Issues underlying the massive health worker strike
By Danielle Kaye | NPR
Published October 4, 2023 8:24 AM
Frontline health care workers hold a demonstration outside Kaiser Permanente Los Angeles Medical Center on Sept. 4.
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Damian Dovarganes
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Topline:
Health care workers at hundreds of Kaiser Permanente hospitals and medical facilities across the U.S. walked off the job on this morning in an effort to ramp up pressure on their employer to fix a staffing shortage that has intensified since the start of the COVID-19 pandemic.
The basics: Over 75,000 workers — including nurses, emergency department technicians, pharmacists and hundreds of others — went on strike in California, Colorado, Washington, Oregon, Virginia and Washington, D.C.
Why it matters: It is the biggest health care strike in U.S. history, according to the unions.
Health care workers at hundreds of Kaiser Permanente hospitals and medical facilities across the U.S. walked off the job on Wednesday morning, in an effort to ramp up pressure on their employer to fix a staffing shortage that has intensified since the start of the COVID-19 pandemic.
Over 75,000 workers — including nurses, emergency department technicians, pharmacists and hundreds of others — went on strike in California, Colorado, Washington, Oregon, Virginia and Washington, D.C.
It is the biggest health care strike in U.S. history, according to the unions.
Kaiser, headquartered in Oakland, California, is one of the largest nonprofit health care providers in the United States, serving nearly 13 million patients. Most Kaiser workers who have walked off the job will be on strike for three days, until Saturday morning — except those in Virginia and Washington D.C., who will be on strike for 24 hours.
What this means for patients
The health care provider has said its hospitals and emergency departments will remain open throughout the strike, staffed by physicians and other staff. It said it is onboarding professionals who will service in critical care roles during the strike.
Kaiser has warned patients that non-emergency and elective services may be rescheduled. The organization is expanding its network of pharmacy locations to include community pharmacies, to ensure patients can access medication in the event that outpatient pharmacies temporarily close. Inpatient pharmacies at Kaiser hospitals will stay open.
About 60% of Kaiser employees, including doctors, will still be working throughout the strike, according to the organization.
Short-staffing crisis
These health care professionals are the latest group of crucial workers to strike over work conditions and pay this year, after the Hollywood writers and the ongoing United Auto Workers strike, among others.
Their walkout is driven by a short-staffing crisis that workers say has led to tough working conditions that make it increasingly difficult to retain Kaiser employees, while also simultaneously leading to a deterioration in the quality of care for Kaiser's patients.
About 11% of union positions were vacant in April of this year, according to Kaiser data obtained by the unions.
"Health care workers choose this profession because it's a passion for them. It's a calling," said Caroline Lucas, executive director of the Coalition of Kaiser Permanente Unions. "And folks don't feel comfortable staying at jobs where they don't feel like they can give the best patient care possible."
The unions allege Kaiser has engaged in unfair labor practices by refusing to bargain in good faith to solve the staffing crisis. Kaiser denies these allegations.
Why workers say they've been let down
Kaiser has asked workers to reject calls to walk off the job to prevent harm to patients.
But employees like Brooke El-Amin, who has worked at Kaiser for 21 years, say patient care is already suffering due to staffing shortages. The goal of the strike is to put pressure on Kaiser to improve patient care in the long-run.
"I don't want to strike," El-Amin said. "But I feel like Kaiser is already letting down our patients — they're already letting down the employees."
Pharmacists and optomestrists in Washington D.C. and Virginia were the first to launch the strike at 6 a.m. local time Wednesday morning, followed by workers in Colorado and on the West Coast.
Dozens of Kaiser employees, energized by their union's momentum, joined the picket line at Kaiser's Springfield Medical Center in Virginia soon after the strike began.
Kaiser clinical pharmacist Keyani Adigun joins her union's picket line outside the Kaiser Permanente Springfield Medical Center in Virginia, on Wednesday, Oct. 4 2023.
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Keyani Adigun, a clinical pharmacist in Washington D.C., said she struggled throughout the pandemic to keep up with patient demands, as colleagues left Kaiser in droves.
And she said her employer still isn't providing enough resources — more than three years after COVID-19 hit the U.S.
"I hope that Kaiser leadership hears our voices," Adigun said, before joining the picket line. "The harder we work, the less resources we start to see."
Workers' contract expired without a new one in place
The collective bargaining agreement for employees represented by a coalition of unions expired on September 30 without a new agreement in place. The unions and Kaiser executives are still far apart on key sticking points, including wages, despite progress on issues such as outsourcing and subcontracting protections during talks over the weekend.
