
Psychological well being staff protest exterior the Kaiser Permanente Los Angeles Medical Heart on a strip of Sundown Blvd. They’re heading into their sixth month of hanging over wages, advantages and time in between sufferers.
Katia Riddle/NPR
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Katia Riddle/NPR
In some ways, it was the standard protest scene. Dozens of hanging psychological well being care staff chanted and marched Tuesday exterior a Kaiser Permanente medical heart on a busy strip of Sundown Boulevard in Los Angeles. Passing vehicles honked in assist. Individuals vigorously waved do-it-yourself indicators.
However a couple of of the hanging staff sat quietly beneath a tent, conserving their vitality and mixing electrolyte drinks — their solely deliberate sustenance for 5 days.
Annoyed and feeling unable to get their voices heard after almost six months of a strike to demand extra pay and advantages, these eight therapists have been taking their protest to the following degree with a five-day starvation strike.
It is “an effort on our half to allow them to know that we’re critical,” stated Aida Valdivia, a licensed marriage and household therapist, who is likely one of the starvation strikers.
Many staff on strike are already sacrificing, says Valdivia, by draining their financial savings accounts, going to meals banks, and borrowing cash from family and friends over these final months.
“We have needed to restrict our meals anyway,” stated Valdivia. “So principally you’re sort of ravenous us, Kaiser.”
The employees started their strike in October, arguing that they deserve the identical pension that different Kaiser Permanente staff obtain, and pay equal to their colleagues in the identical therapeutic positions in different components of the state.
In addition they argue that different well being care staff at Kaiser with related ranges of coaching, resembling occupational therapists and radiation techs make as much as 40% greater than these in psychological well being.
Many say they do not have time to eat or go to the toilet in between purchasers. Their calls for embrace extra time in between sufferers for issues like scheduling and paperwork.
Some staff have returned to their jobs, however tons of stay on strike with out pay. Organizers imagine it’s the longest strike of psychological well being staff in U.S. historical past.
Kaiser Permanente — a corporation that features as an insurer and because the largest supplier of well being care in California — has paid thousands and thousands of {dollars} in fines lately to the state for its behavioral well being system’s failure to offer enough care. Many fines have been associated to lengthy wait occasions, which psychological well being professionals maintain up as one other indicator of the overworked and understaffed workforce.
Kaiser Permanente representatives acknowledge that some advantages and pay aren’t equal with others, however argue that they nonetheless pay their staff competitively.
The psychological well being staff do obtain retirement advantages, however argue that the profit will not be the identical because the beneficiant pension that their colleagues in different departments — together with those who work in administration or service positions — earn. When requested if this was true, Kaiser representatives responded that they didn’t know.
In a written electronic mail assertion, Kaiser Permanente spokesperson Terry Kanakri stated the union was “demanding significantly larger pay to look after fewer sufferers.” He and different representatives argue that Southern California has completely different financial dynamics from different components of the state, and keep it’s the firm’s “accountability to stability offering a beneficiant contract for our workers with retaining high-quality care accessible and reasonably priced for our members.”

Eight staff camped out in a church fellowship corridor for every week collectively whereas they have been on a five-day starvation strike. They rented one resort room and took turns utilizing the bathe.
Katia Riddle / NPR
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Katia Riddle / NPR
Nonetheless, the starvation strike is making Kaiser Permanente administration take discover. “Having our workers go on a starvation strike could be very disturbing to us,” says Patti Clausen, senior vice chairman of the continuum of operations and scientific companies for the corporate within the Southern California area.
Clausen says administration is raring to get again to the bargaining desk: “We’re dedicated to discovering the frequent floor for all of us.”
‘Is it regular to be getting chills?’
Sitting beneath the tent with different starvation strikers, Adriana Webb checked in with a nurse who got here by to watch their progress. “I felt like I used to be getting a little bit little bit of chills,” stated Webb, who was on her second day of the starvation strike. “I Googled it and it stated it might be as a result of I am in ketosis from not consuming.”
“It is a little bit early for that,” replied David Verdiner, a nurse who works within the gastrointestinal division and was giving up his lunch hour to supply this medical counsel. “It might be your blood sugar is a little bit bit low.”
Verdiner is one among plenty of volunteers from different unions who’re doing medical oversight for these strikers. “The larger factor is that you simply really feel fantastic at this time,” he reassured her. “Your physique’s going by means of withdrawals, proper? You are used to having three meals a day.”
Supporting the strikers close by on the picket line, Sal Rosselli held an indication that learn “Similar firm, similar work. Why not similar wages, pension, advantages?”
Previously president of the Nationwide Union of Healthcare Employees, Rosselli says Kaiser Permanete has a chance to be a pacesetter on the problem of psychological well being parity. He imagines this starvation strike might assist lead the U.S. to a time when “the time period psychological well being care does not exist. It is merely well being care.”
Lack of psychological well being parity — equality in pay and funding between psychological well being care and bodily well being care — is a nationwide subject. One report confirmed roughly two-thirds of People with a recognized psychological well being situation have been unable to entry remedy, although that they had medical insurance.
California has handed parity legal guidelines to place psychological well being on the identical footing as bodily well being. Rosselli says it is time for the state’s medical establishments to indicate their dedication.
California’s historical past of starvation strike
Whereas starvation strikes aren’t frequent as an organizing instrument, some hint their historical past again to Cesar Chavez’s historic farm employee strikes. “ At the very least in my studying of it, a really California factor,” says Erik Loomis, a labor historian at The College of Rhode Island. “It is very a lot linked to the Chavez expertise.”
Loomis cautions that when strikes persist, it may be a problem for staff to prevail. “When you will have a strike that lasts a very long time, it turns into very tough to win that strike as a result of normally which means the employer has the higher hand,” he says.
Doing one thing excessive like a starvation strike, says Loomis, might be a curveball. “ Given the objectives of that strike, it might be fairly efficient,” says Loomis, however he cautions that within the competitors for eyeballs and ears in America, “getting consideration has develop into tougher.”
On Friday, the union introduced that they had scheduled new bargaining dates subsequent week with Kaiser Permanente. It was the primary assembly in a month, since earlier negotiations deteriorated.
Tom Morello, longtime member of rock band Rage In opposition to the Machine, stopped by to cheer on the strikers on Tuesday with a fast live performance. “I am a union man,” he advised the cheering crowd. “If you say union, I say energy!”

Tom Morello of the band Rage In opposition to the Machine advised the hanging staff that he’d grown up with a single mother who was a highschool instructor, and in a union. “ We by no means had some huge cash, however we had sufficient cash for meals on the desk. Shirts on our again and amplifiers in our basement.” None of that may have been potential, he stated, with out the labor motion.
Katia Riddle / NPR
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Katia Riddle / NPR
After a couple of songs on the sidewalk, Morello left the strikers with this: “It is my perception that the way forward for the working class on this nation won’t be determined by Congress. It won’t be determined within the courts,” says Morello.
“It will be determined by the solidarity of individuals identical to you on days identical to this.”