Kaiser Permanente nderimwe remasangano makuru ekuchengetedza hutano (HMO) muUS. MuCOVID nguva, zviri kuita zvakanaka.
Mabviro aKaiser ari muBay Area, uye ichiri kuOakland, nhasi ine zvipatara makumi matatu nepfumbamwe uye dzimwe nzvimbo dzekurapa mazana manomwe. Mumakore achangopfuura, yakawedzera kuWashington State, Oregon, Hawaii, Colorado, Maryland, Virginia neGeorgia. Kubva nguva pfupi yapfuura COVID nhengo dzayo dzakakura nemazana matanhatu uye iko zvino yave kushandisa vashandi mazana matatu ezviuru, kusanganisira makumi masere ezviuru vanamukoti navanachiremba. Muna 39, purofiti yayo yaive 700 bhiriyoni. Muna 600,000, mambure ayo akakosha aive $300,000 bhiriyoni, sekureva kweCalifornia Dhipatimendi reManaged Health Care. Yakadzosa madhora mazana mashanu emamiriyoni emari yekubatsira denda kuhurumende yemubatanidzwa muna 80,000.
Kaiser manejimendi ari kuita zvakanaka zvakare; maCEO anounza mihoro yepamba inofananidzwa nevashandi vayo: 231-1! Greg Adams, mutungamiri mukuru muOakland akagamuchira madhora mamiriyoni gumi nenomwe mubhadharo muna 17.3. Iye nevakuru vakuru ve2020 vane pundutso yezvirongwa zvisere zvakasiyana zvekurega basa.
Saka zvakadini nevashandi? Vashandi vepamberi vaKaiser, magamba edu?
Kaiser akambonzi ane hushamwari hwemubatanidzwa, sangano rinofambira mberi iro rakanyoresa zviuru zvevashandi vemubatanidzwa. Hapachina. Gore rino ichokwadi chiitiko - mukupera kwezvibvumirano zvakawanda zvakakura. Iyo corporation yasvika pakutaurirana nemvumo, kwete mibairo, patafura. Mukuramwa kukuru kweUnited Nurses Association of California (UNAC) izvo zvisina kuitika, Kaiser akatsimbirira kuti awane zvibvumirano zvakasiyana-siyana, asi pamusoro pekuiswa kwegadziriro yezvikamu zviviri; vanamukoti, vakagumbuka uye vakatsamwa, vakadzivisa Kaiser pane izvi asi imwe chibvumirano chitsva chaive chiri mabvumirano kana kugeza. Zvakawanda zvaigoneka here? Pamwe, asi vashoma vaitarisira kuti UNAC icharova. Hapana gadziriro dzinoita sedzakaitwa.
The stationary engineers (Operating Stationary Engineers. Local 39) vakarova; vanga vabuda kweinoda kusvika mwedzi mitatu. Kunyangwe rekodhi purofiti, Kaiser ari kutamba bhora rakaoma nevainjiniya, pamuhoro uye pachikumbiro chekuyangarara mainjiniya pakati pezvivakwa, zano rakajeka rekudzikisa vashandi.
Pave nekuramwa kwekubatana kune mainjiniya. Musi wa18 Mbudzi vashandi vakuru vepanzvimbo, UHW, "vakarova" kunyangwe izvi zvichiita senge zvakamboitika. Mangwana acho, vanamukoti muCalifornia Nurses Association (CNA) vakatora nzvimbo yese yeKaiser muNorthern California.
Zuva rimwe chetero, nhengo dzeNational Union of Healthcare Workers (NUHW) dzakabudawo dzichinzwira tsitsi mainjiniya - kuramwa kwekubatana kwakatanga mambakwedza pazvivakwa zveNorthern California uye kwakapera nekufora mudhorobha reOakland uye rally pamuzinda weKaiser. Mazana evashandi vehutano hwepfungwa veNUHW, varapi, vanachiremba vepfungwa uye vanachipangamazano, ivo pachavo mukukurukurirana kwechibvumirano naKaiser, vakabatanidzwa nevanamukoti uye mainjiniya, vanobatana munharaunda, vamiriri vehutano hwepfungwa uye vakasarudzwa vakuru.
