
Psychological well being staff protest outdoors the Kaiser Permanente Los Angeles Medical Middle on a strip of Sundown Blvd. They’re heading into their sixth month of putting over wages, advantages and time in between sufferers.
Katia Riddle / NPR
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Katia Riddle / NPR
In some ways, it was the same old protest scene. Dozens of putting psychological well being care staff chanted and marched Tuesday outdoors a Kaiser Permanente medical heart on a busy strip of Sundown Boulevard in Los Angeles. Passing vehicles honked in help. Folks vigorously waved selfmade indicators.
However just a few of the putting staff sat quietly below a tent, conserving their vitality and mixing electrolyte drinks – their solely deliberate sustenance for 5 days.
Pissed off and feeling unable to get their voices heard after almost six months of a strike to demand extra pay and advantages, these eight therapists had been taking their protest to the subsequent stage with a five-day starvation strike.
It is “an effort on our half to allow them to know that we’re critical,” mentioned Aida Valdivia, a licensed marriage and household therapist, who is without doubt 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,” mentioned Valdivia. “So mainly you might be 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.
Additionally they argue that different well being care staff at Kaiser with related ranges of coaching, corresponding to 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 consider it’s the longest strike of psychological well being staff in U.S. historical past.
Kaiser Permanente – a company that capabilities as an insurer and because the largest supplier of well being care in California – has paid hundreds of thousands of {dollars} in fines in recent times to the state for its behavioral well being system’s failure to supply satisfactory care. Many fines had been associated to lengthy wait instances, 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 will not be 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 e-mail assertion, Kaiser Permanente spokesperson Terry Kanakri mentioned the union was “demanding significantly greater pay to take care of fewer sufferers.” He and different representatives argue that Southern California has totally different financial dynamics from different components of the state, and preserve it’s the firm’s “duty to stability offering a beneficiant contract for our staff with retaining high-quality care accessible and inexpensive for our members.”

Eight staff camped out in a church fellowship corridor for per week collectively whereas they had 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 staff go on a starvation strike may be very disturbing to us,” says Patty Clawson, senior vp of the continuum of operations and medical companies for the corporate within the Southern California area.
Clawson 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 below 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,” mentioned Webb, who was on her second day of the starvation strike. “I Googled it and it mentioned 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 certainly one of numerous volunteers from different unions who’re doing medical oversight for these strikers. “The larger factor is that you simply really feel fantastic in the present day,” he reassured her. “Your physique’s going by withdrawals, proper? You are used to having three meals a day.”
Supporting the strikers close by on the picket line, Sal Roseli held an indication that learn “Identical firm, similar work. Why not similar wages, pension, advantages?”
Previously president of the Nationwide Union of Healthcare Staff, Roseli says Kaiser Permanete has a chance to be a pacesetter on the problem of psychological well being parity. He imagines this starvation strike may assist lead the U.S. to a time when “the time period psychological well being care would 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 situation. One report confirmed roughly two-thirds of Individuals with a recognized psychological well being situation had been unable to entry therapy, although they’d medical insurance.
California has handed parity legal guidelines to place psychological well being on the identical footing as bodily well being. Roseli says it is time for the state’s medical establishments to indicate their dedication.
California’s historical past of starvation strike
Whereas starvation strikes will not be frequent as an organizing device, some hint their historical past again to Cesar Chavez’s historic farm employee strikes. “ A minimum of 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 related to the Chavez expertise.”
Loomis cautions that when strikes persist, it may be a problem for staff to prevail. “When you could have a strike that lasts a very long time, it turns into very troublesome to win that strike as a result of normally meaning 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 more durable.”
On Friday, the union introduced they’d 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 instructed the cheering crowd. “If you say union, I say energy!”

Tom Morello of the band Rage In opposition to the Machine instructed the putting 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 will have been potential, he mentioned, with out the labor motion.
Katia Riddle / NPR
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Katia Riddle / NPR
After just a few 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 similar to you on days similar to this.”