The largest health care strike in history is over — for now

About 4,000 members of SEIU Local 49 struck Kaiser Permanente facilities around Portland, Oregon on Oct. 4, as part of a nationwide series of health care strikes. Local grievances reportedly center on staffing and work-load.

About 4,000 members of SEIU Local 49 struck Kaiser Permanente facilities around Portland, Oregon on Oct. 4, as part of a nationwide series of health care strikes. Local grievances reportedly center on staffing and work-load. (John Rudoff, Associated Press)


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SACRAMENTO — More than 75,000 unionized Kaiser Permanente employees are returning to work after a historic three-day strike. But an even bigger, longer work stoppage could be just around the corner.

This week's temporary work stoppage — the largest health care strike in U.S. history — concluded at 6 a.m. PT on Saturday without a deal.

A spokesperson for the coalition of unions representing a broad spectrum of Kaiser Permanente employees, including receptionists, dietary workers, nursing staff, pharmacists, and clinical lab scientists, told CNN that strikes may resume later if a deal is not reached. The union confirmed to CNN that negotiations will resume Thursday.

"Following this historic work action by tens of thousands of frontline healthcare workers in response to unfair labor practices by Kaiser executives, we are hopeful that the company will refrain from any further violations of federal labor laws as we resume formal talks on Thursday," Georgette Bradford, a Sacramento, California-based Kaiser ultrasound technician and union member, said in a statement issued late Friday by the coalition.

"Frontline healthcare workers remain ready to continue taking the necessary steps to protect our patients from the dangers of the Kaiser short staffing crisis and to defend our rights," Bradford said.

Although the unions and Kaiser have scheduled bargaining sessions for the end of next week, the coalition of unions said it could issue a 10-day warning after Saturday that could kick off another round of strikes in a couple weeks "if Kaiser executives continue to commit unfair labor practices and bargain in bad faith."

Service Employees International Union-United Healthcare Workers West union, the largest union in the coalition, has also promised a "longer, stronger" strike when an employment contract for additional workers in Washington state expires on Oct. 31. The union hasn't shared specific details about a strike, though.

The looming threat of an additional work stoppage comes at a time of intensifying strike activity across the United States, with tens of thousands of workers across multiple industries taking to picket lines for better pay and benefits. In the wake of the pandemic, health care workers, in particular, have been fighting for safer work environments. This week's work stoppage was the first-ever national strike effort at Kaiser Permanente, one of the nation's largest nonprofit health plans.

Where do negotiations stand?

The strike took place across California, Colorado, Washington and Oregon. Nearly 200 employees from Kaiser Permanente facilities in Virginia and Washington also went on strike for one day on Wednesday.

At issue, the Kaiser Permanente coalition of unions said, are concerns, exacerbated by the pandemic, related to "unsafe" staffing levels and pay that hasn't kept up with skyrocketing rent and gas prices.

Rocio Chacon, a striking Kaiser worker on the union's negotiating committee, told CNN that many employees cannot afford to live in the cities where they work due to the rising cost of living, and some workers resort to sleeping in their cars.

"As we speak, there are nurses that are sleeping in their cars because of two reasons. One, they can't afford the cost of living here, so they have to move two, three hours (away), and then because of short staff, they're working 14, 16 hours, so they're tired," Chacon said on Wednesday, the first day of the strike. "So, their best choice is to be Monday through Friday in their cars."

Kaiser Permanente has argued it is a leader in pay. During the ongoing contract negotiations, the company has discussed with union employees across-the-board wage increases, including possible raises between 3% and 4% in the next four years. The coalition has instead asked for roughly a 6.5% increase in the first two years of a contract and a 5.75% increase in the final two years.

The coalition has argued that wage increases will help Kaiser attract new staff to tackle a "dangerous" labor shortage.

The strike impacted patients

Unlike traditional health care providers in the United States, Kaiser operates as an insurance plan and a provider of all care covered by that plan. Patients (or their employers) pay a membership fee to Kaiser Permanente to access its services.

Although Kaiser made contingency plans for the strike, some members and their families told CNN their care was affected.

Christina Campbell brings her mother, a cancer patient, into a Kaiser facility in Los Angeles on Tuesdays and Thursdays for lab work. She was turned away when she and her mother arrived on Oct. 5.

"There's nobody at the reception desks," Campbell told CNN on Thursday. "This is just wrong. This is wrong on all levels. I feel bad for the nurses, but I feel worse for the patients."

Other patients told CNN they ran into issues getting booster shots and scheduling appointments during the strike.

A more prolonged strike would likely impact patient care further, said John August, the former executive director of the Coalition of Kaiser Permanente Unions.

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Samantha Delouya

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