Kaiser akashoropodzwa se "mubatanidzwa wevashandi" pamusangano, kunyanya mukuchengetedza mainjiniya mumigwagwa mukati mezororo. Kaiser akadana vashandi vayo kuti "vakabhadharwa," nzira inotyisa maererano nekuzvipira kwevashandi vepamberi munguva yeCOVID, zvakanyanya kusiyana nemamiriyoni anobhadharwa kuvakuru vayo.
Kaiser anoita seanopokana nepfungwa yekuti kushanda kunogona kunge kuri mhinduro yakanaka kune COVID mamiriro, kunyangwe pamberi pemitemo yenyika; iyo yakakosha nyaya yeNUHW ndeyevashandi zvakare. Kaiser angatobhadhara faindi pane kutevera mitemo. Yakabhadhariswa mari inosvika mazana mashanu ezviuru, kupfuura chero mumwe mupi wehutano muCalifornia, neCAL/OSHA nekutyorwa kwayo maererano nekuchengetedzwa kwevarwere nevashandi zvichitevera kubuda kweCOVID 500 muzvipatara mhiri kweCalifornia, kunyangwe iri muBay Area. Denda reCOVID rakarwarisa vanhu makumi mapfumbamwe nevaviri paKaiser San Jose Medical Center paZuva reKisimusi 92. Kaiser San Leandro akabhadhariswa faindi makumi mapfumbamwe nemaviri nekunonoka kutaura nezvehutachiona hweCOVID uye nekutadza kugovera michina yekurapa zvinoenderana nedenda remitemo.
Kushanda, hongu, inyaya munyika yese, vanamukoti, vabatsiri vekurapa, vanachiremba nevamwe vese vachitaura kushushikana, kupera simba, mashifiti marefu, kushomeka kwevashandi muzvipatara zvawandirwa. Izvo zvakanyanya kune vashandi vehutano hwepfungwa vaKaiser nenzira yavo yakaipisisa; varwere vepfungwa vanoda nguva dzose, kurapwa nenguva. Hutano hwepfungwa huri mudambudziko, zvese zvine chekuita neCCIDID, asi zvakare mudambudziko rakadzika muUS - kunetseka, kuzviuraya kwekushungurudzika, dambudziko revechidiki, revarwi, vevagari vekumaruwa, vagari vemumaguta. Zvose izvi zvinoisa mutoro mukuru uye uri kukura kune vashandi vehutano.
Mukurwisana kwekuisa hutano hwepfungwa hwaKaiser pahutano hwakaenzana nehutano hwehutano, vashandi vehutano hwepfungwa veKaiser vave vachirwisana neHMO kwechikamu chakanakisisa chemakore gumi. Mukugadzirisa kwekupedzisira, Kaiser akabvuma neshungu kuhaya vabatsiri uye kushanda kune imwe nzira yekurapa.
Kaiser, zvisinei, haana kungotyora vimbiso yake chete, asi anogara achiramba kuti pane kana nyaya. Panguva ino kutenderedza, Kaiser haasi kungozvidza avo vanopa; iri kutyora mutemo zvinobudirira. Panyaya iyi, bhiri reSeneti SB221, mutemo wehurumende wakanyorwa nerubatsiro rweNUHW unoda kuti vese veinishuwarenzi vehutano vape vanotevera kugadzwa kwehutano hwepfungwa mukati memazuva gumi. Mukuita, izvi zvinoreva kuwedzera kwevashandi kuti vape ruzivo rwenguva yekutarisirwa maererano nemutemo, kuvandudza mamiriro ekushanda kuderedza kudzoka uye kuvimbisa kuwana kwevarwere kunoenderana netsika uye mitauro kune zvavanoda.
