused, Russell said, though he noted that reductions would represent a relatively small fraction of the \u003ca href=\"https://lao.ca.gov/Publications/Report/4862#:~:text=UC%20Budget%20Currently%20Is%20%2451.4,Fund%20and%20student%20tuition%20revenue.\">$51.4 billion budget\u003c/a> for UC in 2023–24.\u003c/p>\n\u003cp>John Logan, who chairs the labor and employment studies department at San Francisco State University, said UC is bracing for challenges with the Trump administration over various issues that could impact federal funding, including policies affecting transgender, LGBTQ and undocumented students, as well as diversity, equity and inclusion measures.\u003c/p>\n\u003cp>Financial uncertainty under the Trump administration could make UC administrators reluctant to give out generous multi-year labor deals. However, the timing of a large, disruptive walkout could also be disastrous, he added.\u003c/p>\n\u003cp>“A strike which would cause major disruptions — would be the absolute last thing that university administrators would want at this time when it is trying to protect its funding and talk about the value of medical research at places like UCSF and UC San Diego,” Logan said. “The university, while being very concerned about the potential financial implications of what the Trump administration is trying to do, should also be concerned about its public image.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "aggressive-prostate-cancer-surging-california-what-you-need-to-know",
"title": "Advanced Prostate Cancer Is Surging in California. Here’s What You Need to Know",
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"content": "\u003cp>Advanced prostate cancer cases are rising sharply in California, outpacing national trends, according to a new study from \u003ca href=\"https://www.kqed.org/news/tag/ucsf\">UCSF\u003c/a>.\u003c/p>\n\u003cp>The alarming trend underscores the need for smarter screening to catch aggressive cases early without simultaneously triggering care for harmless tumors, experts said.\u003c/p>\n\u003cp>“This rise is happening across all ages, ethnicities and regions in California,” said Erin Van Blarigan, a UCSF epidemiologist and the study’s lead author.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Researchers found that between 2011 and 2021, the number of men diagnosed with late-stage prostate cancer increased by 6.7% per year in California — significantly higher than the national rate of 4.5% per year over roughly the same period. The \u003ca href=\"https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2829547?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=012725\">study\u003c/a>, published last week in \u003cem>JAMA Network Open\u003c/em>, also found that after years of decline, prostate cancer mortality rates have stalled in much of the state.\u003c/p>\n\u003cp>Prostate cancer is the \u003ca href=\"https://www.cancer.org/cancer/risk-prevention/understanding-cancer-risk/cancer-facts/cancer-facts-for-men.html#:~:text=Prostate%20cancer%20is%20the%20most,as%20a%20man%20gets%20older.\">most common cancer among men in the U.S.\u003c/a> and a leading cause of cancer-related deaths. Some tumors grow so slowly that they never cause harm, while others spread quickly and require urgent treatment. The go-to screening method — the prostate-specific antigen (PSA) test — can’t always tell the difference, which has led to concerns about unnecessary procedures.\u003c/p>\n\u003cfigure id=\"attachment_11974804\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11974804\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth.jpg\" alt=\"The exterior shot of the UCSF Health building in San Francisco.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">The outside of UCSF Health in San Francisco. \u003ccite>(Smith Collection/Gado/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In 2012, the U.S. Preventive Services Task Force recommended stopping routine PSA screenings to prevent unnecessary surgeries and complications. However, in 2018, the panel adjusted its stance, advising men between 55 and 69 to talk with their doctors about screening options. Despite this, Van Blarigan said rates continue to rise.\u003c/p>\n\u003cp>“We absolutely need to screen — that’s the bottom line,” she said. “But we have to do it smarter.”\u003c/p>\n\u003cp>The UCSF study analyzed nearly 388,000 prostate cancer cases in California from 2004 to 2021. Researchers found that 7.2% of those cases were diagnosed at an advanced stage, where the five-year survival rate drops to just 37%. Over the same period, nearly 59,000 men in California died from the disease.\u003c/p>\n\u003cp>[aside postID=news_12023867 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/BirdFluAP-1020x654.jpg']\u003c/p>\n\u003cp>The Central Coast saw the fastest increase in advanced cases, rising 9.1% per year, while the Southern San Joaquin Valley had the slowest rise at 2.3% per year. The highest mortality rates were in the Inland Empire, San Diego-Imperial and North Coast regions, while the San Francisco Bay Area had the lowest.\u003c/p>\n\u003cp>Van Blarigan said the next step is to find out why rates vary geographically.\u003c/p>\n\u003cp>Scientists are studying advanced imaging technologies and biomarker tests that could help doctors determine a patient’s risk more accurately, reducing the need for one-size-fits-all screening approaches. Van Blarigan emphasized the importance of staying informed and proactive about personal health.\u003c/p>\n\u003cp>“It’s worth asking [your doctor] if a PSA test makes sense for you,” she said. “Then, based on your results, you and your doctor can decide the next steps.”\u003c/p>\n\u003cp>The Preventive Services Task Force is reviewing its prostate cancer screening guidelines again, with updates expected soon. In the meantime, California’s rising late-stage diagnoses are a wake-up call: Early detection still matters, and knowing your risks could save your life.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Researchers found that between 2011 and 2021, the number of men diagnosed with late-stage prostate cancer increased by 6.7% per year in California — significantly higher than the national rate of 4.5% per year over roughly the same period. The \u003ca href=\"https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2829547?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=012725\">study\u003c/a>, published last week in \u003cem>JAMA Network Open\u003c/em>, also found that after years of decline, prostate cancer mortality rates have stalled in much of the state.\u003c/p>\n\u003cp>Prostate cancer is the \u003ca href=\"https://www.cancer.org/cancer/risk-prevention/understanding-cancer-risk/cancer-facts/cancer-facts-for-men.html#:~:text=Prostate%20cancer%20is%20the%20most,as%20a%20man%20gets%20older.\">most common cancer among men in the U.S.\u003c/a> and a leading cause of cancer-related deaths. Some tumors grow so slowly that they never cause harm, while others spread quickly and require urgent treatment. The go-to screening method — the prostate-specific antigen (PSA) test — can’t always tell the difference, which has led to concerns about unnecessary procedures.\u003c/p>\n\u003cfigure id=\"attachment_11974804\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11974804\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth.jpg\" alt=\"The exterior shot of the UCSF Health building in San Francisco.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">The outside of UCSF Health in San Francisco. \u003ccite>(Smith Collection/Gado/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In 2012, the U.S. Preventive Services Task Force recommended stopping routine PSA screenings to prevent unnecessary surgeries and complications. However, in 2018, the panel adjusted its stance, advising men between 55 and 69 to talk with their doctors about screening options. Despite this, Van Blarigan said rates continue to rise.\u003c/p>\n\u003cp>“We absolutely need to screen — that’s the bottom line,” she said. “But we have to do it smarter.”\u003c/p>\n\u003cp>The UCSF study analyzed nearly 388,000 prostate cancer cases in California from 2004 to 2021. Researchers found that 7.2% of those cases were diagnosed at an advanced stage, where the five-year survival rate drops to just 37%. Over the same period, nearly 59,000 men in California died from the disease.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Central Coast saw the fastest increase in advanced cases, rising 9.1% per year, while the Southern San Joaquin Valley had the slowest rise at 2.3% per year. The highest mortality rates were in the Inland Empire, San Diego-Imperial and North Coast regions, while the San Francisco Bay Area had the lowest.\u003c/p>\n\u003cp>Van Blarigan said the next step is to find out why rates vary geographically.\u003c/p>\n\u003cp>Scientists are studying advanced imaging technologies and biomarker tests that could help doctors determine a patient’s risk more accurately, reducing the need for one-size-fits-all screening approaches. Van Blarigan emphasized the importance of staying informed and proactive about personal health.\u003c/p>\n\u003cp>“It’s worth asking [your doctor] if a PSA test makes sense for you,” she said. “Then, based on your results, you and your doctor can decide the next steps.”\u003c/p>\n\u003cp>The Preventive Services Task Force is reviewing its prostate cancer screening guidelines again, with updates expected soon. In the meantime, California’s rising late-stage diagnoses are a wake-up call: Early detection still matters, and knowing your risks could save your life.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Dr. Adil Daud, a \u003ca href=\"https://www.kqed.org/news/tag/cancer\">cancer\u003c/a> researcher, is scrambling to keep a critical clinical trial afloat.\u003c/p>\n\u003cp>His team is developing a treatment for mucosal melanoma, a rare and aggressive cancer. In December, they submitted a proposal to the Department of Defense to test a novel checkpoint inhibitor for patients who don’t respond to current immunotherapies.\u003c/p>\n\u003cp>“If I can’t secure alternative funding in the next few months, I don’t know if these patients will get a chance,” Daud said. “If you only have a few months to live, a pause in research could mean the difference between accessing a potentially life-saving trial and not having that option at all.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Daud and other researchers are caught in the crosshairs of a dizzying number of directives pouring out of the White House.\u003c/p>\n\u003cp>Since taking office, \u003ca href=\"https://www.kqed.org/news/tag/donald-trump\">President Donald Trump\u003c/a> has announced plans for the U.S. to withdraw from the World Health Organization, suspended public reports from the Centers for Disease Control and Prevention and abruptly halted grant review panels at the National Institutes of Health — all without explanation.\u003c/p>\n\u003cp>Then, on Monday night, the administration sent further shockwaves through federal agencies, issuing \u003ca href=\"https://static01.nyt.com/newsgraphics/documenttools/da3a3829590efbb7/b0c025ff-full.pdf\">a memo\u003c/a> that halted all federal financial assistance. The order was accompanied by a spreadsheet listing about \u003ca href=\"https://www.nytimes.com/interactive/2025/01/28/upshot/federal-programs-funding-trump-omb.html\">2,600 initiatives\u003c/a> now under review. A federal judge has temporarily paused the directive. By Wednesday morning, the administration \u003ca href=\"https://www.nytimes.com/live/2025/01/29/us/trump-federal-freeze-funding-news#nih-trials-research\">rescinded the freeze\u003c/a>, according to the \u003cem>New York Times\u003c/em>.\u003c/p>\n\u003cfigure id=\"attachment_12023747\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12023747\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/DonaldTrumpEOGetty.jpg\" alt=\"\" width=\"2000\" height=\"1302\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/DonaldTrumpEOGetty.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/DonaldTrumpEOGetty-800x521.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/DonaldTrumpEOGetty-1020x664.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/DonaldTrumpEOGetty-160x104.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/DonaldTrumpEOGetty-1536x1000.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/DonaldTrumpEOGetty-1920x1250.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">U.S. President Donald Trump signs an executive order in the Oval Office of the White House in Washington, D.C., on Jan. 20, 2025. \u003ccite>(Jim Watson/Pool/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The disruption coincides with this week’s Senate hearings evaluating Robert F. Kennedy Jr.’s nomination to lead the Department of Health and Human Services, which oversees the NIH.\u003c/p>\n\u003cp>Dr. Pamela Munster, a cancer researcher, said she has never seen anything like it.\u003c/p>\n\u003cp>“I’ve been here since 1992, through multiple presidents — Clinton, Bush, Obama. This is completely new territory,” she said. “Scientific meetings aren’t just paused, halted or delayed like this. Even during COVID, we found ways to continue virtually.”\u003c/p>\n\u003cp>At institutions such as UCSF, where NIH funding supports grants, the consequences could be devastating. In 2023 alone, UCSF received $789 million in NIH funding — more than any other public university in the nation, a distinction it has held for 17 consecutive years.\u003c/p>\n\u003cfigure id=\"attachment_12011885\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12011885 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed.jpg\" alt=\"\" width=\"2000\" height=\"1156\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-800x462.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-1020x590.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-160x92.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-1536x888.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-1920x1110.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">UCSF, the nation’s top public recipient of NIH funding for 17 years, received $789 million in 2023 — vital support that could face serious consequences if funding is cut. \u003ccite>(Thomas Hawk/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It’s almost like PTSD,” said Dr. Peter Chin-Hong, an infectious disease expert. “I’m really activated because it’s all so uncertain. I think it’s leading to confusion, a decrease in morale and chronic stress because you don’t know what’s coming.”\u003c/p>\n\u003cp>Securing NIH funding is grueling, even under normal circumstances. Researchers spend months crafting grant applications that can span hundreds of pages, undergoing rigorous reviews by numerous expert panels. The entire system depends on intricate scheduling and coordination.\u003c/p>\n\u003cp>“It’s not easy to just postpone them,” Munster said. “I’m not sure how we make up for these delays.”\u003c/p>\n\u003cp>Adding to the chaos, NIH staff were reportedly instructed to cease communication with external scientists, halt travel to scientific conferences and cancel meetings between researchers and NIH program officers.\u003c/p>\n\u003cp>The University of California is evaluating the deluge of orders issued by Trump and the subsequent agency guidance to understand their potential impact, according to a statement from the Office of the President.\u003c/p>\n\u003cp>For physician-scientists who split their time between treating patients and conducting research, the instability is particularly concerning. Munster said she and her colleagues translate discoveries from the lab into treatments for patients and bring insights from patient care back to the lab.\u003c/p>\n\u003cp>[aside postID=news_12024591 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/DonaldTrumpJanuary6PardonsGetty-1020x686.jpg']\u003c/p>\n\u003cp>“We’re somewhat of an endangered species already,” Munster explained. “I bring a lot of bedside-to-bench expertise. That will be lost if people like me don’t see academic medicine as a viable career path.”\u003c/p>\n\u003cp>Munster predicts more scientists will abandon academia for the private sector, where salaries are often significantly higher.\u003c/p>\n\u003cp>“We put our hearts and souls into medical research,” she said. “Don’t get me wrong — I make a decent salary as a physician-scientist. But I could make a lot more money if I went into industry.”\u003c/p>\n\u003cp>Kennedy has publicly stated his intent to fire and replace 600 of NIH’s 20,000 employees and shift half of the NIH budget toward “preventive, alternative and holistic approaches to health.” While experts agree lifestyle changes are important, they stress that exercise and nutrition won’t be enough for terminal cancer patients who need breakthrough treatments.\u003c/p>\n\u003cp>Dr. Elad Sharon, an oncologist at Harvard University, likens the current situation to a government shutdown.\u003c/p>\n\u003cp>“The reason why there is so much confusion in the scientific community is that there is no purported end date associated with this decision to stop some aspect of grant review and public communication,” he said.