After a sympathy strike on Thursday left some Kaiser Permanente patients stranded without care, nurses and mental health clinicians walked off the job Friday morning in solidarity with striking engineers.
Hundreds of Kaiser employees were on the picket line on Cottle Road outside the Kaiser San Jose Medical Center, holding signs that read “Patients Before Profits” and “Safe Staffing Now.”
“I think it’s just ridiculous that Kaiser has let these workers be on strike for nine and a half weeks,” said Kimberly Sullivan, a staff nurse in the ICU. “It’s just unimaginably sad that the company we’ve worked for tirelessly during this pandemic the past two years is turning their backs on the employees the way they are.”
In response to the Friday sympathy strike, Kaiser issued a statement: “While staffing continues to be a challenge across health care, we have hired hundreds of nurses and other care team members in recent months and continue to support our teams and their need for respite by bringing in experienced temporary staff.”
About 20,000 nurses and thousands of mental health professionals, represented by National Union of Healthcare Workers, are expected to join in the sympathy strike, including at some other Bay Area Kaiser centers in Fremont, Oakland, Walnut Creek, San Leandro, Antioch, Richmond, Redwood City, South San Francisco and Vallejo. Sympathy strikers will also rally in front of Kaiser’s corporate headquarters in Oakland at noon.
“Nurses know the devastating impact that short staffing has on our community’s health and well-being,” said CNA President Cathy Kennedy, a registered nurse at Kaiser in Roseville. “We also know that in order to provide the safe patient care our communities need and deserve, we must be able to count on our coworkers and they must be able to count on us. So we are standing with the Kaiser engineers in their righteous fight for a safe and just workplace.”
The engineers, represented by IUOE Stationary Engineers, Local 39, who help maintain various systems in hospitals, medical centers, and other buildings, have been striking since their contract expired on Sept. 17 in a bid for higher wages. Kaiser said that engineers earn more than $180,000 in combined wages and benefits and that union leaders are requesting “unreasonable increases” beyond what other unions have demanded.
“I know they depict it like we’re getting paid this massive amount of money,” said picketer Elaine Lopez, a biomedical engineer at Kaiser San Jose. “This is the Bay Area, it’s not cheap to live here. All we’re asking for is what is fair. We’re not asking for anything more than that. Just what everybody else in this area is being paid in our profession.”
Sullivan said that since the engineers have been out on strike, various things have broken down at the San Jose facility.
“We’ve had broken pipes that they had to get scabs to come in and repair that affected the floor, they didn’t listen to us,” she said. “We’ve had broken monitors on the fourth floor of the ICU. We have needle boxes falling off the walls, there’s just so many things. Sinks where the foot pedals are broken. We’ve having a hard time getting those fixed.”
Brandon Linzy, a nurse at Kaiser San Jose, said he’s also seen broken sinks and light switches that don’t work.
“I know they’re not going to get fixed until we get engineers here back to work,” he said. “We have hope that getting out here and showing some attention and shedding light on the engineers’ plight that Kaiser will finally do the right thing.”
Kaiser said in a statement regarding the comments about broken equipment: “This is not accurate. We have made extensive preparations so that during this strike, engineering duties are handled by skilled and experienced engineers. Engineers, including those brought in from Kaiser Permanente facilities in other regions across the country, are supported by qualified contractors and equipment specialists, all of whom have been appropriately prepared for this work.”
Mental health professionals, who have also been working under an expired contract since Oct. 1, say that Kaiser has rejected proposals to boost staffing and hire more minority and bilingual therapists in order to ease “unsustainable” caseloads at clinics. Kaiser workers say that clients are being forced to wait one to three months for a follow-up therapy appointment.
Mickey Fitzpatrick, a psychologist at Kaiser Pleasanton, said the next available appointment he has for patients isn’t until January.
“We’re grossly understaffed and have caseloads exceeding into the hundreds,” he said. “We don’t have a cap to our caseloads. It’s unethical to force clients to wait one to two months, sometimes three months for therapy appointments and it’s incongruent with their standard of care that suggests for therapy to be effective, for clients to be seen in intervals of one to two weeks.”
The long wait times could have gross ramifications on patients, including death, according to some mental health professionals.
“A month is a very long time,” said Joanna Manqueros, a therapist at Kaiser Oakland. “Depression is a serious mental health condition and just like an untreated diabetic or an untreated person with a severe cardiac condition, serious ramifications can include death and this is true for many of the mental health conditions that we treat.”
Fitzpatrick said the “vast majority” of NUHW membership would support going on strike if it came to that.
Kaiser said it has added hundreds of mental health clinicians over the past 5 years and have more than 300 open positions right now. The company also said they hired around 1,800 nurses by the end of the year, in addition to the 300 new nurses who will graduate from Kaiser’s residency program.
“There is a national shortage of mental health clinicians that was already a challenge before the pandemic, and over the past year-and-a-half the demand for care has increased everywhere,” Kaiser said in a statement. “We have been taking action to address the shortage of caregivers and to ensure care is available to our members.”
Friday’s sympathy strike comes after tens of thousands of Kaiser union workers in the Bay Area, Central Valley and Sacramento area, from X-ray technicians to housekeepers, walked out in sympathy Thursday, leaving the health care giant scrambling to find reinforcements and patients with longer wait times and in some cases, no services at all.
Kaiser said in a statement that it was bargaining with Local 39 on Tuesday and Wednesday but is still in a stalemate over wages.
“We are optimistic that we can resolve the remaining issues with Local 39 at the bargaining table and reach an agreement that continues to reward our employees and supports health care affordability, just as we have with several unions this week,” Kaiser said.
In the meantime, Kaiser said some locations with lab, optometry, and radiology services and some outpatient pharmacies will be closed or operating on reduced hours this week during the sympathy strikes. “Non-urgent” medical procedures or appointments could also be rescheduled or postponed.
The health care provider said it was questioning why union leaders have encouraged the sympathy strikes and that it “will not bring us closer to an agreement, and most importantly, it is unfair to our members and patients to disrupt their care when they most need our employees to be there for them.”
Union leaders said that Kaiser has enough money to fund resources at medical centers, which are buckling under the strain of inadequate staffing during the pandemic.
“Kaiser has the resources to be the best place to give and receive behavioral health care, but it’s chosen to be the poster child for unequal, unethical care,” said Sal Rosselli, president of the NUHW. “Kaiser’s refusal to even consider proposals to boost staffing and improve care shows that it’s not serious about working with clinicians to fix its mental health care system.”