The two sides reached a tentative agreement on Monday on a 40% increase to an education fund, that will support additional training for employees, according to the SEIU-UHW union in California.
But the coalition is asking for a pay raise of nearly 25% for all of its members along with better benefits, such as medical coverage for retirees. With better pay and work conditions, the unions say, more people would be incentivized to stay at Kaiser. It would also attract newer workers — all of which would help alleviate the staffing shortage.
So far, Kaiser has countered with raises ranging from 12.5-16% over four years. Kaiser also said in a statement that it's close to reaching its goal of hiring 10,000 more people in union roles by the end of 2023 to fill vacancies.
The organization stressed that staffing shortages and burnout are issues affecting the entire healthcare industry — not just Kaiser. It also said that its compensation and benefits packages are better than most.
"The people of Kaiser Permanente have faced down the pandemic better than most frontline workers because we started from a different place," Kaiser said.
Lucas said Kaiser's commitment to ramping up hiring is a step in the right direction. But she said the health care provider isn't taking into account the thousands of workers who keep leaving, adding that Kaiser needs to raise wages substantially to give people a reason to stay.
Destiny Torres
covers all things SoCal, from breaking news to local government, with a focus on Orange County.
Published October 1, 2026 5:44 PM
A federal appeals court on Thursday agreed to temporarily pause the order to construct more than 2,500 new housing units on the Veterans Affairs campus in West L.A.
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Al Seib
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Los Angeles Times via Getty Images
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Topline:
A long-running court battle between California veterans and the Trump administration will continue, as federal officials consider asking the U.S. Supreme Court to overturn a lower court’s order to build more housing for unhoused L.A. veterans.
What does the decision mean? A federal appeals court on Thursday agreed to temporarily pause the order to construct more than 2,500 new housing units on the Veterans Affairs campus in West L.A.
Background: The years-long court battle was initiated in 2023 by veterans struggling with homelessness in L.A. The case has centered on the 400-acre V.A. campus, which U.S. District Judge David O. Carter has ruled should offer more housing to the approximately 2,250 veterans experiencing homelessness in L.A. County.
What’s next? VA officials now have until Dec. 10 to decide whether to appeal their fight to the Supreme Court. Judges with the Ninth Circuit Court of Appeals told lawyers for the federal government that if they do not decide to appeal by Dec. 10, “the stay will be lifted immediately.”
Read on… to see what veteran advocates have to say about the latest development.
A long-running court battle between California veterans and the Trump administration will continue, as federal officials consider asking the U.S. Supreme Court to overturn a lower court’s order to build more housing for unhoused L.A. veterans.
A federal appeals court on Thursday agreed to temporarily pause the order to construct more than 2,500 new housing units on the Veterans Affairs campus in West L.A.
Mark Rosenbaum, an attorney with Public Counsel representing the plaintiffs, told LAist the delay could spell life or death for unhoused veterans, especially as the region braces for strong El Niño-driven storms.
“These are veterans who risked their lives and suffered both the visible and invisible wounds of war,” Rosenbaum said. “What the government is saying to them is, you're supposed to stay on the street."
VA officials did not immediately respond to LAist’s request for comment.
Veterans' lawyers in a court filing called a possible appeal to the Supreme Court a “hopeless shot.”
“The government has lost every time they have taken this to court. No court has ruled for them on any of these matters,” Rosenbaum told LAist. “This is part of the administration’s war on its own veterans, and it’s time for that war to come to an end.”
Could long-running case end up at the Supreme Court?
The litigation was initiated in 2023 by L.A. veterans struggling with homelessness. The case has centered on the 400-acre V.A. campus, which U.S. District Judge David O. Carter has ruled should offer more housing to the approximately 2,250 veterans experiencing homelessness in L.A. County.
An appeals court last month blocked the federal government’s efforts to halt the housing construction. But veteran advocates knew that federal officials could ask for further delays as the case winds through the courts.
VA officials now have until Dec. 10 to decide whether to appeal their fight to the Supreme Court. Judges with the Ninth Circuit Court of Appeals told lawyers for the federal government that if they do not decide to appeal by Dec. 10, “the stay will be lifted immediately.”
Mariana Dale
explores and explains the forces that shape how and what kids learn from kindergarten to high school.
Published October 1, 2026 4:25 PM
The Choices application window for the 2027-28 school year is open now through Nov. 6, 2026.