\u003c/p>\n\u003cp>While he acknowledges that a short pause may not immediately derail scientific progress, the broader implications of these disruptions raise serious concerns.\u003c/p>\n\u003cp>“Public health agencies like the NIH play a critical role not just in supporting researchers but in addressing the needs of vulnerable populations,” Sharon said. “Without federal support, many critical questions, especially those affecting individuals overlooked by commercial interests, simply won’t be answered.”\u003c/p>\n\u003cp>He said the more federal health agencies are restricted, the greater the impact on people’s lives.\u003c/p>\n\u003cp>“We serve the public regardless of political ideology,” Sharon said. “Cancer research shouldn’t be turned on and off based on politics.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Dr. Adil Daud, a \u003ca href=\"https://www.kqed.org/news/tag/cancer\">cancer\u003c/a> researcher, is scrambling to keep a critical clinical trial afloat.\u003c/p>\n\u003cp>His team is developing a treatment for mucosal melanoma, a rare and aggressive cancer. In December, they submitted a proposal to the Department of Defense to test a novel checkpoint inhibitor for patients who don’t respond to current immunotherapies.\u003c/p>\n\u003cp>“If I can’t secure alternative funding in the next few months, I don’t know if these patients will get a chance,” Daud said. “If you only have a few months to live, a pause in research could mean the difference between accessing a potentially life-saving trial and not having that option at all.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Daud and other researchers are caught in the crosshairs of a dizzying number of directives pouring out of the White House.\u003c/p>\n\u003cp>Since taking office, \u003ca href=\"https://www.kqed.org/news/tag/donald-trump\">President Donald Trump\u003c/a> has announced plans for the U.S. to withdraw from the World Health Organization, suspended public reports from the Centers for Disease Control and Prevention and abruptly halted grant review panels at the National Institutes of Health — all without explanation.\u003c/p>\n\u003cp>Then, on Monday night, the administration sent further shockwaves through federal agencies, issuing \u003ca href=\"https://static01.nyt.com/newsgraphics/documenttools/da3a3829590efbb7/b0c025ff-full.pdf\">a memo\u003c/a> that halted all federal financial assistance. The order was accompanied by a spreadsheet listing about \u003ca href=\"https://www.nytimes.com/interactive/2025/01/28/upshot/federal-programs-funding-trump-omb.html\">2,600 initiatives\u003c/a> now under review. A federal judge has temporarily paused the directive. By Wednesday morning, the administration \u003ca href=\"https://www.nytimes.com/live/2025/01/29/us/trump-federal-freeze-funding-news#nih-trials-research\">rescinded the freeze\u003c/a>, according to the \u003cem>New York Times\u003c/em>.\u003c/p>\n\u003cfigure id=\"attachment_12023747\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12023747\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/DonaldTrumpEOGetty.jpg\" alt=\"\" width=\"2000\" height=\"1302\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/DonaldTrumpEOGetty.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/DonaldTrumpEOGetty-800x521.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/DonaldTrumpEOGetty-1020x664.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/DonaldTrumpEOGetty-160x104.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/DonaldTrumpEOGetty-1536x1000.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/DonaldTrumpEOGetty-1920x1250.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">U.S. President Donald Trump signs an executive order in the Oval Office of the White House in Washington, D.C., on Jan. 20, 2025. \u003ccite>(Jim Watson/Pool/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The disruption coincides with this week’s Senate hearings evaluating Robert F. Kennedy Jr.’s nomination to lead the Department of Health and Human Services, which oversees the NIH.\u003c/p>\n\u003cp>Dr. Pamela Munster, a cancer researcher, said she has never seen anything like it.\u003c/p>\n\u003cp>“I’ve been here since 1992, through multiple presidents — Clinton, Bush, Obama. This is completely new territory,” she said. “Scientific meetings aren’t just paused, halted or delayed like this. Even during COVID, we found ways to continue virtually.”\u003c/p>\n\u003cp>At institutions such as UCSF, where NIH funding supports grants, the consequences could be devastating. In 2023 alone, UCSF received $789 million in NIH funding — more than any other public university in the nation, a distinction it has held for 17 consecutive years.\u003c/p>\n\u003cfigure id=\"attachment_12011885\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12011885 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed.jpg\" alt=\"\" width=\"2000\" height=\"1156\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-800x462.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-1020x590.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-160x92.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-1536x888.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-1920x1110.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">UCSF, the nation’s top public recipient of NIH funding for 17 years, received $789 million in 2023 — vital support that could face serious consequences if funding is cut. \u003ccite>(Thomas Hawk/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It’s almost like PTSD,” said Dr. Peter Chin-Hong, an infectious disease expert. “I’m really activated because it’s all so uncertain. I think it’s leading to confusion, a decrease in morale and chronic stress because you don’t know what’s coming.”\u003c/p>\n\u003cp>Securing NIH funding is grueling, even under normal circumstances. Researchers spend months crafting grant applications that can span hundreds of pages, undergoing rigorous reviews by numerous expert panels. The entire system depends on intricate scheduling and coordination.\u003c/p>\n\u003cp>“It’s not easy to just postpone them,” Munster said. “I’m not sure how we make up for these delays.”\u003c/p>\n\u003cp>Adding to the chaos, NIH staff were reportedly instructed to cease communication with external scientists, halt travel to scientific conferences and cancel meetings between researchers and NIH program officers.\u003c/p>\n\u003cp>The University of California is evaluating the deluge of orders issued by Trump and the subsequent agency guidance to understand their potential impact, according to a statement from the Office of the President.\u003c/p>\n\u003cp>For physician-scientists who split their time between treating patients and conducting research, the instability is particularly concerning. Munster said she and her colleagues translate discoveries from the lab into treatments for patients and bring insights from patient care back to the lab.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We’re somewhat of an endangered species already,” Munster explained. “I bring a lot of bedside-to-bench expertise. That will be lost if people like me don’t see academic medicine as a viable career path.”\u003c/p>\n\u003cp>Munster predicts more scientists will abandon academia for the private sector, where salaries are often significantly higher.\u003c/p>\n\u003cp>“We put our hearts and souls into medical research,” she said. “Don’t get me wrong — I make a decent salary as a physician-scientist. But I could make a lot more money if I went into industry.”\u003c/p>\n\u003cp>Kennedy has publicly stated his intent to fire and replace 600 of NIH’s 20,000 employees and shift half of the NIH budget toward “preventive, alternative and holistic approaches to health.” While experts agree lifestyle changes are important, they stress that exercise and nutrition won’t be enough for terminal cancer patients who need breakthrough treatments.\u003c/p>\n\u003cp>Dr. Elad Sharon, an oncologist at Harvard University, likens the current situation to a government shutdown.\u003c/p>\n\u003cp>“The reason why there is so much confusion in the scientific community is that there is no purported end date associated with this decision to stop some aspect of grant review and public communication,” he said.\u003c/p>\n\u003cp>While he acknowledges that a short pause may not immediately derail scientific progress, the broader implications of these disruptions raise serious concerns.\u003c/p>\n\u003cp>“Public health agencies like the NIH play a critical role not just in supporting researchers but in addressing the needs of vulnerable populations,” Sharon said. “Without federal support, many critical questions, especially those affecting individuals overlooked by commercial interests, simply won’t be answered.”\u003c/p>\n\u003cp>He said the more federal health agencies are restricted, the greater the impact on people’s lives.\u003c/p>\n\u003cp>“We serve the public regardless of political ideology,” Sharon said. “Cancer research shouldn’t be turned on and off based on politics.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "‘A Culture Shift Needs to Happen’: SF Report Offers Zurich-Style Approach to Drug Crisis",
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"content": "\u003cp>One outgoing supervisor is calling on the city to harmonize public health and law enforcement’s approach to the \u003ca href=\"https://www.kqed.org/news/tag/overdose-crisis\">overdose crisis\u003c/a>.\u003c/p>\n\u003cp>Although overdose deaths have dipped 20% to date this year compared to 2023, San Francisco continues to face an epidemic-level drug overdose crisis. Supervisor Dean Preston, who lost his reelection bid earlier this month, released a report on Tuesday that offers a blueprint for how San Francisco can emulate an approach used in Zurich, Switzerland – one of San Francisco’s sister cities that similarly struggled with an opioid crisis in the 1990s, but has since become an international model for overdose prevention and reducing drug-related crimes.\u003c/p>\n\u003cp>“This is making sure the Department of Public Health, the Police Department, homeless services and others at the table are actually pursuing a unified approach, and we do not have anything like that in San Francisco right now,” Preston told KQED. “My hope is that this is a top priority for not only the new mayor but for incoming supervisors also.”\u003c/p>\n\u003cp>After implementing a “Four Pillars Strategy” that unites prevention, treatment, harm reduction and law enforcement, overdose deaths in Zurich decreased by 50% from 1991 to 2010, according to Stanford Social Innovation Review, along with a 65% decrease in HIV infections, and 80% decrease in new heroin users.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>UCSF addiction expert Daniel Ciccarone has studied safe consumption sites in Zurich and around the globe. He said the report offers a “rational, clear-minded policy analysis that the city needs for this crisis.”\u003c/p>\n\u003cp>“The beauty of this report is it gives us an opportunity to look at evidence-based approaches and move the city forward,” he said. “There is no good ‘Plan B.’ Relying on police interventions is not sustainable, and bribing or threatening people into treatment does not work.”\u003c/p>\n\u003cp>Several differences could make implementation look different between San Francisco and Zurich, including that the Swiss city is about half the size of San Francisco, has a smaller homeless population, and has more medication-assisted treatment options legally available.\u003c/p>\n\u003cp>Inspired by the success in Zurich, Preston requested that the city’s Budget and Legislative Analyst office produce the report on how San Francisco might replicate that success.\u003c/p>\n\u003cfigure id=\"attachment_11997838\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11997838\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Supervisor Dean Preston speaks to a local resident at a bus stop at McAllister and Divisadero in San Francisco on June 13, 2024, while campaigning for reelection to the Board of Supervisors District 5. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Do we need to do exactly everything that Zurich has done? No. But the defining feature of their Four Pillars approach is that all of these relevant departments are working on each pillar,” he said. “They don’t just work to put Band-Aids on a situation or reactive crisis response. They actually have both a short and long-term plan for success, and that’s what this city has really been lacking.”\u003c/p>\n\u003cp>At the top of the report’s recommendations is a call for all departments working on overdose issues to coordinate – a seemingly simple task but one that the city has struggled to achieve throughout the current overdose crisis. For example, when the city opened up a temporary overdose prevention center in 2022, police fined some drug users for carrying publicly-funded harm reduction supplies that were provided at the site.\u003c/p>\n\u003cp>Mayor-elect Daniel Lurie plans to initiate a state of emergency for the fentanyl crisis when he takes office in January, which Preston said could be an opportunity to implement the report’s recommendations.\u003c/p>\n\u003cp>However, it’s unclear exactly what the incoming mayor will do with the emergency powers. Lurie ran on a platform of increasing drug treatment availability, improving behavioral health interventions and creating more supportive housing, as well as using ankle monitors on first-time drug dealers.\u003c/p>\n\u003cp>“I am in the process of setting up a meeting with Mayor-elect Lurie to go over this,” Preston said. “A culture shift needs to happen, but it’s all doable. And one of the problems right now is we just are not pursuing a unified approach to solve this crisis.”\u003c/p>\n\u003cfigure id=\"attachment_11909488\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11909488\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">People wait in line to get into the Tenderloin Linkage Center in San Francisco on Feb. 8, 2022. \u003ccite>(Beth LaBerge)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Lurie wouldn’t be the first to declare a state of emergency, which allows the city to bypass certain bureaucratic steps to release and direct urgently needed resources. In December 2021, Mayor London Breed declared an emergency in the Tenderloin, a neighborhood with the highest rate of overdose deaths in the city. It allowed Breed to call in federal law enforcement agencies to help slow the flow of fentanyl into the city and arrest drug dealers.\u003c/p>\n\u003cp>During her emergency order, the city temporarily opened up a safe consumption site in 2022, called the Tenderloin Center, a medically supervised space where drug users could get off the street and get free meals, showers and other basic necessities. More than 300 people visited the center daily, and health professionals reversed 100% of overdoses that occurred on-site.\u003c/p>\n\u003cp>The safe consumption site was intended to be temporary, and the city closed it after about 10 months following public criticism and scrutiny from local businesses who complained about long lines outside extending into United Nations Plaza.\u003c/p>\n\u003cp>That same year, San Francisco released an Overdose Prevention Plan that called for opening up replacement centers in more dispersed wellness hubs around the city. However, today, efforts to open such centers remain at a standstill and political willpower to make them happen has waned in anticipation of President Donald Trump’s second term.\u003c/p>\n\u003cp>[aside postID=news_12000161 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/021_SanFrancisco_StFrancisER_08262021_qed-1020x680.jpg']\u003c/p>\n\u003cp>The Budget and Legislative Analyst’s report also recommends that the city open up safe consumption sites and coordinate with law enforcement to help people move safely indoors and reduce drug use in public spaces.\u003c/p>\n\u003cp>Meanwhile, the report also calls for expanding medication-assisted treatment, like buprenorphine, which helps curb cravings and withdrawal symptoms for people struggling with opioid addiction. The city has increased access to this type of therapy by reducing barriers, such as providing medication treatment on demand to residents in permanent supportive housing and expanding the city’s behavioral health pharmacy hours.\u003c/p>\n\u003cp>“We’re starting to see more people accept treatment, whether it’s abstinence-based, buprenorphine or methadone,” Mayor London Breed told reporters at a Monday press conference about the city’s overdose response. “The people are out there doing the work and making sure that folks know it’s not a one-size-fits-all.”\u003c/p>\n\u003cp>According to the report, about 75% of Zurich residents with opioid addiction take medication for opioid use disorder. But in San Francisco, only about 25% of people struggling with opioid use disorder are connected to medication-assisted treatments, according to the BLA report.