Kuramwa kwaNovember 19 kwakapa nhengo dzeNUHW mukana wekusvika, kuzivisa veruzhinji kuti Kaiser ari kuramba kubvumirana nezvikumbiro zvekondirakiti yekuwedzera zvakanyanya vashandi vehutano hwepfungwa uye kuita kuwana kwekutarisira kwakanaka uye kwakakodzera.
Mickey Fitzpatrick, chiremba wepfungwa kuKaiser Pleasanton akataura kuti kugadzwa kwake kwaitevera kwanga kusati kwasvika Ndira.
โIsu hatina vashandi vashoma uye macaseloads anowedzera kusvika mumazana. Hazvina kunaka kumanikidza vatengi kumirira mwedzi mumwe kana miviri, dzimwe nguva mwedzi mitatu yekugadzwa kurapwa. "
Joanna Manqueros akatsanangura kuti โkumirira kwenguva refu kutarisira kunogona kuva nemigumisiro inoparadza kuvarwere. Kushungurudzika ihosha yehutano hwepfungwa uye senge munhu ane chirwere cheshuga asina kurapwa kana munhu asina kurapwa ane chirwere chemoyo chakakomba, zvinokonzeresa zvinogona kusanganisira rufu. Izvi ndezvechokwadi kune vazhinji vevarwere vepfungwa vatinorapa. "
Kerry Levin, mushandi wezvemagariro evanhu kubva kuSan Rafael, akarondedzera kuparara kwemabasa aKaiser. โNdakashandira Kaiser kwemakore 20 uye handisati ndambozviona zvakashata zvakadai,โ akadaro. โNdinoshanda mukamuri rekukurumidzira. Kuwedzeresa, kuedza kuzviuraya, vanhu vandinoona vari munhamo, zvakapetwa kanenge kana. Zvinotora mavhiki masere kuti vanhu vari kutambura vawane rubatsiro. Hazvina maturo. " Levin akawedzera, "Munhaurirano dzekondirakiti, kuburikidza ne zoom, Kaiser haana chekuunza patafura. Vanodzima kamera yavo mushure memaminitsi gumi. Hapana chavanopa.โ Varwere vataurawo, sezvakaita mhuri dzavo. Vaverengi vane dumbu rakasimba vanofanira kuenda ku https://nuhw.org/kaiser-dont-deny/patient-stories/ Heino imwe muenzaniso:
โMwanasikana wedu akaisvonaka ane tarenda Elizabeth akaenda kukoreji pazera ramakore 15. Apo akauya kumba pazororo rechirimo pazera ramakore 17, akati aifunga kuti aifanira kuona chiremba. Takabva tangoenda kuKaiser, uye hondo yokumutarisira yakatanga. Takatanga kudana Kaiser mukupera kwaMay; yekutanga kugadzwa yaivepo yaive pakati paChikunguru. Takatsvaga vamwe vachengeti mugungwa guru revarapi pasina kurongeka kubva kuna Kaiser. NaKutenda Elizabeth aive aine pfungwa dzakaipa dzekuzviuraya. Takakumbira Kaiser kwemwedzi mishanu pamwe chete naElizabeth asiri weKaiser therapist, kuti abvumire kubvumidzwa kwake kuchirongwa chemazuva makumi matanhatu kunze kweKaiser. Kaiser akakumbira kuvhara mazuva gumi nemaviri. Murwere weKaiser aizowana chikamu chimwe muzvishanu chechemotherapy yavanoda here?
โPakupedzisira Elizabeth paakanga ari kumba achibva kukoreji, zvakatora mwedzi asati asangana nachiremba wepfungwa kuti vakurukure nezvechirwere chake uye kuchinja mishonga yake. Chiremba wepfungwa akapedza maminitsi makumi maviri naye, uye haana kuchinja mushonga wake. Musi waNdira 20, 10, akazvisungirira. Akapona, asi akakuvara muuropi zvinorwadza. Musi waMay 2018, akafa. โ
1500 nyaya dzakagoverwa ne "Kaiser Usaramba," 230 yeiyi inogona kuwanikwa (pawebhusaiti iri pamusoro).