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The Los Angeles Unified School District shortened the application window for specialized academic programs this year, and will no longer accept paper forms. Applications for the district’s magnet, dual-language and affiliated charter schools for the next academic year opened Oct. 1 and are due Nov. 6, 2026.
The backstory: If you want your child to attend their neighborhood school, enrollment is fairly straightforward; there’s a separate process for the district’s specialized programs called Choices.
Those include:
Magnets: Programs on a specific theme, such as science, math, language, advanced studies or art. These programs were originally established to integrate segregated schools and have a unique “points” system to prioritize applications.
Dual language or immersion: Students learn in English and in a second language such as Spanish, Mandarin, Korean or Armenian.
Affiliated charter schools: District-run schools with more freedom to try different types of teaching or other programs.
What's next: LAUSD also hosts fairs, organized by geographic region, where multiple schools table and share information about their programs, through mid-October. The on-time application deadline is Nov. 6, 2026, and the late application process starts Dec. 1.
Read on … to learn more about the Choices process and all the options available.
The Los Angeles Unified School District shortened the application window for specialized academic programs this year, and will no longer accept paper forms.
Applications for the district’s magnet, dual language and affiliated charter schools for the next academic year opened Oct. 1 and are due Nov. 6, 2026.
How does it work?
If you want your child to attend their neighborhood school, enrollment is fairly straightforward. There’s a separate process for the district’s specialized programs called Choices.
There are two windows to apply— on-time and late. The latter consists of all the spaces left after families who applied on time accept their offers.
March 5, 2027: Deadline to accept or decline school offers for on-time applicants. School assignments for late applications follow the processing of on-time applications. Students may be offered a spot through the start of the spring semester.
Aug. 12, 2027: The school year begins.
LAUSD will no longer accept paper Choices applications. If families do not have a computer, they can use a smartphone to complete an application. LAUSD will also allow families to use computers at school parent centers.
How to prepare
Every child within LAUSD boundaries is assigned a school — find yours through the district’s “resident school identifier.”
But there are also hundreds of other programs available through the Choices process.
Those include:
Magnets: Programs on a specific theme, such as science, math, language, advanced studies or art. These programs were originally established to integrate segregated schools and have a unique “points” system to prioritize applications.
Dual language or immersion: Students learn in English and in a second language such as Spanish, Mandarin, Korean or Armenian.
Affiliated charter schools: District-run schools with more freedom to try different types of teaching or other programs.
No one type of school is inherently better than another, and no one metric defines a great school — there are many factors beyond test scores to consider, and we go over some of those here.
By far the most frequent piece of advice we’ve heard is to go on an in-person school tour if possible.
“The very best thing that people can do is go to the school and try to watch the way that educators interact with students, the way that students interact with each other, and the way that families are included or not in the life of a school,” said Jack Schneider, a University of Massachusetts, Amherst, education researcher and parent. “Once you do that, you really get a sense of what kind of place kids are going to school.”
Some schools post tour information online, but you may need to call for details.
LAUSD also hosts fairs, organized by geographic region, where multiple schools table and share information about their programs, through mid-October.
Keep up with LAist.
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The Justice Department found Thursday that the law school at the University of California, Los Angeles, illegally considered race in admissions.
DOJ findings: The Justice Department’s investigation found UCLA’s law school discriminated against white and Asian American students by favoring Black and Hispanic applicants in its 2023, 2024 and 2025 incoming classes. Its analysis found the mean LSAT score was lower for admitted Black applicants than for admitted white applicants.
The backstory: Affirmative action in college admissions has been illegal since a 2023 Supreme Court ruling forbade it. The same ruling said colleges could continue to assess how applicants’ backgrounds might speak to broader characteristics, but President Donald Trump has accused colleges of using applicants’ personal statements and other proxies to consider race in admissions — which conservatives view as illegal discrimination.
The Justice Department found Thursday that the law school at the University of California, Los Angeles, illegally considered race in admissions.
The announcement follows a similar finding against the university’s medical school and comes as President Donald Trump’s administration ramps up scrutiny of colleges’ processes for selecting students. The administration also has accused the UC Berkeley Law School and the medical school at the University of California, San Diego, of illegally discriminating against white and Asian applicants.
The UCLA School of Law said in a statement that it was committed to making admissions decisions in compliance with all applicable laws.
“Students are admitted through a comprehensive, merit-based review process that considers each applicant’s achievements and experiences,” the statement said. “We are confident in our process.”