\u003c/p>\n\u003cp>That’s partly because many people struggling with opioid addiction may not know that the treatment options exist, said San Francisco resident Juliana Gurrola Nuño, who is now part of the city’s public health campaign \u003ca class=\"c-link\" href=\"https://www.kqed.org/news/12014134/sf-launches-media-campaign-to-promote-addiction-treatment-and-recovery-services\" target=\"_blank\" rel=\"noopener noreferrer\" data-stringify-link=\"https://www.kqed.org/news/12014134/sf-launches-media-campaign-to-promote-addiction-treatment-and-recovery-services\" data-sk=\"tooltip_parent\">promoting available drug treatment and stories of San Franciscans\u003c/a> who benefitted from recovery services.\u003c/p>\n\u003cp>“There are services available to help you start your recovery journey, even if it’s just taking the first small step. But not every person struggling with addiction knows about these resources,” she told reporters at the news conference. “I know that when I was in my addiction, I had no idea of any of these services. I want to change that.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>One outgoing supervisor is calling on the city to harmonize public health and law enforcement’s approach to the \u003ca href=\"https://www.kqed.org/news/tag/overdose-crisis\">overdose crisis\u003c/a>.\u003c/p>\n\u003cp>Although overdose deaths have dipped 20% to date this year compared to 2023, San Francisco continues to face an epidemic-level drug overdose crisis. Supervisor Dean Preston, who lost his reelection bid earlier this month, released a report on Tuesday that offers a blueprint for how San Francisco can emulate an approach used in Zurich, Switzerland – one of San Francisco’s sister cities that similarly struggled with an opioid crisis in the 1990s, but has since become an international model for overdose prevention and reducing drug-related crimes.\u003c/p>\n\u003cp>“This is making sure the Department of Public Health, the Police Department, homeless services and others at the table are actually pursuing a unified approach, and we do not have anything like that in San Francisco right now,” Preston told KQED. “My hope is that this is a top priority for not only the new mayor but for incoming supervisors also.”\u003c/p>\n\u003cp>After implementing a “Four Pillars Strategy” that unites prevention, treatment, harm reduction and law enforcement, overdose deaths in Zurich decreased by 50% from 1991 to 2010, according to Stanford Social Innovation Review, along with a 65% decrease in HIV infections, and 80% decrease in new heroin users.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>UCSF addiction expert Daniel Ciccarone has studied safe consumption sites in Zurich and around the globe. He said the report offers a “rational, clear-minded policy analysis that the city needs for this crisis.”\u003c/p>\n\u003cp>“The beauty of this report is it gives us an opportunity to look at evidence-based approaches and move the city forward,” he said. “There is no good ‘Plan B.’ Relying on police interventions is not sustainable, and bribing or threatening people into treatment does not work.”\u003c/p>\n\u003cp>Several differences could make implementation look different between San Francisco and Zurich, including that the Swiss city is about half the size of San Francisco, has a smaller homeless population, and has more medication-assisted treatment options legally available.\u003c/p>\n\u003cp>Inspired by the success in Zurich, Preston requested that the city’s Budget and Legislative Analyst office produce the report on how San Francisco might replicate that success.\u003c/p>\n\u003cfigure id=\"attachment_11997838\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11997838\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/240613-DeanPreston-02-BL_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Supervisor Dean Preston speaks to a local resident at a bus stop at McAllister and Divisadero in San Francisco on June 13, 2024, while campaigning for reelection to the Board of Supervisors District 5. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Do we need to do exactly everything that Zurich has done? No. But the defining feature of their Four Pillars approach is that all of these relevant departments are working on each pillar,” he said. “They don’t just work to put Band-Aids on a situation or reactive crisis response. They actually have both a short and long-term plan for success, and that’s what this city has really been lacking.”\u003c/p>\n\u003cp>At the top of the report’s recommendations is a call for all departments working on overdose issues to coordinate – a seemingly simple task but one that the city has struggled to achieve throughout the current overdose crisis. For example, when the city opened up a temporary overdose prevention center in 2022, police fined some drug users for carrying publicly-funded harm reduction supplies that were provided at the site.\u003c/p>\n\u003cp>Mayor-elect Daniel Lurie plans to initiate a state of emergency for the fentanyl crisis when he takes office in January, which Preston said could be an opportunity to implement the report’s recommendations.\u003c/p>\n\u003cp>However, it’s unclear exactly what the incoming mayor will do with the emergency powers. Lurie ran on a platform of increasing drug treatment availability, improving behavioral health interventions and creating more supportive housing, as well as using ankle monitors on first-time drug dealers.\u003c/p>\n\u003cp>“I am in the process of setting up a meeting with Mayor-elect Lurie to go over this,” Preston said. “A culture shift needs to happen, but it’s all doable. And one of the problems right now is we just are not pursuing a unified approach to solve this crisis.”\u003c/p>\n\u003cfigure id=\"attachment_11909488\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11909488\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">People wait in line to get into the Tenderloin Linkage Center in San Francisco on Feb. 8, 2022. \u003ccite>(Beth LaBerge)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Lurie wouldn’t be the first to declare a state of emergency, which allows the city to bypass certain bureaucratic steps to release and direct urgently needed resources. In December 2021, Mayor London Breed declared an emergency in the Tenderloin, a neighborhood with the highest rate of overdose deaths in the city. It allowed Breed to call in federal law enforcement agencies to help slow the flow of fentanyl into the city and arrest drug dealers.\u003c/p>\n\u003cp>During her emergency order, the city temporarily opened up a safe consumption site in 2022, called the Tenderloin Center, a medically supervised space where drug users could get off the street and get free meals, showers and other basic necessities. More than 300 people visited the center daily, and health professionals reversed 100% of overdoses that occurred on-site.\u003c/p>\n\u003cp>The safe consumption site was intended to be temporary, and the city closed it after about 10 months following public criticism and scrutiny from local businesses who complained about long lines outside extending into United Nations Plaza.\u003c/p>\n\u003cp>That same year, San Francisco released an Overdose Prevention Plan that called for opening up replacement centers in more dispersed wellness hubs around the city. However, today, efforts to open such centers remain at a standstill and political willpower to make them happen has waned in anticipation of President Donald Trump’s second term.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Budget and Legislative Analyst’s report also recommends that the city open up safe consumption sites and coordinate with law enforcement to help people move safely indoors and reduce drug use in public spaces.\u003c/p>\n\u003cp>Meanwhile, the report also calls for expanding medication-assisted treatment, like buprenorphine, which helps curb cravings and withdrawal symptoms for people struggling with opioid addiction. The city has increased access to this type of therapy by reducing barriers, such as providing medication treatment on demand to residents in permanent supportive housing and expanding the city’s behavioral health pharmacy hours.\u003c/p>\n\u003cp>“We’re starting to see more people accept treatment, whether it’s abstinence-based, buprenorphine or methadone,” Mayor London Breed told reporters at a Monday press conference about the city’s overdose response. “The people are out there doing the work and making sure that folks know it’s not a one-size-fits-all.”\u003c/p>\n\u003cp>According to the report, about 75% of Zurich residents with opioid addiction take medication for opioid use disorder. But in San Francisco, only about 25% of people struggling with opioid use disorder are connected to medication-assisted treatments, according to the BLA report.\u003c/p>\n\u003cp>That’s partly because many people struggling with opioid addiction may not know that the treatment options exist, said San Francisco resident Juliana Gurrola Nuño, who is now part of the city’s public health campaign \u003ca class=\"c-link\" href=\"https://www.kqed.org/news/12014134/sf-launches-media-campaign-to-promote-addiction-treatment-and-recovery-services\" target=\"_blank\" rel=\"noopener noreferrer\" data-stringify-link=\"https://www.kqed.org/news/12014134/sf-launches-media-campaign-to-promote-addiction-treatment-and-recovery-services\" data-sk=\"tooltip_parent\">promoting available drug treatment and stories of San Franciscans\u003c/a> who benefitted from recovery services.\u003c/p>\n\u003cp>“There are services available to help you start your recovery journey, even if it’s just taking the first small step. But not every person struggling with addiction knows about these resources,” she told reporters at the news conference. “I know that when I was in my addiction, I had no idea of any of these services. I want to change that.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Shawn Singh said he feels angry that the \u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> hospital emergency room where he works is so understaffed that patients often wait too long to get a bed.\u003c/p>\n\u003cp>The UC San Francisco nurse case manager said he often assesses adults facing heart problems, kidney failure, septic shock and other life-threatening conditions as they lie on gurneys or sit in crowded hallways, denied the dignity of a private space.\u003c/p>\n\u003cp>“They’re in their most vulnerable moments with people walking by them in a hallway — in a public hall receiving care while they wait for a bed upstairs — because there is just not enough staff to be able to plan discharges for patients and make rooms available,” Singh, a 34-year-old San Jose native, said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In the five years Singh has worked at UCSF, he said hiring and retention problems have worsened, squeezing overworked employees and delaying patient care. The university has largely ignored pleas to improve working conditions, including during current labor contract negotiations that started in June, Singh added.\u003c/p>\n\u003cp>He’s ready to strike as a last resort.\u003c/p>\n\u003cp>“I’m there to fight for my patients,” he said. “The university is not bargaining with us in good faith. They’re not going to the table with the sense of urgency that we want them to have to be able to hire more staff, retain staff.”\u003c/p>\n\u003cp>More than 4,000 health care, research and technical workers at UCSF authorized their union to call a strike over what they say is the university’s failure to bargain in good faith about short staffing and other top concerns. The members’ vote, which concluded Wednesday, passed with 98% support, according to the University Professional and Technical Employees Local 9119, which represents more than 19,000 physician assistants, optometrists, clinical lab scientists and other UC employees statewide.\u003c/p>\n\u003cp>The threat of a walkout at UCSF comes as 37,000 UC service and patient care workers with a separate union, the American Federation of State, County and Municipal Employees Local 3299, are also preparing for a potential statewide walkout. That strike authorization vote passed with 99% support, AFSCME said Thursday.\u003c/p>\n\u003cp>Both unions filed unfair labor practice charges with the California Public Employment Relations Board this month, alleging that the university has refused to provide essential job vacancy and financial data needed to assess the extent of staffing crisis and develop solutions in ongoing contract negotiations.\u003c/p>\n\u003cp>The charges maintain that the state’s \u003ca href=\"https://ucnet.universityofcalifornia.edu/employee-news/more-wins-for-uc-employees-in-2024/\">third-largest employer\u003c/a> has also acted illegally by announcing it intends to significantly increase employee health care costs, as outlined in an email to staffers, without negotiating over the changes. Health care workers said the move will exacerbate recruitment and retention issues.\u003c/p>\n\u003cfigure id=\"attachment_12011885\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12011885\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed.jpg\" alt=\"\" width=\"2000\" height=\"1156\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-800x462.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-1020x590.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-160x92.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-1536x888.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-1920x1110.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The threat of a walkout at UCSF grew this week as two unions voted to authorize strikes.\u003c/figcaption>\u003c/figure>\n\u003cp>About 36% of UCSF employees said they felt burned out always or very often on the job, higher than the national health care average of 29%, according to a university staff survey last year. Patients spend an hour longer on average at the UCSF Medical Center emergency department where Singh works, compared to wait times at other large hospitals in the state and nationwide, according to \u003ca href=\"https://www.medicare.gov/care-compare/details/hospital/050454/view-all?city=San%20Francisco&state=CA&zipcode=\">Medicare.gov figures\u003c/a>.\u003c/p>\n\u003cp>Heather Hansen, a spokesperson for UC’s Office of the President, said the strike authorization votes by UPTE and AFSCME were disheartening but not surprising.\u003c/p>\n\u003cp>“It seems that no matter what we presented at the table, UPTE’s move towards a strike was a foregone conclusion,” Hansen said in a statement. “We are disappointed and hope UPTE can reconsider its position and continue earnestly bargaining towards a mutually beneficial agreement.”\u003c/p>\n\u003cp>She added that the university’s teams will keep bargaining across the system on proposals that include \u003ca href=\"https://ucnet.universityofcalifornia.edu/resources/employment-policies-contracts/negotiation-updates/upte-news/\">salary raises\u003c/a> for UPTE members of 5% in 2025, 3% in 2026 and 3% in 2027. UC has also offered to increase pay for AFSCME workers by 26% over a five-year contract, according to Hansen.\u003c/p>\n\u003cp>She said the university is working to produce information on vacancy rate and other data “on a rolling basis.” Hansen added that health insurance contribution rates for UPTE-represented employees are under negotiation, with UC \u003ca href=\"https://ucnet.universityofcalifornia.edu/labor-news/upte-oct-3-4/\">offering credits\u003c/a> to help offset these costs, though the union considers them insufficient.\u003c/p>\n\u003cp>“Bad faith has a clear and legal definition under the Higher Education Employer-Employee Relations Act, and we look forward to the Public Employment Relations Board reviewing and determining the merits of the charge,” Hansen said.\u003c/p>\n\u003cp>UC’s response to those charges is due Nov. 27, after the university requested and received an extension, according to Felix De La Torre, general counsel with the California Public Employment Relations Board. If an agency attorney finds enough evidence of an unfair practice by UC, the agency would issue a \u003ca href=\"https://perb.ca.gov/how-to-file-an-unfair-practice-charge/\">complaint\u003c/a> and move the case to a settlement conference.\u003c/p>\n\u003cp>[aside postID=news_12007779 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-04-KQED.jpg']\u003c/p>\n\u003cp>Nationwide, short staffing is a common concern for hospital employees due to burnout and turnover, as many employers are generally opposed to investing more in their workforce because of the costs, according to Rebecca Givan, an associate professor of labor studies at Rutgers University.\u003c/p>\n\u003cp>“If they can get away with lower staffing levels, they can increase their revenue,” Givans, who has followed the health care industry for 25 years, said. “And so they would prefer to do that.”\u003c/p>\n\u003cp>The health care industry is very competitive and employers — even those in public and nonprofit institutions — are focused on revenue and minimizing costs. Employers tend to make investments they believe will help them compete for patients, Givans said.\u003c/p>\n\u003cp>“They have to be in that sort of arms race to have flashier buildings and more amenities and better branding and advertising campaigns — and all of those things which aren’t really directly related to patient care,” Givans said. “But that’s the health care economy that we’re in.”