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"We have folks getting injured on the job because they're trying to do too much and see too many people and work too quickly," said one union leader, demanding better staffing levels. "It's not a sustainable situation."
Tens of thousands of healthcare workers across the United States began a three-day strike against Kaiser Permanente on Wednesday to protest the nonprofit hospital giant's alleged unfair labor practices, bad-faith bargaining, inadequate wages, and chronic staff shortages that employees say are harming them and patients.
The Coalition of Kaiser Permanente Unions, which represents the 75,000 Kaiser workers who are expected to walk off the job Wednesday, said picket lines will be set up at hundreds of Kaiser hospitals and facilities in California, Colorado, Washington, and other states, as well as in Washington, D.C.
The walkout is expected to be the largest healthcare worker strike in U.S. history.
"Jobs affected by the strike include licensed vocational nurses, emergency department technicians, radiology technicians, ultrasound sonographers, teleservice representatives, respiratory therapists, x-ray technicians, optometrists, certified nursing assistants, dietary services, behavioral health workers, surgical technicians, pharmacists and pharmacy technicians, transporters, home health aides, phlebotomists, medical assistants, dental assistants, call center representatives, and housekeepers, among hundreds of other positions," the coalition said in a statement.
Renée Saldaña, a spokesperson for SEIU United Healthcare Workers West—which is part of the Kaiser union coalition—told the Los Angeles Times that "healthcare workers want to be at the facilities with their patients."
"They're doing this for their patients because of the delays in care, because of the short-staffing crisis," said Saldaña.
The strike kicked off after contract talks between union negotiators and Kaiser—which
reported nearly $3.3 billion in net income in the first half of 2023—stalled Tuesday night without a tentative contract agreement. The previous four-year contract expired at the end of September, and negotiations over a new agreement began in April.
"We continue to have frontline healthcare workers who are burnt out and stretched to the max and leaving the industry," Caroline Lucas, executive director of the Coalition of Kaiser Permanente Unions, toldCNBC. "We have folks getting injured on the job because they're trying to do too much and see too many people and work too quickly. It's not a sustainable situation."
Union negotiators have called on Kaiser to hire at least 10,000 new workers by the end of the year to help alleviate staff shortages that—according to a recent survey of healthcare workers in California—have resulted in care being delayed or denied.
Negotiators have also demanded a $25 minimum wage for all Kaiser employees and a
24.5% wage increase over the course of a new four-year contract.
The company has refused to meet many of the unions' core demands, offering wage proposals that
would not even keep up with inflation.
"Kaiser executives are refusing to listen to us and are bargaining in bad faith over the solutions we need to end the Kaiser short-staffing crisis," said Jessica Cruz, a licensed vocational nurse at Kaiser Los Angeles Medical Center. "I see my patients' frustrations when I have to rush them and hurry on to my next patient. That's not the care I want to give. We're burning ourselves out trying to do the jobs of two or three people, and our patients suffer when they can't get the care they need due to Kaiser's short-staffing."
"We're burning ourselves out trying to do the jobs of two or three people, and our patients suffer when they can't get the care they need due to Kaiser's short-staffing," said one Kaiser Permanente worker.
In what's expected to be the largest-ever U.S. healthcare worker strike, more than 75,000 Kaiser Permanente employees in six states and Washington, D.C. are set to stop working for three days starting Wednesday to protest what they say are unfair working conditions and unsafe staffing levels at hundreds of hospitals and clinics across the country.
The Coalition of Kaiser Permanente Unions—which represents 85,000 KP workers in eight unions—began its national bargaining process in April in anticipation of worker contracts expiring at the end of September. Union members are seeking across-the-board raises of between 5.75%-6.5%; KP is offering 3%. Additionally, workers want protections against subcontracting and outsourcing, better performance-sharing bonuses, an improved retiree medical plan, and unionization rights for employees of nonunion entities acquired by the KP.
In a 2022 survey of 33,000 KP employees, two-thirds of respondents said they've seen patient care delayed or denied due to short staffing during the Covid-19 pandemic.
"Kaiser executives are refusing to listen to us and are bargaining in bad faith over the solutions we need to end the Kaiser short-staffing crisis," said Jessica Cruz, a licensed vocational nurse at Kaiser Los Angeles Medical Center. "I see my patients' frustrations when I have to rush them and hurry on to my next patient."