Affirmative action in college admissions has been illegal since a 2023 Supreme Court ruling forbade it. The same ruling said colleges could continue to assess how applicants’ backgrounds might speak to broader characteristics, but Trump has accused colleges of using applicants’ personal statements and other proxies to consider race in admissions — which conservatives view as illegal discrimination.
The Justice Department’s investigation found UCLA’s law school discriminated against white and Asian American students by favoring Black and Hispanic applicants in its 2023, 2024 and 2025 incoming classes. Its analysis found the mean LSAT score was lower for admitted Black applicants than for admitted white applicants.
The department also said admissions staff at the law school instructed applicants during recruitment efforts, including one called the “Diversity Admissions Open House,” how to reveal their race in essays.
“Like many of its peer institutions, UCLA Law School runs a two-tiered admissions system whose academic bar for acceptance shifts up or down depending on the color of your skin,” said Harmeet Dhillon, head of the department’s Civil Rights Division, in a news release.
California voters ended affirmative action in college admissions in a 1997 ballot measure. In a brief filed in the Supreme Court case, the UC system said the change led to a precipitous drop in underrepresented minorities, especially at the system’s most selective campuses. The brief said UC went on to implement a range of race-neutral measures to increase diversity.
The Trump administration also has sued over the main UCLA campus’s response to allegations of antisemitic harassment. The administration’s latest finding sets the stage for a voluntary resolution to bring UCLA into compliance with the Justice Department’s legal interpretation or, if none can be reached, potential legal action.
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The Associated Press’ education coverage receives financial support from multiple private foundations. AP is solely responsible for all content. Find AP’s standards for working with philanthropies, a list of supporters and funded coverage areas at AP.org.
Julia Barajas
is following the impact of President Trump's immigration policies on Southern California communities.
Published October 1, 2026 2:27 PM
Lino de Jesús Pérez Cuevas, who is now a lawful permanent resident, reflected on his immigration journey with artist Hedy Torres.
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Topline:
Local artist Hedy Torres drew unfinished portraits of DACA recipients in 2017, while she was a student at Cal State Northridge, and pledged to finish them when her subjects attained lawful permanent residency. Last month, she reunited with her first subject and invited community members to watch as she asked him how his life has changed over nearly a decade.
The backstory: Lino de Jesús Pérez Cuevas was brought to the U.S. when he was 2. He is now a parent and an adjunct instructor at Cal State Northridge, but there was a time when he could not envision a stable future.
Why it matters: DACA does not grant lawful permanent status or a pathway to citizenship.Although the federal government continues to process renewal requests for existing DACA recipients, the agency is no longer approving first-time applications. Under the second Trump administration, DACA recipients are also experiencing significant delays with renewals. Some have lost their jobs. Recipients have also been deported.
Artist Hedy Torres asked a 20-something student from Cal State Northridge to sit for a portrait nearly a decade ago. Using charcoal on paper, she drew the dark-haired young man in black and white — but she deliberately kept the portrait unfinished.
The idea was that she would complete the piece if her subject, a DACA recipient named Lino de Jesús Pérez Cuevas, ever attained lawful permanent residency.
And now he has.
DACA, which stands for Deferred Action for Childhood Arrivals, is a program that provides two-year work permits and deportation relief for people who were brought to the U.S. as children. The permits can be renewed, but the program does not grant a pathway to citizenship.
In late September, Pérez Cuevas — who is now married, a father, a green card holder and an adjunct instructor at his alma mater — sat with Torres once again.
Torres’ project involves interviewing subjects as she sketches them. This year, she invited the public to watch her complete the portrait as she spoke to Pérez Cuevas about what it took for him to get a green card and what that means for his life.
About two dozen people gathered at a community center in West Hollywood’s Plummer Park to see her add details to the piece that speak to the passing of time.
“I just wanted to make people empathetic to what [immigrants] go through during this process,” she said. “You have to be very patient. There is a lot of uncertainty.”
Responding to the potential loss of relief
Pérez Cuevas, who was born in the Mexican state of Oaxaca, was brought to the U.S. by his parents when he was 2.
When Torres drew him in 2017, he was pursuing a master’s degree in kinesiology at Cal State Northridge. That year, then-Attorney General Jeff Sessions announced intentions to rescind DACA, which had enabled him to set goals without the fear of being deported. A 2020 Supreme Court decision allowed the program to continue.
Torres was once undocumented herself, so she understood the 2017 announcement was earth-shattering for the approximately 800,000 people who were then in the program, she said.