\u003c/p>\n\u003cp>Liz Perlman, executive director at AFSCME Local 3299, said UC is prioritizing raises for top executives and \u003ca href=\"https://www.latimes.com/california/story/2024-09-20/uc-chancellors-get-big-raises#:~:text=University%20of%20California%20chancellors%20will,did%20not%20receive%20salary%20adjustments.\">chancellors\u003c/a> and the construction of new hospitals in San Francisco, Oakland, Sacramento, and elsewhere while keeping facilities dangerously understaffed and paying too little to many frontline staffers.\u003c/p>\n\u003cp>“Ultimately, we want more care. We want to provide more services,” Perlman said. “But the problem is, if you build buildings but you don’t take care of the people who work inside them, frankly, the buildings are worthless.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Shawn Singh said he feels angry that the \u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> hospital emergency room where he works is so understaffed that patients often wait too long to get a bed.\u003c/p>\n\u003cp>The UC San Francisco nurse case manager said he often assesses adults facing heart problems, kidney failure, septic shock and other life-threatening conditions as they lie on gurneys or sit in crowded hallways, denied the dignity of a private space.\u003c/p>\n\u003cp>“They’re in their most vulnerable moments with people walking by them in a hallway — in a public hall receiving care while they wait for a bed upstairs — because there is just not enough staff to be able to plan discharges for patients and make rooms available,” Singh, a 34-year-old San Jose native, said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In the five years Singh has worked at UCSF, he said hiring and retention problems have worsened, squeezing overworked employees and delaying patient care. The university has largely ignored pleas to improve working conditions, including during current labor contract negotiations that started in June, Singh added.\u003c/p>\n\u003cp>He’s ready to strike as a last resort.\u003c/p>\n\u003cp>“I’m there to fight for my patients,” he said. “The university is not bargaining with us in good faith. They’re not going to the table with the sense of urgency that we want them to have to be able to hire more staff, retain staff.”\u003c/p>\n\u003cp>More than 4,000 health care, research and technical workers at UCSF authorized their union to call a strike over what they say is the university’s failure to bargain in good faith about short staffing and other top concerns. The members’ vote, which concluded Wednesday, passed with 98% support, according to the University Professional and Technical Employees Local 9119, which represents more than 19,000 physician assistants, optometrists, clinical lab scientists and other UC employees statewide.\u003c/p>\n\u003cp>The threat of a walkout at UCSF comes as 37,000 UC service and patient care workers with a separate union, the American Federation of State, County and Municipal Employees Local 3299, are also preparing for a potential statewide walkout. That strike authorization vote passed with 99% support, AFSCME said Thursday.\u003c/p>\n\u003cp>Both unions filed unfair labor practice charges with the California Public Employment Relations Board this month, alleging that the university has refused to provide essential job vacancy and financial data needed to assess the extent of staffing crisis and develop solutions in ongoing contract negotiations.\u003c/p>\n\u003cp>The charges maintain that the state’s \u003ca href=\"https://ucnet.universityofcalifornia.edu/employee-news/more-wins-for-uc-employees-in-2024/\">third-largest employer\u003c/a> has also acted illegally by announcing it intends to significantly increase employee health care costs, as outlined in an email to staffers, without negotiating over the changes. Health care workers said the move will exacerbate recruitment and retention issues.\u003c/p>\n\u003cfigure id=\"attachment_12011885\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12011885\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed.jpg\" alt=\"\" width=\"2000\" height=\"1156\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-800x462.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-1020x590.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-160x92.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-1536x888.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-1920x1110.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The threat of a walkout at UCSF grew this week as two unions voted to authorize strikes.\u003c/figcaption>\u003c/figure>\n\u003cp>About 36% of UCSF employees said they felt burned out always or very often on the job, higher than the national health care average of 29%, according to a university staff survey last year. Patients spend an hour longer on average at the UCSF Medical Center emergency department where Singh works, compared to wait times at other large hospitals in the state and nationwide, according to \u003ca href=\"https://www.medicare.gov/care-compare/details/hospital/050454/view-all?city=San%20Francisco&state=CA&zipcode=\">Medicare.gov figures\u003c/a>.\u003c/p>\n\u003cp>Heather Hansen, a spokesperson for UC’s Office of the President, said the strike authorization votes by UPTE and AFSCME were disheartening but not surprising.\u003c/p>\n\u003cp>“It seems that no matter what we presented at the table, UPTE’s move towards a strike was a foregone conclusion,” Hansen said in a statement. “We are disappointed and hope UPTE can reconsider its position and continue earnestly bargaining towards a mutually beneficial agreement.”\u003c/p>\n\u003cp>She added that the university’s teams will keep bargaining across the system on proposals that include \u003ca href=\"https://ucnet.universityofcalifornia.edu/resources/employment-policies-contracts/negotiation-updates/upte-news/\">salary raises\u003c/a> for UPTE members of 5% in 2025, 3% in 2026 and 3% in 2027. UC has also offered to increase pay for AFSCME workers by 26% over a five-year contract, according to Hansen.\u003c/p>\n\u003cp>She said the university is working to produce information on vacancy rate and other data “on a rolling basis.” Hansen added that health insurance contribution rates for UPTE-represented employees are under negotiation, with UC \u003ca href=\"https://ucnet.universityofcalifornia.edu/labor-news/upte-oct-3-4/\">offering credits\u003c/a> to help offset these costs, though the union considers them insufficient.\u003c/p>\n\u003cp>“Bad faith has a clear and legal definition under the Higher Education Employer-Employee Relations Act, and we look forward to the Public Employment Relations Board reviewing and determining the merits of the charge,” Hansen said.\u003c/p>\n\u003cp>UC’s response to those charges is due Nov. 27, after the university requested and received an extension, according to Felix De La Torre, general counsel with the California Public Employment Relations Board. 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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Nationwide, short staffing is a common concern for hospital employees due to burnout and turnover, as many employers are generally opposed to investing more in their workforce because of the costs, according to Rebecca Givan, an associate professor of labor studies at Rutgers University.\u003c/p>\n\u003cp>“If they can get away with lower staffing levels, they can increase their revenue,” Givans, who has followed the health care industry for 25 years, said. “And so they would prefer to do that.”\u003c/p>\n\u003cp>The health care industry is very competitive and employers — even those in public and nonprofit institutions — are focused on revenue and minimizing costs. Employers tend to make investments they believe will help them compete for patients, Givans said.\u003c/p>\n\u003cp>“They have to be in that sort of arms race to have flashier buildings and more amenities and better branding and advertising campaigns — and all of those things which aren’t really directly related to patient care,” Givans said. “But that’s the health care economy that we’re in.”\u003c/p>\n\u003cp>Liz Perlman, executive director at AFSCME Local 3299, said UC is prioritizing raises for top executives and \u003ca href=\"https://www.latimes.com/california/story/2024-09-20/uc-chancellors-get-big-raises#:~:text=University%20of%20California%20chancellors%20will,did%20not%20receive%20salary%20adjustments.\">chancellors\u003c/a> and the construction of new hospitals in San Francisco, Oakland, Sacramento, and elsewhere while keeping facilities dangerously understaffed and paying too little to many frontline staffers.\u003c/p>\n\u003cp>“Ultimately, we want more care. We want to provide more services,” Perlman said. “But the problem is, if you build buildings but you don’t take care of the people who work inside them, frankly, the buildings are worthless.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cem>Updated 1:30 p.m. Monday, Oct. 28\u003c/em>\u003c/p>\n\u003cp>Fairuz Qari still feels the shock of what she heard on Tuesday morning.\u003c/p>\n\u003cp>“Screaming people,” said Qari, the owner of Tabroun, a Palestinian restaurant on the picturesque corner where \u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a>’s Cole Valley meets Parnassus Heights.\u003c/p>\n\u003cp>Qari followed the sounds outside to a gruesome scene. Across the street, a dump truck making a right turn from Stanyan Street had struck a 70-year-old man crossing Parnassus Avenue. First responders pronounced the man dead and covered his body with a tarp.\u003c/p>\n\u003cp>“I wish I could unsee this,” she told KQED the day after the collision. “Because until now, my body is very sad.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The crash marked the city’s 20th \u003ca href=\"https://www.kqed.org/news/11981195/in-wake-of-deadly-west-portal-collision-breed-announces-initiatives-to-improve-traffic-safety\">pedestrian fatality\u003c/a> this year and was followed days later by the 21st, when a man was killed Friday morning \toutside a hospital on Geary Boulevard near Divisadero Street. They come at the end of a decade-long initiative to eliminate traffic deaths by 2024, a grim reminder that San Francisco is about as far as it’s ever been from its \u003ca href=\"https://www.kqed.org/news/11958918/advocates-rally-at-fatal-crash-site-in-soma-demand-safety-changes\">Vision Zero goal\u003c/a>.\u003c/p>\n\u003cp>“Twenty is too many,” said Jodie Medeiros, executive director of advocacy group Walk SF. “We always say that we can’t imagine what San Francisco would be like if we didn’t adopt Vision Zero. But things just haven’t gone far enough.”\u003c/p>\n\u003cfigure id=\"attachment_12011142\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12011142 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-06-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-06-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-06-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-06-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-06-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-06-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-06-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A dump truck is filled at the construction site at UCSF on Oct. 25, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Pedestrians now make up 70% of the city’s traffic fatalities this year — up 5 percentage points from the average. According to city data, 2024 is the deadliest year for pedestrians since 2014, when 21 were killed. And since the pandemic, small streets — like the intersection of Stanyan and Parnassus — are becoming more dangerous.\u003c/p>\n\u003cp>“We have seen such a shift in where crashes are happening,” said Marta Lindsay, a spokesperson for Walk SF. “And to me, it’s really scary because now every street is becoming high risk. It’s because of this deadly combination of aggressive driving, speeding, larger, heavier vehicles and more traffic. It’s turned little streets into ones where someone could die tomorrow.”\u003c/p>\n\u003cp>Those problems are especially concerning in the area of this week’s deadly crash on Parnassus, where neighbors said large trucks often drive through the hilly, residential streets on their way to and from a construction site at UC San Francisco.\u003c/p>\n\u003cp>A construction worker who asked not to be named confirmed that the dump truck involved in the crash was contracted to remove dirt from the ongoing hospital project site at Parnassus and Hill Point Avenue. The truck was identified by \u003ca href=\"https://www.ktvu.com/news/pedestrian-dies-san-francisco-near-ucsf\">KTVU \u003c/a>footage as operated by Lally Trucking Inc., which is based in Modesto. While the phone line at Lally appeared to be disconnected, safety reports published on the company’s website show zero involvement in past reportable crashes.\u003c/p>\n\u003cfigure id=\"attachment_12011139\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12011139\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-03-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-03-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-03-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-03-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-03-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-03-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-03-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Ilya Kaltman looks at the memorial at the intersection of Stanyan Street and Parnassus Avenue. “I’m 71 years old, and it could have been me,” Kaltman said. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The truck’s driver remained on the scene and did not appear to be under the influence, police said in a statement. The medical examiner’s office identified the victim as Jose Chow, 70, of San Francisco.\u003c/p>\n\u003cp>On Wednesday morning, Lydia Byers and her husband, Neil, paused at a memorial on the street corner where Chow was killed. Walk SF and community members held a vigil the night of the crash and left yellow paper hearts, marigolds and a handwritten sign that read: “A driver killed our neighbor here, Oct. 22, 2024.”\u003c/p>\n\u003cp>Across the street, at Sunny Country market, bright sunflower bouquets bloomed out of barrels, with more flowers displayed in rows in front of the store’s tall windows. Bunches of woven baskets hung for sale under the market’s burgundy awning. As trucks and other large construction vehicles rumbled by, the couple looked both ways at the crosswalk and tried to understand how the crash could have happened.\u003c/p>\n\u003cp>“This is our neighborhood,” said Byers, who said she has lived in the area much of her life. “This is my intersection that I frequent. It’s really scary that your life could be gone in a flash due to someone making a turn and not paying attention.”\u003c/p>\n\u003cfigure id=\"attachment_12011141\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12011141\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-05-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-05-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-05-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-05-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-05-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-05-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-05-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Pedestrians cross the street in front of construction at UCSF on Oct. 25, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Just cut out right turns,” her husband added. “What’s a couple of seconds?”\u003c/p>\n\u003cp>Erica Kato, a spokesperson for the San Francisco Municipal Transportation Agency, said in an email that the intersection has “painted daylighting” in the direction the truck was driving. Daylighting uses markers or red paint to prevent cars from parking near crosswalks to make sure drivers’ views of pedestrians are not obstructed.\u003c/p>\n\u003cp>However, on Wednesday, a red SUV was parked at the top of the steep hill approaching Parnassus, next to the red curb.\u003c/p>\n\u003cp>Although the intersection has not had a pedestrian collision in the last 10 years, Medeiros said neighbors described plenty of close calls, as well as a lack of pedestrian signals at the crosswalk. Both the driver and the victim had a green light.\u003c/p>\n\u003cp>“We need something,” Qari said. “In the morning, this is a very busy area. We have two schools [nearby — Haight Ashbury Cooperative and Grattan Elementary —] and a lot of kids. Traffic drives very fast, and you see a lot of trucks at the corner. We have to do something and put an extra light up to slow down the traffic.”\u003c/p>\n\u003cp>Kato said the MTA is conducting a “rapid response review” of the deadly crash to evaluate the existing site and make recommendations for improvements. The location is on a list for future pedestrian signal upgrades.\u003c/p>\n\u003cp>[aside postID=news_12008419 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/GettyImages-1280030498-1020x680.jpg']\u003c/p>\n\u003cp>Supervisor Rafael Mandelman, who represents Cole Valley, visited the vigil and promised improvements to the city’s roads.