Aka hakasi kekutanga nhengo dzeNUHWs dzichiramwa mabasa. Kusiyana neizvi, nhamba yekuramwa mabasa, kazhinji kwezuva rimwe, kumwe kwakavhurika kuri muzvibodzwa. Kuramwa mabasa kuri munhau mazuva ano; kunyange New York Times yakaratidza chidimbu pa "Striketober." Chinhu chakakosha apa ndechekuti kuramwa kwenhengo dzeNUHW hakusi kungodzivirira, kuita-kana-kufa zviitiko. Vane tsika. Routine mupfungwa iyo iyo Industrial Workers of the World's (IWW) mutungamiri ane mukurumbira "Big Bill" Haywood akataura nezve kurohwa sechombo chimwe chete chiri muchombo chevashandi. Sal Rosselli, Mutungamiri weNUWU, anoti "mumamiriro ezvinhu anhasi, takatarisana neindasitiri ine makambani, tinofanirwa kugonesa vashandirwi kuti ticharamwa mabasa, kuti nhengo dzedu dzinoda kurova." Mukutenderera kwega kwega mumakumi emakore, nhengo dzeNHUW dzehutano hwepfungwa dzakarova Kaiser, kusanganisira kuramwa kwakapera kwakavhurika munharaunda yekupedzisira.
COVID, nenzira yayo yehumhondi, yafumura dambudziko rakadzika muindasitiri yehutano yenyika. Makore ekugadzirisa uye nzara (austerity) akaita kuti hutano hweveruzhinji huvepo. Chatinacho pachinzvimbo ndeye yakavanzika purofiti yakavakirwa sisitimu iyo isina kungove isina kugadzirira denda, asi haina hurongwa hwekugadzirira inotevera. Kutevedzera indasitiri yakazvimirira, "hombe" yekutarisira hutano yatora zano re "nguva-ye-nguva" - kushomeka kwevashandi, kushomeka kwesimba, kushaikwa muzvinhu zvekurapa nemidziyo iripo, uku ichikurudzira "mutoro wega": "hutano."
Iyi ihurongwa hwakaputsika: kune "mutengi," munhu ari kushaiwa, iri robo kufona, mawebhusaiti asingagoneki, kumirira kusingagumi parunhare, kubviswa, kubhadhara-kubhadhara, mabhiri asingatarisirwi kana pasina inishuwarenzi zvachose - kugadzwa kusvika zvino mune ramangwana rakanyorerwa mukarenda yegore rinouya. Kune vanopa, mihoro uye mabhenefiti ari pasi pekutyisidzirwa nguva dzose, pamwe nenguva uye zvidzidzo zvekufamba uye kushanya kwemaminetsi makumi maviri. Mhedzisiro inoonekwa mu20 yakafa, yakakwirira kwazvo munyika (tisingatauri dambudziko reopioid). Vangani vangave vakaponeswa muhurongwa hwakaita hupenyu hwemunhu pamusoro pepurofiti?
Nhasi, vashandi vehutano, kusanganisira vashandi vehutano hwepfungwa veNUHW, vari kuchema kuti vabatsirwe. Vamwe vari kuronga. Vamwe vari kufora. Vamwe vari kurova. Rakawanda simba kwavari. Ivo vanotishandira, isu hatifanire kuvashandira here? Kubatana nevashandi veKaiser.
Cal Winslow's latest book is Radical Seattle, iyo General Strike ye1919. Ndiye munyori we Hondo yeVashandi Yevagari muCalifornia, iyo NUHW Healthcare Workers 'Kupandukira. Anogara nemhuri yake pedyo neCaspar paMendocino Coast.
ZNetwork inopihwa mari chete kuburikidza nerupo rwevaverengi vayo.
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