The original, unfinished portrait of Lino de Jesús Pérez Cuevas.
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That year, Torres was also a student at CSUN, working toward a master’s in fine art.
She recalled recently that she wanted people to see DACA recipients as people, not numbers. And so, for her master's project, she proposed creating portraits of DACA beneficiaries.
The portraits would be rooted in interviews conducted as she drew her subjects. Leaving them unfinished, she said, would symbolize the precarity of the moment.
The pieces would have enough detail for viewers to see the subjects’ faces clearly, particularly their eyes and expressions. Other elements, including their bodies and clothing, would be more of an initial sketch.
The university greenlit her project and gave her a grant to pursue it. There was just one problem: Torres had to convince reticent DACA recipients to share their stories.
Building trust
When Torres first messaged Pérez Cuevas about the project, he ignored her for two weeks, he said. But because they had a mutual friend, he eventually agreed to meet with her.
“I was trying to see whether this person was just an academic trying to complete a project for her own benefit, or whether she really cared about the community,” he told LAist.
They met at a coffee shop. Pérez Cuevas learned about the artist’s journey from the Mexican state of Colima and everything she’d lived through since.
Before 2015, for example, an undocumented person in California could not get a driver’s license. When she was undocumented, Torres was stopped by police and had her car impounded. She said she had to cobble together thousands of dollars to get her car back from a tow yard.
Pérez Cuevas could relate. He had experienced the same thing.
He decided to trust her.
After she drew him, Pérez Cuevas helped Torres connect with more DACA recipients at the university. She drew four other portraits, which were also left unfinished.
These works were acquired by the university, with the agreement that Torres would be able to borrow and complete them when — and if — her subjects attained lawful permanent residency.
Community members watch Artist Hedy Torres update the portrait at Plummer Park in West Hollywood.
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‘A sense of freedom’
As she worked on the portrait, Torres added soft lines rendered in charcoal to the image of Pérez Cuevas’ face, along with a robust mustache. And she continued the interview.
“What did you imagine your life would be like when you were young?” Torres asked.
Thinking back to high school, Pérez Cuevas said he realized then that not having a social security number barred him from decent-paying work.
“I didn't really understand what I was doing with my life,” he said, adding that he used to not think higher education was for him even while he was at CSUN. “My state of mind was really dark back then.”
He credited a college counselor with helping him navigate school. He earned his degree in 2017.
Pérez Cuevas said he has intimate knowledge of what it’s like to live with constant uncertainty: not knowing how he would pay for college because he did not qualify for federal financial aid; not being able to travel outside the country; and waiting anxiously for federal officials to make decisions on immigration laws that could transform his life.
“I can't stress enough how difficult it is psychologically to wait because it's something that can revolutionize your life,” he said. “You're betting your whole life on this approval and just that suspense of waiting, waiting, waiting, living with that anxiety.”
Torres completed her portrait of Pérez Cuevas in September 2026. Four other portraits remain unfinished.
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U.S. Citizenship and Immigration Services continues to process renewal requests for existing DACA recipients, but the agency is no longer approving first-time applications.
Under the second Trump administration, DACA recipients are also experiencing significant delays with renewals. Some have lost their jobs. Recipients have been deported. According to the agency, the median processing time for DACA renewals was one month in 2023. Currently, it’s taking seven months to process most cases.
Pérez Cuevas said he was able to adjust his immigration status after marrying a U.S. citizen and consulting with an attorney. His lawyer helped him secure a document that allowed noncitizens to travel abroad and seek legal re-entry.
“Did getting permanent residency give you a sense of freedom, a freedom you probably didn't have when you were under DACA?” Torres asked him.
“Absolutely,” Pérez Cuevas said. “The biggest freedom was psychological freedom. You have this weight that you've been carrying all these years that finally just gets thrown off your shoulders.”
One of the things he feared most was long-term separation from his parents, he said.
When his mother and father migrated to the U.S., they did not see their own parents — his grandparents — for 40 years, Pérez Cuevas added. After his parents moved back to Mexico during the pandemic, he feared they would also go decades without seeing each other.
But having a green card enables him to travel and see his family.
Pérez Cuevas told Torres that, paradoxically, the threat of losing DACA made him “weirdly ambitious."
He said he doubled down on his studies and took on every internship he could. He figured that if the U.S. decided to deport him, he’d still have his education and work experience.
“Even on the days where I didn't necessarily have the greatest energy or the greatest state of mind, I showed up for myself,” Pérez Cuevas said.