\u003c/p>\n\u003cp>“My office has been in touch with SFPD, the MTA, UCSF and concerned neighbors since yesterday morning,” Mandelman \u003ca href=\"https://x.com/RafaelMandelman/status/1849240420926329144\">posted\u003c/a> Wednesday on social media platform X, “and we will continue working with stakeholders both to understand what could have been done to avoid this particular tragedy and to prevent future crashes and deaths at this intersection and elsewhere.”\u003c/p>\n\u003cp>Still, improvements at the intersection would add it to a long list of streets where it took a tragedy to spur change. Transportation advocates have long argued for a more proactive approach to making streets safer for all.\u003c/p>\n\u003cp>Since San Francisco \u003ca href=\"https://www.kqed.org/news/10413631/san-francisco-fire-department-signs-on-to-vision-zero-pedestrian-safety-plan\">committed to Vision Zero\u003c/a> in 2014, advocates say the city has made considerable improvements to public safety, especially in the city’s “high-injury network,” or the 12% of streets where more than two-thirds of its traffic collisions occur.\u003c/p>\n\u003cp>But in that time, 326 people have been killed by traffic violence on San Francisco streets, according to the Department of Public Health. That equates to a traffic-related fatality, which includes cyclists and motorcyclists, every 12.11 days.\u003c/p>\n\u003cfigure id=\"attachment_12011296\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12011296\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-01-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-01-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-01-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-01-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-01-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-01-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-01-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Pedestrians wait to cross the intersection at Stanyan Street and Parnassus Avenue on Oct. 25, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In San Francisco, where speeding drivers are one of the leading causes of pedestrian deaths, city officials are working to \u003ca href=\"https://www.kqed.org/news/11976252/as-traffic-fatalities-rise-more-cities-and-states-consider-automated-speed-cameras\">install speed cameras\u003c/a> in areas with the highest crash rates as part of a statewide pilot program \u003ca href=\"https://www.kqed.org/news/11956244/controversial-speeding-ticket-cameras-could-come-to-3-bay-area-cities-under-proposed-california-bill\">funded by Assembly Bill 645\u003c/a>. Starting next year, drivers will be ticketed for going 11 mph or more over the speed limit in 25 mph zones, according to the MTA.\u003c/p>\n\u003cp>Proponents have said cities like New York have already embraced speed safety cameras with dramatic success. They say detection systems shift behavior and can reduce the number of severe and fatal crashes by as much as 58%.\u003c/p>\n\u003cp>However, advocates say it will take more funding and urgency from city officials to truly end traffic fatalities.\u003c/p>\n\u003cp>“We’re in an election year right now,” Medeiros said. “Our decision-makers need to talk about it as the crisis it is.”\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/gzada\">\u003cem>Gilare Zada\u003c/em>\u003c/a>\u003cem> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Ten years ago, San Francisco committed to eliminating traffic deaths by 2024. After the year's 20th and 21st pedestrian deaths came this week, advocates demand safer streets.",
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"title": "Another Tragic SF Pedestrian Death Raises the Question: Is Vision Zero a Failure? | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 1:30 p.m. Monday, Oct. 28\u003c/em>\u003c/p>\n\u003cp>Fairuz Qari still feels the shock of what she heard on Tuesday morning.\u003c/p>\n\u003cp>“Screaming people,” said Qari, the owner of Tabroun, a Palestinian restaurant on the picturesque corner where \u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a>’s Cole Valley meets Parnassus Heights.\u003c/p>\n\u003cp>Qari followed the sounds outside to a gruesome scene. Across the street, a dump truck making a right turn from Stanyan Street had struck a 70-year-old man crossing Parnassus Avenue. First responders pronounced the man dead and covered his body with a tarp.\u003c/p>\n\u003cp>“I wish I could unsee this,” she told KQED the day after the collision. “Because until now, my body is very sad.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The crash marked the city’s 20th \u003ca href=\"https://www.kqed.org/news/11981195/in-wake-of-deadly-west-portal-collision-breed-announces-initiatives-to-improve-traffic-safety\">pedestrian fatality\u003c/a> this year and was followed days later by the 21st, when a man was killed Friday morning \toutside a hospital on Geary Boulevard near Divisadero Street. They come at the end of a decade-long initiative to eliminate traffic deaths by 2024, a grim reminder that San Francisco is about as far as it’s ever been from its \u003ca href=\"https://www.kqed.org/news/11958918/advocates-rally-at-fatal-crash-site-in-soma-demand-safety-changes\">Vision Zero goal\u003c/a>.\u003c/p>\n\u003cp>“Twenty is too many,” said Jodie Medeiros, executive director of advocacy group Walk SF. “We always say that we can’t imagine what San Francisco would be like if we didn’t adopt Vision Zero. But things just haven’t gone far enough.”\u003c/p>\n\u003cfigure id=\"attachment_12011142\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12011142 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-06-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-06-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-06-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-06-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-06-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-06-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-06-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A dump truck is filled at the construction site at UCSF on Oct. 25, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Pedestrians now make up 70% of the city’s traffic fatalities this year — up 5 percentage points from the average. According to city data, 2024 is the deadliest year for pedestrians since 2014, when 21 were killed. And since the pandemic, small streets — like the intersection of Stanyan and Parnassus — are becoming more dangerous.\u003c/p>\n\u003cp>“We have seen such a shift in where crashes are happening,” said Marta Lindsay, a spokesperson for Walk SF. “And to me, it’s really scary because now every street is becoming high risk. It’s because of this deadly combination of aggressive driving, speeding, larger, heavier vehicles and more traffic. It’s turned little streets into ones where someone could die tomorrow.”\u003c/p>\n\u003cp>Those problems are especially concerning in the area of this week’s deadly crash on Parnassus, where neighbors said large trucks often drive through the hilly, residential streets on their way to and from a construction site at UC San Francisco.\u003c/p>\n\u003cp>A construction worker who asked not to be named confirmed that the dump truck involved in the crash was contracted to remove dirt from the ongoing hospital project site at Parnassus and Hill Point Avenue. The truck was identified by \u003ca href=\"https://www.ktvu.com/news/pedestrian-dies-san-francisco-near-ucsf\">KTVU \u003c/a>footage as operated by Lally Trucking Inc., which is based in Modesto. While the phone line at Lally appeared to be disconnected, safety reports published on the company’s website show zero involvement in past reportable crashes.\u003c/p>\n\u003cfigure id=\"attachment_12011139\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12011139\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-03-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-03-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-03-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-03-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-03-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-03-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-03-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Ilya Kaltman looks at the memorial at the intersection of Stanyan Street and Parnassus Avenue. “I’m 71 years old, and it could have been me,” Kaltman said. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The truck’s driver remained on the scene and did not appear to be under the influence, police said in a statement. The medical examiner’s office identified the victim as Jose Chow, 70, of San Francisco.\u003c/p>\n\u003cp>On Wednesday morning, Lydia Byers and her husband, Neil, paused at a memorial on the street corner where Chow was killed. Walk SF and community members held a vigil the night of the crash and left yellow paper hearts, marigolds and a handwritten sign that read: “A driver killed our neighbor here, Oct. 22, 2024.”\u003c/p>\n\u003cp>Across the street, at Sunny Country market, bright sunflower bouquets bloomed out of barrels, with more flowers displayed in rows in front of the store’s tall windows. Bunches of woven baskets hung for sale under the market’s burgundy awning. As trucks and other large construction vehicles rumbled by, the couple looked both ways at the crosswalk and tried to understand how the crash could have happened.\u003c/p>\n\u003cp>“This is our neighborhood,” said Byers, who said she has lived in the area much of her life. “This is my intersection that I frequent. It’s really scary that your life could be gone in a flash due to someone making a turn and not paying attention.”\u003c/p>\n\u003cfigure id=\"attachment_12011141\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12011141\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-05-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-05-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-05-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-05-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-05-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-05-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-05-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Pedestrians cross the street in front of construction at UCSF on Oct. 25, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Just cut out right turns,” her husband added. “What’s a couple of seconds?”\u003c/p>\n\u003cp>Erica Kato, a spokesperson for the San Francisco Municipal Transportation Agency, said in an email that the intersection has “painted daylighting” in the direction the truck was driving. Daylighting uses markers or red paint to prevent cars from parking near crosswalks to make sure drivers’ views of pedestrians are not obstructed.\u003c/p>\n\u003cp>However, on Wednesday, a red SUV was parked at the top of the steep hill approaching Parnassus, next to the red curb.\u003c/p>\n\u003cp>Although the intersection has not had a pedestrian collision in the last 10 years, Medeiros said neighbors described plenty of close calls, as well as a lack of pedestrian signals at the crosswalk. Both the driver and the victim had a green light.\u003c/p>\n\u003cp>“We need something,” Qari said. “In the morning, this is a very busy area. We have two schools [nearby — Haight Ashbury Cooperative and Grattan Elementary —] and a lot of kids. Traffic drives very fast, and you see a lot of trucks at the corner. We have to do something and put an extra light up to slow down the traffic.”\u003c/p>\n\u003cp>Kato said the MTA is conducting a “rapid response review” of the deadly crash to evaluate the existing site and make recommendations for improvements. The location is on a list for future pedestrian signal upgrades.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Supervisor Rafael Mandelman, who represents Cole Valley, visited the vigil and promised improvements to the city’s roads.\u003c/p>\n\u003cp>“My office has been in touch with SFPD, the MTA, UCSF and concerned neighbors since yesterday morning,” Mandelman \u003ca href=\"https://x.com/RafaelMandelman/status/1849240420926329144\">posted\u003c/a> Wednesday on social media platform X, “and we will continue working with stakeholders both to understand what could have been done to avoid this particular tragedy and to prevent future crashes and deaths at this intersection and elsewhere.”\u003c/p>\n\u003cp>Still, improvements at the intersection would add it to a long list of streets where it took a tragedy to spur change. Transportation advocates have long argued for a more proactive approach to making streets safer for all.\u003c/p>\n\u003cp>Since San Francisco \u003ca href=\"https://www.kqed.org/news/10413631/san-francisco-fire-department-signs-on-to-vision-zero-pedestrian-safety-plan\">committed to Vision Zero\u003c/a> in 2014, advocates say the city has made considerable improvements to public safety, especially in the city’s “high-injury network,” or the 12% of streets where more than two-thirds of its traffic collisions occur.\u003c/p>\n\u003cp>But in that time, 326 people have been killed by traffic violence on San Francisco streets, according to the Department of Public Health. That equates to a traffic-related fatality, which includes cyclists and motorcyclists, every 12.11 days.\u003c/p>\n\u003cfigure id=\"attachment_12011296\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12011296\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-01-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-01-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-01-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-01-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-01-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-01-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241025-FATAL-UCSF-DUMP-TRUCK-CRASH-MD-01-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Pedestrians wait to cross the intersection at Stanyan Street and Parnassus Avenue on Oct. 25, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In San Francisco, where speeding drivers are one of the leading causes of pedestrian deaths, city officials are working to \u003ca href=\"https://www.kqed.org/news/11976252/as-traffic-fatalities-rise-more-cities-and-states-consider-automated-speed-cameras\">install speed cameras\u003c/a> in areas with the highest crash rates as part of a statewide pilot program \u003ca href=\"https://www.kqed.org/news/11956244/controversial-speeding-ticket-cameras-could-come-to-3-bay-area-cities-under-proposed-california-bill\">funded by Assembly Bill 645\u003c/a>. Starting next year, drivers will be ticketed for going 11 mph or more over the speed limit in 25 mph zones, according to the MTA.\u003c/p>\n\u003cp>Proponents have said cities like New York have already embraced speed safety cameras with dramatic success. They say detection systems shift behavior and can reduce the number of severe and fatal crashes by as much as 58%.\u003c/p>\n\u003cp>However, advocates say it will take more funding and urgency from city officials to truly end traffic fatalities.\u003c/p>\n\u003cp>“We’re in an election year right now,” Medeiros said. “Our decision-makers need to talk about it as the crisis it is.”\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/gzada\">\u003cem>Gilare Zada\u003c/em>\u003c/a>\u003cem> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "sf-frontline-workers-who-help-people-on-streets-in-shelters-call-for-fair-pay",
"title": "SF Frontline Workers Who Help People on Streets, In Shelters Call for Fair Pay",
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"headTitle": "SF Frontline Workers Who Help People on Streets, In Shelters Call for Fair Pay | KQED",
