More than 4,000 Kaiser Permanente employees in San Diego County, and around 70,000 more across the country, walked off the job Wednesday to begin a three-day strike for more staffing and better working conditions.
The union representing Kaiser Permanente in Southern California says the strike is the largest of its type in U.S. history after contract negotiations failed to produce an agreement. It comes amid an extraordinary year for U.S. labor organizing and work stoppages.
Kaiser Permanente is one of the country’s largest insurers and health care system operators, with 39 hospitals nationwide. The nonprofit company, based in Oakland, California, provides health coverage for nearly 13 million people, sending customers to clinics and hospitals it runs or contracts with to provide care.
The strike began at 6 a.m. at Kaiser facilities across California, but picketing began three hours earlier at East Coast locations.
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An estimated 75,000 Kaiser workers were taking part in the strike, according to the Coalition of Kaiser Permanente Unions. In addition to California, picketing took place in Colorado, Washington, Oregon, Virginia and Washington, D.C.
The coalition has been pushing for higher wages commensurate with inflation, increased staffing and working conditions. The unions have also repeatedly accused Kaiser of bad-faith negotiating, an allegation Kaiser has denied.
"At issue, healthcare workers say, are a series of unfair labor practices related to bargaining in bad faith, along with simmering staff concerns related to unsafe staffing levels that can lead to dangerously long wait times, mistaken diagnosis, and neglect," according to a statement from the Coalition of Kaiser Permanente Unions. "After years of the COVID pandemic and chronic understaffing, Kaiser healthcare workers are calling on management to provide safe staffing levels."
In a statement released by the union Monday, Jessica Cruz, a licensed vocational nurse at Kaiser Los Angeles Medical Center, said there is a "short-staffing crisis" and Kaiser.
"I see my patients' frustrations when I have to rush them and hurry on to my next patient," she said. "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."
The union has also accused Kaiser of cutting performance bonuses for employees, failing to protect employees against subcontracting and offering wages that fail to keep pace with inflation -- all issues that Kaiser has refuted.
The workers' contract expired Saturday, but bargaining continued over the weekend and again Monday, Tuesday and through the night into Wednesday.
"After six months of bargaining with the Coalition of Kaiser Permanente Unions, including a marathon effort that went through last night and into today (Wednesday), our bargaining sessions unfortunately ended without a settlement, and the Coalition strikes began," according to a Kaiser statement released Wednesday afternoon.
Kaiser officials said the marathon bargaining sessions did result in a "number of tentative agreements," and they insisted the health care system's latest offers address the union's demands. Kaiser officials said the company is offering:
- "Across-the-board" wage increases in all markets over four years;
- Improved Performance Sharing Plan with the potential for payouts of up to $3,750;
- Minimum wages of $23 an hour in California and $21 an hour in other markets; and
- Renewal of tuition assistance and training programs.
"We remain committed to reaching a new agreement that continues to provide our employees with market-leading wages, excellent benefits, generous retirement income plans, and valuable professional development opportunities," according to Kaiser.
The company also affirmed its commitment to hiring, confirming that it has already reached a goal of hiring 10,000 new union-represented employees before the end of the year.
"In total over the past two years, Kaiser Permanente has hired more than 50,000 people to join our teams," according to the company.
Earlier Wednesday, Kaiser officials issued a statement saying that rising inflation has led to a "massive surge" in expenses, and has made it tough for the company to balance taking care of its employees with being affordable to patients.
"As noted in a recent report from the American Hospital Association, rising inflation has led to health care experiencing a `massive surge' in expenses driven by drugs and supplies, equipment shortages, staffing costs and supply chain disruptions," Kaiser officials said. "At the same time, in the wake of the pandemic, demand for care has increased dramatically, as people come in for care that has been delayed. Kaiser Permanente is not immune to these inflationary pressures."
Among the workers involved in the strike are licensed vocational nurses, emergency department technicians, radiology technicians, ultrasound sonographers, teleservice representatives, respiratory therapists, X-ray technicians, certified nursing assistants, dietary services, behavioral health workers, surgical technicians, pharmacy technicians, transporters, home health aides, phlebotomists and medical assistants, union officials said.