"That's not the care I want to give," Cruz added. "We're burning ourselves out trying to do the jobs of two or three people, and our patients suffer when they can't get the care they need due to Kaiser's short-staffing."
Based in Oakland, California, KP—which operates 39 hospitals and more than 700 medical offices staffed by over 300,000 workers and serving nearly 13 million patients—is the nation's largest nonprofit healthcare provider.
According to a statement from the coalition:
Kaiser has reported $3 billion in profits in just the first six months of this year. Despite being a nonprofit organization—which means it pays no income taxes on its earnings and extremely limited property taxes—Kaiser has reported more than $24 billion in profit over the last five years. Kaiser's CEO was compensated more than $16 million in 2021, and 49 executives at Kaiser are compensated more than $1 million annually. Kaiser Permanente has investments of $113 billion in the U.S. and abroad, including in fossil fuels, casinos, for-profit prisons, alcohol companies, military weapons, and more.
Workers in California, Colorado, Washington, Oregon, Maryland, Virginia, and Washington, D.C. will take part in the strike.
KP communications manager Hilary Costa told Healthcare Dive Monday that "the best place to reach an agreement is at the bargaining table. We will ask our employees to reject any call to walk away from their jobs."
However, 30-year KP employee Maria Jostes told the outlet that while "there used to be this real collaborative problem-solving approach," over the past five or six years there's been "a culture shift from folks at the very top."
The imminent Kaiser strike comes amid a surge in U.S. labor organizing and action, including the expanding United Auto Workers strike and the Hollywood writers' strike, which ended last week with union members now voting on a tentative three-year contract.
"We are prepared to do whatever it takes, even get arrested in an act of civil disobedience, to stand up for our patients," said one Kaiser Permanente worker.
Dozens of healthcare workers were arrested in Los Angeles on Monday after sitting in the street outside of a Kaiser Permanente facility to demand that providers address dangerously low staffing levels at hospitals in California and across the country.
The civil disobedience came as the workers prepared for what could be the largest healthcare strike in U.S. history. Late last month, 85,000 Kaiser Permanente employees represented by the Coalition of Kaiser Permanente Unions began voting on whether to authorize a strike over the nonprofit hospital system's alleged unfair labor practices during ongoing contract negotiations.
The current contract expires on September 30.
"We are burnt out, stretched thin, and fed up after years of the pandemic and chronic short staffing," Datosha Williams, a service representative at Kaiser Permanente South Bay, said Monday. "Healthcare providers are failing workers and patients, and we are at crisis levels in our hospitals and medical centers."
"Our employers take in billions of dollars in profits, yet they refuse to safely staff their facilities or pay many of their workers a living wage," Williams added. "We are prepared to do whatever it takes, even get arrested in an act of civil disobedience, to stand up for our patients."
Kaiser Permanente reported nearly $3.3 billion in net income during the first half of 2023. In 2021, Kaiser CEO Greg Adams brought in more than $16 million in total compensation.
According to the Coalition of Kaiser Permanente Unions, the hospital system "has investments of $113 billion in the U.S. and abroad, including in fossil fuels, casinos, for-profit prisons, alcohol companies, military weapons, and more."
Healthcare workers, meanwhile, say they're being overworked and underpaid, and many are struggling to make ends meet amid high costs of living.
"We have healthcare employees leaving left and right, and we have corporate greed that is trying to pretend that this staffing shortage is not real," Jessica Cruz, a nurse at Kaiser Permanente Los Angeles Medical Center, told LAist.
"We are risking arrest, and the reason why we're doing it is that we need everyone to know that this crisis is real," said Cruz, who was among the 25 workers arrested during the Labor Day protest.
A recent survey of tens of thousands of healthcare workers across California found that 83% reported understaffing in their departments, and 65% said they have witnessed or heard of care being delayed or denied due to staff shortages.
Additionally, more than 40% of the workers surveyed said they feel pressured to neglect safety protocols and skip breaks or meals due to short staffing.
"It's heartbreaking to see our patients suffer from long wait times for the care they need, all because Kaiser won't put patient and worker safety first," Paula Coleman, a clinical laboratory assistant at Kaiser Permanente in Englewood, Colorado, said in a statement late last month. "We will have no choice but to vote to strike if Kaiser won't bargain in good faith and let us give patients the quality care they deserve."
A local NBC affiliate reported Monday that 99% of Colorado Kaiser employees represented by SEIU Local 105 have voted to authorize a strike.