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"content": "\u003cp>\u003cem>[\u003cstrong>Editor’s Note:\u003c/strong> This story was updated at 10:30 a.m. to clarify UCSF’s response to a KQED reporter’s questions about pay parity.]\u003c/em>\u003c/p>\n\u003cp>Brenna Alexander fills her backpack before her shift with granola bars, taxi vouchers and \u003ca href=\"https://www.kqed.org/news/tag/narcan\">Narcan\u003c/a>, the opioid overdose reversal medication.\u003c/p>\n\u003cp>The\u003ca href=\"https://www.kqed.org/news/tag/uc-san-francisco\"> UC San Francisco\u003c/a> clinical social worker then goes to single-room occupancy hotels in the city, knocking on doors and slowly gaining the trust of residents, many with mental health conditions, so she can help them stay housed.\u003c/p>\n\u003cp>Safety is always a concern.\u003c/p>\n\u003cp>Her colleagues on the roving teams in the Tenderloin and the Mission have witnessed stabbings and have been robbed, she said. They endure verbal abuse almost daily.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>UCSF “campus” social workers like Alexander earn about one-third less than employees with similar qualifications at the university’s large medical centers, according to the union that represents the employees. Many campus social workers, who treat non-hospitalized people in streets, shelters and outpatient clinics, say they feel discouraged and undervalued.\u003c/p>\n\u003cp>“We cannot show up for clients like we need to when we are burnt out and left to feel like the last priority,” said Alexander, 32. “This cannot be the way forward. Campus social workers deserve equitable compensation.”\u003c/p>\n\u003cfigure id=\"attachment_12007899\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12007899\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-09-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-09-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-09-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-09-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-09-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-09-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-09-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Brenna Alexander speaks at a UPTE-CWA union meeting at UCSF on Oct. 3, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The pay disparity contributes to understaffing and burnout for a workforce that is critical to San Francisco’s response to substance abuse, homelessness and mental health crises, University Professional and Technical Employees members and officials said. As campus social workers quit their jobs for higher-paying positions at UCSF medical centers or elsewhere, disadvantaged patients are left languishing on growing waitlists.\u003c/p>\n\u003cp>At a town hall organized by UPTE on Oct. 3, dozens of clinical social workers booed loudly when speakers said colleagues at UCSF’s Parnassus, Mission Bay and other medical centers made 31% more on average per year.\u003c/p>\n\u003cp>The problem stems from UCSF hiring campus social workers at lower-paid job classifications, making it more difficult for these employees to move up, even when they have the same licensure and experience as higher-paid colleagues at medical centers and hospitals, according to salary data the union obtained from the public university.\u003c/p>\n\u003cfigure id=\"attachment_12007902\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12007902\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-19-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-19-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-19-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-19-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-19-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-19-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-19-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">San Francisco Board of Supervisors President Aaron Peskin speaks at a UPTE-CWA union meeting at UCSF on Oct. 3, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>UCSF, the city’s second-largest employer, reported \u003ca href=\"https://www.ucsf.edu/about/ucsf-budget#:~:text=The%20second%2Dlargest%20employer%20in,the%20National%20Institutes%20of%20Health.\">$10.2 billion in revenue\u003c/a> in fiscal year 2022-2023. San Francisco has approved 13 contracts worth roughly $300 million with UCSF since 2017 for public health and homelessness services, according to a union analysis of records from the Controller’s Office. But that’s not a comprehensive list, so total city and county payments to the university could be higher.\u003c/p>\n\u003cp>Board of Supervisors President Aaron Peskin, who attended the town hall, said San Francisco must use its economic power to push for equitable pay at UCSF.\u003c/p>\n\u003cp>“If these people leave these jobs, it is just going to exacerbate the spiraling problem that we have on our streets,” said Peskin, a mayoral candidate who was one of seven supervisors to approve a \u003ca href=\"https://sfgov.legistar.com/LegislationDetail.aspx?ID=6869100&GUID=EF2B0D58-6D96-4440-A921-F95965BE1816\">resolution\u003c/a> last month urging the university to address the wage and advancement inequities.\u003c/p>\n\u003cp>“There’s rightfully a cry to address the abject misery we see on our streets,” he said. “We have to have these workers devote their lives and their professional training to making a difference, and it starts with making sure that they’re compensated appropriately.”\u003c/p>\n\u003cfigure id=\"attachment_12007898\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12007898\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-06-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-06-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-06-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-06-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-06-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-06-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-06-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The audience applauds the speakers at a UPTE-CWA union meeting at UCSF on Oct. 3, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>UCSF failed to deliver services to help transition people into housing in at least one contract staffed by campus social workers, according to the San Francisco Department of Homelessness and Supportive Housing. In a \u003ca href=\"https://www.documentcloud.org/documents/25194948-department-of-homelessness-and-supportive-housing-letter-050224\">letter\u003c/a> sent to the Homelessness Oversight Commission in May, department staffers noted that the university had spent just 45% of a $1.5 million budget over two years of the contract.\u003c/p>\n\u003cp>“The underspending of funds can be attributed primarily to challenges in staff hiring, turnover and retention. Moreover, the constant flux in personnel led to noncompliance in service delivery,” Marion Sanders, the department’s chief deputy director, wrote.\u003c/p>\n\u003cp>[aside postID=news_12007119 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED-1020x680.jpg']\u003c/p>\n\u003cp>Union officials said they are pushing for UCSF to offer fair pay and career progression, including by reclassifying employees into job titles that accurately reflect their credentials and work. UC and the union have been negotiating a new contract covering more than 18,000 employees since June.\u003c/p>\n\u003cp>The university’s most \u003ca href=\"https://www.universityofcalifornia.edu/press-room/uc-offers-historic-wage-increases-upte-represented-employees\">recent offer\u003c/a> includes raises of 5% starting in mid-2025, 3% in 2026 and up to 3% in 2027. The union \u003ca href=\"https://upte.org/updates/bargaining-update-5-uc-finally-makes-a-compensation-proposal-and-it-leaves-a-lot-to-be-desired\">countered\u003c/a> that the proposal doesn’t make up for inflation costs and shrinks some existing benefits.\u003c/p>\n\u003cp>UCSF forwarded KQED’s questions to the UC Office of the President, which declined to comment on specific questions about pay parity.\u003c/p>\n\u003cp>“UC is optimistic we’ll reach an agreement soon,” Heather Hansen, a spokesperson with the Office of the President, said in a statement. “As part of our negotiations, we have representatives from each of our campuses and health centers to collaborate to address union concerns and put forth meaningful proposals so that UPTE-represented members are recognized for their contributions.”\u003c/p>\n\u003cp>Differences in the daily tasks of campus and medical center social workers, as well as the sources of funding for each group, could impact their salaries, according to experts at the National Association of Social Workers and the Clinical Social Work Association.\u003c/p>\n\u003cp>Campus professionals often provide one-on-one psychotherapy services, while clinical social workers at hospitals coordinate the care of patients who are discharged, for instance. Medi-Cal, California’s public health insurance program, is an important source of funding for campus social work. Private insurance pays for a larger share of services at medical centers.\u003c/p>\n\u003cfigure id=\"attachment_12007895\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12007895\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-01-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-01-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-01-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-01-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-01-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-01-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-01-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Matias Campos at a UPTE-CWA union meeting at UCSF on Oct. 3, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Matias Campos, UPTE’s statewide executive vice president, said that regardless of how UCSF crafts its budget, it can easily stop underpaying campus social workers in San Francisco. He pointed to UCSF’s construction of new hospitals in San Francisco and Oakland and the big raise in its chancellor’s pay to nearly \u003ca href=\"https://www.latimes.com/california/story/2024-09-20/uc-chancellors-get-big-raises\">$1.2 million\u003c/a> per year, which was approved last month.\u003c/p>\n\u003cp>“Why are these the priorities of a university and not fixing the inequities that they already have? The funds are there,” said Campos, a UCSF pharmacist who is part of the union’s bargaining team.\u003c/p>\n\u003cp>Another large health care employer, Kaiser Permanente, does not have significant compensation disparities among behavioral and social services employees with similar licensure requirements, according to the workers’ union, Service Employees International Union-United Healthcare Workers.\u003c/p>\n\u003cp>“Part of our contract negotiations with the Coalition of Kaiser Permanente Unions last year was to ensure wage parity amongst workers in various locations and settings,” said Renée Saldaña, a SEIU-UHW spokeswoman.\u003c/p>\n\u003cp>Juliette Suarez, a campus clinical social worker at UCSF for four years, said she was deeply bothered that choosing to provide therapy and other services at a small clinic in the Mission for people with severe trauma meant taking a pay cut.\u003c/p>\n\u003cp>The 31-year-old San Francisco native, who grew up in the Mission neighborhood, said she was priced out of the city. She would like to live closer to the community that she serves, but she can’t afford it.\u003c/p>\n\u003cp>“I’m in the red. I can’t afford a medical emergency as a health care provider,” said Suarez, who works at the UCSF Trauma Recovery Center. “I’ve seen colleagues that are struggling with the physical and emotional impacts of the stress and also the inability to fully afford taking care of themselves while they do this work.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "UCSF campus social workers who serve non-hospitalized individuals in streets, shelters, and outpatient clinics earn approximately one-third less than their counterparts at the university's large medical centers. This pay disparity has left many feeling discouraged and undervalued.",
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"title": "SF Frontline Workers Who Help People on Streets, In Shelters Call for Fair Pay | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>[\u003cstrong>Editor’s Note:\u003c/strong> This story was updated at 10:30 a.m. to clarify UCSF’s response to a KQED reporter’s questions about pay parity.]\u003c/em>\u003c/p>\n\u003cp>Brenna Alexander fills her backpack before her shift with granola bars, taxi vouchers and \u003ca href=\"https://www.kqed.org/news/tag/narcan\">Narcan\u003c/a>, the opioid overdose reversal medication.\u003c/p>\n\u003cp>The\u003ca href=\"https://www.kqed.org/news/tag/uc-san-francisco\"> UC San Francisco\u003c/a> clinical social worker then goes to single-room occupancy hotels in the city, knocking on doors and slowly gaining the trust of residents, many with mental health conditions, so she can help them stay housed.\u003c/p>\n\u003cp>Safety is always a concern.\u003c/p>\n\u003cp>Her colleagues on the roving teams in the Tenderloin and the Mission have witnessed stabbings and have been robbed, she said. They endure verbal abuse almost daily.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>UCSF “campus” social workers like Alexander earn about one-third less than employees with similar qualifications at the university’s large medical centers, according to the union that represents the employees. Many campus social workers, who treat non-hospitalized people in streets, shelters and outpatient clinics, say they feel discouraged and undervalued.\u003c/p>\n\u003cp>“We cannot show up for clients like we need to when we are burnt out and left to feel like the last priority,” said Alexander, 32. “This cannot be the way forward. Campus social workers deserve equitable compensation.”\u003c/p>\n\u003cfigure id=\"attachment_12007899\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12007899\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-09-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-09-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-09-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-09-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-09-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-09-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-09-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Brenna Alexander speaks at a UPTE-CWA union meeting at UCSF on Oct. 3, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The pay disparity contributes to understaffing and burnout for a workforce that is critical to San Francisco’s response to substance abuse, homelessness and mental health crises, University Professional and Technical Employees members and officials said. As campus social workers quit their jobs for higher-paying positions at UCSF medical centers or elsewhere, disadvantaged patients are left languishing on growing waitlists.\u003c/p>\n\u003cp>At a town hall organized by UPTE on Oct. 3, dozens of clinical social workers booed loudly when speakers said colleagues at UCSF’s Parnassus, Mission Bay and other medical centers made 31% more on average per year.\u003c/p>\n\u003cp>The problem stems from UCSF hiring campus social workers at lower-paid job classifications, making it more difficult for these employees to move up, even when they have the same licensure and experience as higher-paid colleagues at medical centers and hospitals, according to salary data the union obtained from the public university.\u003c/p>\n\u003cfigure id=\"attachment_12007902\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12007902\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-19-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-19-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-19-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-19-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-19-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-19-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-19-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">San Francisco Board of Supervisors President Aaron Peskin speaks at a UPTE-CWA union meeting at UCSF on Oct. 3, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>UCSF, the city’s second-largest employer, reported \u003ca href=\"https://www.ucsf.edu/about/ucsf-budget#:~:text=The%20second%2Dlargest%20employer%20in,the%20National%20Institutes%20of%20Health.\">$10.2 billion in revenue\u003c/a> in fiscal year 2022-2023. San Francisco has approved 13 contracts worth roughly $300 million with UCSF since 2017 for public health and homelessness services, according to a union analysis of records from the Controller’s Office. But that’s not a comprehensive list, so total city and county payments to the university could be higher.\u003c/p>\n\u003cp>Board of Supervisors President Aaron Peskin, who attended the town hall, said San Francisco must use its economic power to push for equitable pay at UCSF.\u003c/p>\n\u003cp>“If these people leave these jobs, it is just going to exacerbate the spiraling problem that we have on our streets,” said Peskin, a mayoral candidate who was one of seven supervisors to approve a \u003ca href=\"https://sfgov.legistar.com/LegislationDetail.aspx?ID=6869100&GUID=EF2B0D58-6D96-4440-A921-F95965BE1816\">resolution\u003c/a> last month urging the university to address the wage and advancement inequities.\u003c/p>\n\u003cp>“There’s rightfully a cry to address the abject misery we see on our streets,” he said. “We have to have these workers devote their lives and their professional training to making a difference, and it starts with making sure that they’re compensated appropriately.”\u003c/p>\n\u003cfigure id=\"attachment_12007898\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12007898\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-06-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-06-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-06-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-06-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-06-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-06-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-06-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The audience applauds the speakers at a UPTE-CWA union meeting at UCSF on Oct. 3, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>UCSF failed to deliver services to help transition people into housing in at least one contract staffed by campus social workers, according to the San Francisco Department of Homelessness and Supportive Housing. In a \u003ca href=\"https://www.documentcloud.org/documents/25194948-department-of-homelessness-and-supportive-housing-letter-050224\">letter\u003c/a> sent to the Homelessness Oversight Commission in May, department staffers noted that the university had spent just 45% of a $1.5 million budget over two years of the contract.