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Why Kaiser Permanente therapists in L.A. went on a starvation strike : Pictures

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April 13, 2025
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Why Kaiser Permanente therapists in L.A. went on a starvation strike : Pictures
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Mental health workers protest outside the Kaiser Permanente Los Angeles Medical Center on a strip of Sunset Blvd. They are heading into their sixth month of striking over wages, benefits and time in between patients.

Psychological well being employees protest outdoors 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 same old protest scene. Dozens of hanging psychological well being care employees 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 do-it-yourself indicators.

However a number of of the hanging employees sat quietly underneath a tent, conserving their power and mixing electrolyte drinks — their solely deliberate sustenance for 5 days.

Pissed off and feeling unable to get their voices heard after practically 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,” mentioned Aida Valdivia, a licensed marriage and household therapist, who is without doubt one of the starvation strikers.

Many employees 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 form of ravenous us, Kaiser.”

The employees started their strike in October, arguing that they deserve the identical pension that different Kaiser Permanente employees obtain, and pay equal to their colleagues in the identical therapeutic positions in different elements of the state.

Additionally they argue that different well being care employees at Kaiser with comparable ranges of coaching, reminiscent of 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 lavatory in between purchasers. Their calls for embrace extra time in between sufferers for issues like scheduling and paperwork.

United Auto Workers members attend a solidarity rally as the UAW strikes the Big Three automakers on September 15, 2023 in Detroit, Michigan.

Some employees 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 employees 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 ample care. Many fines have 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 employees competitively.

The psychological well being employees do obtain retirement advantages, however argue that the profit shouldn’t be the identical because the beneficiant pension that their colleagues in different departments — together with people 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 increased pay to take care of fewer sufferers.” He and different representatives argue that Southern California has totally different financial dynamics from different elements of the state, and keep it’s the firm’s “accountability to stability offering a beneficiant contract for our staff with conserving high-quality care accessible and inexpensive for our members.”


Eight workers camped out in a church fellowship hall for a week together while they were on a five-day hunger strike. They rented one hotel room and took turns using the shower.

Eight employees camped out in a church fellowship corridor for every week collectively whereas they have been on a five-day starvation strike. They rented one lodge 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 could be very disturbing to us,” says Patti Clausen, senior vp of the continuum of operations and scientific providers for the corporate within the Southern California area.

Clausen says administration is keen 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 underneath 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 slightly 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 slightly 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 slightly bit low.”

Want to understand America's labor movement? Head south

Verdiner is certainly one of numerous volunteers from different unions who’re doing medical oversight for these strikers. “The larger factor is that you just really feel positive as we speak,” he reassured her. “Your physique’s going via 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 possibility 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 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 difficulty. One report confirmed roughly two-thirds of Individuals with a recognized psychological well being situation have been unable to entry therapy, although that they had medical health 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 will not be frequent as an organizing device, some hint their historical past again to Cesar Chavez’s historic farm employee strikes. “ At the least in my studying of it, a really California factor,” says Erik Loomis, a labor historian at The College of Rhode Island. “It’s extremely a lot related to the Chavez expertise.”

Loomis cautions that when strikes persist, it may be a problem for employees to prevail. “When you’ve a strike that lasts a very long time, it turns into very troublesome to win that strike as a result of often 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 could 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 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 Towards 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 Against the Machine told the striking workers that he’d grown up with a single mom who was a high school teacher, and in a union. " We never had a lot of money, but we had enough money for food on the table. Shirts on our back and amplifiers in our basement." None of that would have been possible, he said, without the labor movement.

Tom Morello of the band Rage Towards the Machine instructed the hanging employees 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 might have been potential, he mentioned, with out the labor motion.

Katia Riddle / NPR


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Katia Riddle / NPR

After a number 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.”

Tags: hungerKaiserL.APermanenteShotsstriketherapists
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