\u003c/p>\n\u003cp>“The underspending of funds can be attributed primarily to challenges in staff hiring, turnover and retention. Moreover, the constant flux in personnel led to noncompliance in service delivery,” Marion Sanders, the department’s chief deputy director, wrote.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Union officials said they are pushing for UCSF to offer fair pay and career progression, including by reclassifying employees into job titles that accurately reflect their credentials and work. UC and the union have been negotiating a new contract covering more than 18,000 employees since June.\u003c/p>\n\u003cp>The university’s most \u003ca href=\"https://www.universityofcalifornia.edu/press-room/uc-offers-historic-wage-increases-upte-represented-employees\">recent offer\u003c/a> includes raises of 5% starting in mid-2025, 3% in 2026 and up to 3% in 2027. The union \u003ca href=\"https://upte.org/updates/bargaining-update-5-uc-finally-makes-a-compensation-proposal-and-it-leaves-a-lot-to-be-desired\">countered\u003c/a> that the proposal doesn’t make up for inflation costs and shrinks some existing benefits.\u003c/p>\n\u003cp>UCSF forwarded KQED’s questions to the UC Office of the President, which declined to comment on specific questions about pay parity.\u003c/p>\n\u003cp>“UC is optimistic we’ll reach an agreement soon,” Heather Hansen, a spokesperson with the Office of the President, said in a statement. “As part of our negotiations, we have representatives from each of our campuses and health centers to collaborate to address union concerns and put forth meaningful proposals so that UPTE-represented members are recognized for their contributions.”\u003c/p>\n\u003cp>Differences in the daily tasks of campus and medical center social workers, as well as the sources of funding for each group, could impact their salaries, according to experts at the National Association of Social Workers and the Clinical Social Work Association.\u003c/p>\n\u003cp>Campus professionals often provide one-on-one psychotherapy services, while clinical social workers at hospitals coordinate the care of patients who are discharged, for instance. Medi-Cal, California’s public health insurance program, is an important source of funding for campus social work. Private insurance pays for a larger share of services at medical centers.\u003c/p>\n\u003cfigure id=\"attachment_12007895\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12007895\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-01-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-01-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-01-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-01-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-01-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-01-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-01-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Matias Campos at a UPTE-CWA union meeting at UCSF on Oct. 3, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Matias Campos, UPTE’s statewide executive vice president, said that regardless of how UCSF crafts its budget, it can easily stop underpaying campus social workers in San Francisco. He pointed to UCSF’s construction of new hospitals in San Francisco and Oakland and the big raise in its chancellor’s pay to nearly \u003ca href=\"https://www.latimes.com/california/story/2024-09-20/uc-chancellors-get-big-raises\">$1.2 million\u003c/a> per year, which was approved last month.\u003c/p>\n\u003cp>“Why are these the priorities of a university and not fixing the inequities that they already have? The funds are there,” said Campos, a UCSF pharmacist who is part of the union’s bargaining team.\u003c/p>\n\u003cp>Another large health care employer, Kaiser Permanente, does not have significant compensation disparities among behavioral and social services employees with similar licensure requirements, according to the workers’ union, Service Employees International Union-United Healthcare Workers.\u003c/p>\n\u003cp>“Part of our contract negotiations with the Coalition of Kaiser Permanente Unions last year was to ensure wage parity amongst workers in various locations and settings,” said Renée Saldaña, a SEIU-UHW spokeswoman.\u003c/p>\n\u003cp>Juliette Suarez, a campus clinical social worker at UCSF for four years, said she was deeply bothered that choosing to provide therapy and other services at a small clinic in the Mission for people with severe trauma meant taking a pay cut.\u003c/p>\n\u003cp>The 31-year-old San Francisco native, who grew up in the Mission neighborhood, said she was priced out of the city. She would like to live closer to the community that she serves, but she can’t afford it.\u003c/p>\n\u003cp>“I’m in the red. I can’t afford a medical emergency as a health care provider,” said Suarez, who works at the UCSF Trauma Recovery Center. “I’ve seen colleagues that are struggling with the physical and emotional impacts of the stress and also the inability to fully afford taking care of themselves while they do this work.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>A social media post by a University of California San Francisco professor suggesting that an Israeli medical student may have participated in genocide has generated backlash within a health care community already divided over the war between Israel and Hamas.\u003c/p>\n\u003cp>The Sunday post on X by Dr. Rupa Marya, a professor of internal medicine, referenced student concerns that a medical student from Israel may have, she wrote, “participated in the genocide of Palestinians in the IDF before matriculating to medical school in CA.”\u003c/p>\n\u003cp>She then asked, “How do we address this in our professional ranks?”\u003c/p>\n\u003cp>The post quickly caught steam on social media, with more than 214,000 views, nearly 1,000 shares and hundreds of comments in support of both the student and Marya, the \u003cem>San Francisco Chronicle\u003c/em> \u003ca href=\"https://www.sfchronicle.com/sf/article/ucsf-doctor-israeli-student-social-media-19787105.php\">reported\u003c/a>.\u003c/p>\n\u003cp>That prompted a \u003ca href=\"https://x.com/Scott_Wiener/status/1837570677492404558\">rebuke\u003c/a> from state Sen. Scott Wiener (D-San Francisco).\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I was absolutely horrified when I saw Dr. Marya’s post,” Wiener told KQED. “She is a professor at UCSF, and for her to basically publicly encourage people to harass a first-year med student is just unconscionable.”\u003c/p>\n\u003cp>Wiener, who co-chairs the Legislative Jewish Caucus, said the committee has been focused on the experiences of Jewish students on the state’s college campuses since the Hamas attack on Israel that killed over 1,200 civilians on Oct. 7, 2023.\u003c/p>\n\u003cp>Wiener and Marya \u003ca href=\"https://www.kqed.org/news/12003439/a-ucsf-student-advocate-spoke-up-for-faculty-of-color-then-she-was-fired\">clashed online\u003c/a> in January after Marya wrote that the “presence of Zionism” in U.S. medicine should be examined as a “structural impediment to health equity.”\u003c/p>\n\u003cp>“She promoted a conspiracy theory that ‘Zionist doctors at UCSF were going to harm patients,’ which is an old antisemitic conspiracy theory about Jewish doctors,” Wiener said. “And now she’s at it again, trying to demonize med students — her own students at her own institution — because they are Israeli. It’s completely unacceptable.”\u003c/p>\n\u003cp>Marya, who co-founded Do No Harm, a policy advocacy coalition, has been a vocal proponent of a cease-fire resolution. In San Francisco, she has long been known as a \u003ca href=\"https://www.kqed.org/arts/13855177/doctor-musician-and-activist-rupa-marya-offers-a-healing-balm-on-new-april-fishes-album\">local physician, musician and activist\u003c/a>. In 2021, she co-authored \u003cem>Inflamed: Deep Medicine and the Anatomy of Injustice\u003c/em>, a book about how the socioeconomic background of patients can influence their health.\u003c/p>\n\u003cp>“I’ve never come up against the kind of repression and, specifically, racist repression that I’ve seen and experienced since I’ve said ‘stop bombing hospitals,’” she \u003ca href=\"https://www.kqed.org/news/12003439/a-ucsf-student-advocate-spoke-up-for-faculty-of-color-then-she-was-fired\">told KQED earlier this month\u003c/a>.\u003c/p>\n\u003cp>Marya, who has since deleted her X account, did not respond to KQED’s request for comment on this story.\u003c/p>\n\u003cfigure id=\"attachment_12006199\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12006199\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/3050240908_520abecbfb_o_qed.jpg\" alt=\"\" width=\"2000\" height=\"1156\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/3050240908_520abecbfb_o_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/3050240908_520abecbfb_o_qed-800x462.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/3050240908_520abecbfb_o_qed-1020x590.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/3050240908_520abecbfb_o_qed-160x92.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/3050240908_520abecbfb_o_qed-1536x888.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/3050240908_520abecbfb_o_qed-1920x1110.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">UCSF professor Dr. Rupa Marya faced backlash after sharing students’ concerns about an Israeli classmate’s military background. State Sen. Scott Wiener condemned the “toxic environment” at UCSF, and Chancellor Sam Hawgood promised swift action. \u003ccite>(Thomas Hawk/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>On Monday, UCSF Chancellor Sam Hawgood promised “immediate action to address the situation,” according to a letter \u003ca href=\"https://x.com/UCSF/status/1838236238392054151\">published on social media\u003c/a>. A spokesperson for the UCSF declined to elaborate.\u003c/p>\n\u003cp>Campuses across the UC system have been roiled by conflict over the Israel-Hamas war. At UCSF, which is the city’s second-largest employer and serves over 40,000 patients a year, the graduate school and the university’s public hospitals are closely intertwined.\u003c/p>\n\u003cp>Concerned staff and students have said the school is prohibiting them from speaking out against the health implications of a war that has \u003ca href=\"https://www.pbs.org/newshour/show/gazas-first-polio-case-in-25-years-highlights-total-collapse-of-its-health-infrastructure\">destroyed\u003c/a> Gaza’s medical infrastructure and claimed more than 40,000 Palestinian lives.\u003c/p>\n\u003cp>“A lot of the discussions with faculty are in huddled, quiet spaces for fear of being reprimanded, for fear of being counseled, for fear of being unfairly written up and in some cases publicly attacked,” Jess Ghannam, chair of UCSF’s faculty association, said. “There’s no place or space where we can openly and freely speak about this.”\u003c/p>\n\u003cp>Ghannam declined to speak about Marya.\u003c/p>\n\u003cp>On Sept. 19, some \u003ca href=\"https://www.kqed.org/news/12005478/university-of-california-is-accused-of-trying-to-silence-faculty-speech-about-war-in-gaza\">faculty members at UCSF\u003c/a> joined faculty from across the state to accuse the UC system of carrying out an illegal campaign to repress academic freedom in the wake of pro-Palestinian campus protests. This came after a \u003ca href=\"https://www.kqed.org/news/12003439/a-ucsf-student-advocate-spoke-up-for-faculty-of-color-then-she-was-fired\">UCSF employee was allegedly fired for expressing support for Marya\u003c/a> and then sharing colleagues’ complaints in an email, which was a violation of school policy.\u003c/p>\n\u003cp>UCSF was also notably the \u003ca href=\"https://www.kqed.org/news/11986812/some-bay-area-universities-reach-deal-to-end-encampments-but-students-say-their-fight-continues\">site of the stiffest university opposition to student encampments\u003c/a> among Bay Area campuses.\u003c/p>\n\u003cp>“All of us are bearing witness to the fact that this genocide is going on, and health workers are uniquely qualified and obligated to speak up against this,” Ghannam said. “The idea that we would be silent in the face of this grotesque violence that’s being carried out right now goes against everything that we believe as health workers, as physicians, as nurses, as doctors.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“And it goes against the very values of UCSF.”\u003c/p>\n\n",
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"excerpt": "A social media post by a UCSF physician went viral on X, inflamed tensions over the Israel-Hamas war on campus. \r\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A social media post by a University of California San Francisco professor suggesting that an Israeli medical student may have participated in genocide has generated backlash within a health care community already divided over the war between Israel and Hamas.\u003c/p>\n\u003cp>The Sunday post on X by Dr. Rupa Marya, a professor of internal medicine, referenced student concerns that a medical student from Israel may have, she wrote, “participated in the genocide of Palestinians in the IDF before matriculating to medical school in CA.”\u003c/p>\n\u003cp>She then asked, “How do we address this in our professional ranks?”\u003c/p>\n\u003cp>The post quickly caught steam on social media, with more than 214,000 views, nearly 1,000 shares and hundreds of comments in support of both the student and Marya, the \u003cem>San Francisco Chronicle\u003c/em> \u003ca href=\"https://www.sfchronicle.com/sf/article/ucsf-doctor-israeli-student-social-media-19787105.php\">reported\u003c/a>.\u003c/p>\n\u003cp>That prompted a \u003ca href=\"https://x.com/Scott_Wiener/status/1837570677492404558\">rebuke\u003c/a> from state Sen. Scott Wiener (D-San Francisco).\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I was absolutely horrified when I saw Dr. Marya’s post,” Wiener told KQED. “She is a professor at UCSF, and for her to basically publicly encourage people to harass a first-year med student is just unconscionable.”\u003c/p>\n\u003cp>Wiener, who co-chairs the Legislative Jewish Caucus, said the committee has been focused on the experiences of Jewish students on the state’s college campuses since the Hamas attack on Israel that killed over 1,200 civilians on Oct. 7, 2023.\u003c/p>\n\u003cp>Wiener and Marya \u003ca href=\"https://www.kqed.org/news/12003439/a-ucsf-student-advocate-spoke-up-for-faculty-of-color-then-she-was-fired\">clashed online\u003c/a> in January after Marya wrote that the “presence of Zionism” in U.S. medicine should be examined as a “structural impediment to health equity.”\u003c/p>\n\u003cp>“She promoted a conspiracy theory that ‘Zionist doctors at UCSF were going to harm patients,’ which is an old antisemitic conspiracy theory about Jewish doctors,” Wiener said. “And now she’s at it again, trying to demonize med students — her own students at her own institution — because they are Israeli. It’s completely unacceptable.”\u003c/p>\n\u003cp>Marya, who co-founded Do No Harm, a policy advocacy coalition, has been a vocal proponent of a cease-fire resolution. In San Francisco, she has long been known as a \u003ca href=\"https://www.kqed.org/arts/13855177/doctor-musician-and-activist-rupa-marya-offers-a-healing-balm-on-new-april-fishes-album\">local physician, musician and activist\u003c/a>. In 2021, she co-authored \u003cem>Inflamed: Deep Medicine and the Anatomy of Injustice\u003c/em>, a book about how the socioeconomic background of patients can influence their health.\u003c/p>\n\u003cp>“I’ve never come up against the kind of repression and, specifically, racist repression that I’ve seen and experienced since I’ve said ‘stop bombing hospitals,’” she \u003ca href=\"https://www.kqed.org/news/12003439/a-ucsf-student-advocate-spoke-up-for-faculty-of-color-then-she-was-fired\">told KQED earlier this month\u003c/a>.\u003c/p>\n\u003cp>Marya, who has since deleted her X account, did not respond to KQED’s request for comment on this story.\u003c/p>\n\u003cfigure id=\"attachment_12006199\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12006199\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/3050240908_520abecbfb_o_qed.jpg\" alt=\"\" width=\"2000\" height=\"1156\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/3050240908_520abecbfb_o_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/3050240908_520abecbfb_o_qed-800x462.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/3050240908_520abecbfb_o_qed-1020x590.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/3050240908_520abecbfb_o_qed-160x92.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/3050240908_520abecbfb_o_qed-1536x888.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/3050240908_520abecbfb_o_qed-1920x1110.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">UCSF professor Dr. Rupa Marya faced backlash after sharing students’ concerns about an Israeli classmate’s military background. State Sen. Scott Wiener condemned the “toxic environment” at UCSF, and Chancellor Sam Hawgood promised swift action. \u003ccite>(Thomas Hawk/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>On Monday, UCSF Chancellor Sam Hawgood promised “immediate action to address the situation,” according to a letter \u003ca href=\"https://x.com/UCSF/status/1838236238392054151\">published on social media\u003c/a>. A spokesperson for the UCSF declined to elaborate.\u003c/p>\n\u003cp>Campuses across the UC system have been roiled by conflict over the Israel-Hamas war. At UCSF, which is the city’s second-largest employer and serves over 40,000 patients a year, the graduate school and the university’s public hospitals are closely intertwined.\u003c/p>\n\u003cp>Concerned staff and students have said the school is prohibiting them from speaking out against the health implications of a war that has \u003ca href=\"https://www.pbs.org/newshour/show/gazas-first-polio-case-in-25-years-highlights-total-collapse-of-its-health-infrastructure\">destroyed\u003c/a> Gaza’s medical infrastructure and claimed more than 40,000 Palestinian lives.\u003c/p>\n\u003cp>“A lot of the discussions with faculty are in huddled, quiet spaces for fear of being reprimanded, for fear of being counseled, for fear of being unfairly written up and in some cases publicly attacked,” Jess Ghannam, chair of UCSF’s faculty association, said. “There’s no place or space where we can openly and freely speak about this.”\u003c/p>\n\u003cp>Ghannam declined to speak about Marya.\u003c/p>\n\u003cp>On Sept. 19, some \u003ca href=\"https://www.kqed.org/news/12005478/university-of-california-is-accused-of-trying-to-silence-faculty-speech-about-war-in-gaza\">faculty members at UCSF\u003c/a> joined faculty from across the state to accuse the UC system of carrying out an illegal campaign to repress academic freedom in the wake of pro-Palestinian campus protests. This came after a \u003ca href=\"https://www.kqed.org/news/12003439/a-ucsf-student-advocate-spoke-up-for-faculty-of-color-then-she-was-fired\">UCSF employee was allegedly fired for expressing support for Marya\u003c/a> and then sharing colleagues’ complaints in an email, which was a violation of school policy.\u003c/p>\n\u003cp>UCSF was also notably the \u003ca href=\"https://www.kqed.org/news/11986812/some-bay-area-universities-reach-deal-to-end-encampments-but-students-say-their-fight-continues\">site of the stiffest university opposition to student encampments\u003c/a> among Bay Area campuses.\u003c/p>\n\u003cp>“All of us are bearing witness to the fact that this genocide is going on, and health workers are uniquely qualified and obligated to speak up against this,” Ghannam said. “The idea that we would be silent in the face of this grotesque violence that’s being carried out right now goes against everything that we believe as health workers, as physicians, as nurses, as doctors.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“And it goes against the very values of UCSF.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "A UCSF Student Advocate Spoke Up for Faculty of Color. Then She Was Fired",
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"content": "\u003cp>Updated at 1:05 p.m.\u003c/p>\n\u003cp>\u003cem>\u003cstrong>Editor’s Note:\u003c/strong> Because of an editing error, an earlier version of this story incorrectly referred to the university that suspended 22 students for establishing an encampment to protest the Israel-Hamas war. It was the University of San Francisco, not UC San Francisco. The earlier version also erroneously reported that Denise Caramagno had reached out to former clients. This story has been corrected.\u003c/em>\u003c/p>\n\u003cp>Denise Caramagno has worked as a violence prevention advocate at UC San Francisco for almost a decade. Last month, she received an email notifying her of the university’s intent to fire her.\u003c/p>\n\u003cp>“UCSF hired me to support people who experienced different kinds of violence and harm. And part of my job was prevention of violence,” she said during a protest outside of the university’s campus on Friday. “I saw my colleagues being silenced as they spoke about genocide in Gaza. I spoke out. I felt a professional obligation to do so.\u003c/p>\n\u003cp>“I think they’re firing me for doing the job they hired me to do.”\u003c/p>\n\u003cp>Most Bay Area universities are back in session for the fall semester, and with the return of classes comes the return of student organizers whose \u003ca href=\"https://www.kqed.org/news/11986812/some-bay-area-universities-reach-deal-to-end-encampments-but-students-say-their-fight-continues\">mass demonstrations and encampments rocked campuses\u003c/a> across the country in the spring, including at UCSF.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In January, Rupa Marya, a UCSF professor of internal medicine, wrote a series of posts on X that claimed the “presence of Zionism” in U.S. medicine should be examined as a “structural impediment to health equity.” The posts sparked backlash, including from state Sen. Scott Weiner, who \u003ca href=\"https://x.com/Scott_Wiener/status/1742966467484868909?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1742966467484868909%7Ctwgr%5E4efe6d1fc94503206ec77c65018bd1c0e629682f%7Ctwcon%5Es1_&ref_url=https%3A%2F%2F48hills.org%2F2024%2F09%2Fucsf-fires-staffer-who-challenged-schools-stance-on-palestine%2F\">wrote\u003c/a> that the posts played into an antisemitic trope accusing Jewish doctors of harm.\u003c/p>\n\u003cp>Days later, UCSF released a statement, without reference to Mayra or her posts, that said a “conspiracy theory” circulating on social media was “stating that ‘Zionist’ doctors are a threat to Arab, Palestinian, South Asian, Muslim and Black patients.”\u003c/p>\n\u003cp>“This sweeping, baseless and racist generalization must be condemned,” the statement continued.\u003c/p>\n\u003cfigure id=\"attachment_12003443\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12003443\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/UCSFProPalestineProtest2.jpg\" alt=\"\" width=\"2000\" height=\"1500\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/UCSFProPalestineProtest2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/UCSFProPalestineProtest2-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/UCSFProPalestineProtest2-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/UCSFProPalestineProtest2-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/UCSFProPalestineProtest2-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/UCSFProPalestineProtest2-1920x1440.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Rupa Marya, whose posts on X prompted Caramagno to speak out, addressed attendees during Friday’s press conference. \u003ccite>(Katie DeBenedetti/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Caramagno responded on social media, writing that UCSF was “coordinating an attack on its own faculty of color who are asking legitimate questions about social determinants of health.”\u003c/p>\n\u003cp>She said her post led to complaints from staff, which were sent to her. Initially, she was told that she hadn’t violated any policies, but after forwarding one complaint to colleagues, she was notified that she wasn’t allowed to share the complaint against her. In August, she received an email that the university intended to terminate her.\u003c/p>\n\u003cp>“I’m being fired for speaking out in support of my Black and brown colleagues who are experts in health disparities,” she said Friday.\u003c/p>\n\u003cp>[aside postID=news_11986194 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/9AC167B8-3D82-4AF2-9121-585F5E8B99EB-e1715732459324.jpg']\u003c/p>\n\u003cp>In a statement responding to claims by Caramagno that she was being fired for doing her job, UCSF said,\u003c/p>\n\u003cp>“Privacy laws prevent us from commenting on any specific individual or situation. However, what is being discussed on social media is factually inaccurate.”\u003c/p>\n\u003cp>The university still employs Marya. She said that for more than 20 years, she has advocated for communities of color, including during the Black Lives Matter movement, as well as for immigrant patients, women and LGBTQ communities.\u003c/p>\n\u003cp>“I’ve never come up against the kind of repression and, specifically, racist repression that I’ve seen and experienced since I’ve said ‘stop bombing hospitals,’” she said.\u003c/p>\n\u003cp>Throughout the protest, which was attended by about 100 doctors, nurses, students and staff, Caramagno stood on the sidewalk just off campus grounds. She has not been allowed to enter since the university initiated a formal investigation about a month ago.\u003c/p>\n\u003cp>Her official termination date was Aug. 29, but the process has not officially ended, according to Caramagno, who said she has an upcoming hearing. She told KQED that she was not allowed to contact any of her roughly 30 active clients.\u003c/p>\n\u003cp>“I’m not sure how they’re being supported, and I feel genuine concern for the people who need support,” Caramagno said.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/jlara\">\u003cem>Juan Carlos Lara\u003c/em>\u003c/a>\u003cem> contributed to this story\u003c/em>.\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "Denise Caramagno claims she was terminated for posting in support of colleagues she says were being silenced for speaking about genocide in Gaza. The university’s administration disagrees.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Updated at 1:05 p.m.\u003c/p>\n\u003cp>\u003cem>\u003cstrong>Editor’s Note:\u003c/strong> Because of an editing error, an earlier version of this story incorrectly referred to the university that suspended 22 students for establishing an encampment to protest the Israel-Hamas war. It was the University of San Francisco, not UC San Francisco. The earlier version also erroneously reported that Denise Caramagno had reached out to former clients. This story has been corrected.\u003c/em>\u003c/p>\n\u003cp>Denise Caramagno has worked as a violence prevention advocate at UC San Francisco for almost a decade. Last month, she received an email notifying her of the university’s intent to fire her.\u003c/p>\n\u003cp>“UCSF hired me to support people who experienced different kinds of violence and harm. And part of my job was prevention of violence,” she said during a protest outside of the university’s campus on Friday. “I saw my colleagues being silenced as they spoke about genocide in Gaza. I spoke out. I felt a professional obligation to do so.\u003c/p>\n\u003cp>“I think they’re firing me for doing the job they hired me to do.”\u003c/p>\n\u003cp>Most Bay Area universities are back in session for the fall semester, and with the return of classes comes the return of student organizers whose \u003ca href=\"https://www.kqed.org/news/11986812/some-bay-area-universities-reach-deal-to-end-encampments-but-students-say-their-fight-continues\">mass demonstrations and encampments rocked campuses\u003c/a> across the country in the spring, including at UCSF.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In January, Rupa Marya, a UCSF professor of internal medicine, wrote a series of posts on X that claimed the “presence of Zionism” in U.S. medicine should be examined as a “structural impediment to health equity.” The posts sparked backlash, including from state Sen. Scott Weiner, who \u003ca href=\"https://x.com/Scott_Wiener/status/1742966467484868909?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1742966467484868909%7Ctwgr%5E4efe6d1fc94503206ec77c65018bd1c0e629682f%7Ctwcon%5Es1_&ref_url=https%3A%2F%2F48hills.org%2F2024%2F09%2Fucsf-fires-staffer-who-challenged-schools-stance-on-palestine%2F\">wrote\u003c/a> that the posts played into an antisemitic trope accusing Jewish doctors of harm.\u003c/p>\n\u003cp>Days later, UCSF released a statement, without reference to Mayra or her posts, that said a “conspiracy theory” circulating on social media was “stating that ‘Zionist’ doctors are a threat to Arab, Palestinian, South Asian, Muslim and Black patients.”\u003c/p>\n\u003cp>“This sweeping, baseless and racist generalization must be condemned,” the statement continued.\u003c/p>\n\u003cfigure id=\"attachment_12003443\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12003443\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/UCSFProPalestineProtest2.jpg\" alt=\"\" width=\"2000\" height=\"1500\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/UCSFProPalestineProtest2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/UCSFProPalestineProtest2-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/UCSFProPalestineProtest2-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/UCSFProPalestineProtest2-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/UCSFProPalestineProtest2-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/09/UCSFProPalestineProtest2-1920x1440.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Rupa Marya, whose posts on X prompted Caramagno to speak out, addressed attendees during Friday’s press conference. \u003ccite>(Katie DeBenedetti/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Caramagno responded on social media, writing that UCSF was “coordinating an attack on its own faculty of color who are asking legitimate questions about social determinants of health.”\u003c/p>\n\u003cp>She said her post led to complaints from staff, which were sent to her. Initially, she was told that she hadn’t violated any policies, but after forwarding one complaint to colleagues, she was notified that she wasn’t allowed to share the complaint against her. In August, she received an email that the university intended to terminate her.\u003c/p>\n\u003cp>“I’m being fired for speaking out in support of my Black and brown colleagues who are experts in health disparities,” she said Friday.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In a statement responding to claims by Caramagno that she was being fired for doing her job, UCSF said,\u003c/p>\n\u003cp>“Privacy laws prevent us from commenting on any specific individual or situation. However, what is being discussed on social media is factually inaccurate.”\u003c/p>\n\u003cp>The university still employs Marya. She said that for more than 20 years, she has advocated for communities of color, including during the Black Lives Matter movement, as well as for immigrant patients, women and LGBTQ communities.\u003c/p>\n\u003cp>“I’ve never come up against the kind of repression and, specifically, racist repression that I’ve seen and experienced since I’ve said ‘stop bombing hospitals,’” she said.\u003c/p>\n\u003cp>Throughout the protest, which was attended by about 100 doctors, nurses, students and staff, Caramagno stood on the sidewalk just off campus grounds. She has not been allowed to enter since the university initiated a formal investigation about a month ago.\u003c/p>\n\u003cp>Her official termination date was Aug. 29, but the process has not officially ended, according to Caramagno, who said she has an upcoming hearing. She told KQED that she was not allowed to contact any of her roughly 30 active clients.\u003c/p>\n\u003cp>“I’m not sure how they’re being supported, and I feel genuine concern for the people who need support,” Caramagno said.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/jlara\">\u003cem>Juan Carlos Lara\u003c/em>\u003c/a>\u003cem> contributed to this story\u003c/em>.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"marketplace": {
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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},
"mindshift": {
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"order": 12
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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"morning-edition": {
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"onourwatch": {
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"tagline": "Deeply-reported investigative journalism",
"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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"on-the-media": {
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"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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},
"pbs-newshour": {
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},
"perspectives": {
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"order": 14
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"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
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"politicalbreakdown": {
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"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
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"order": 5
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"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.possible.fm/",
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"source": "Possible"
},
"link": "/radio/program/possible",
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"spotify": "https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"
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},
"pri-the-world": {
"id": "pri-the-world",
"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
"airtime": "MON-FRI 2pm-3pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
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},
"radiolab": {
"id": "radiolab",
"title": "Radiolab",
"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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