#NNPA BlackPress
Dialysis Nurses – Prop 23 Poses Grave Threat to Black Patients

Ahead of the November election, a group of dialysis nurses and patients have come out in strong opposition to Proposition 23.
If passed, Prop. 23 would require all kidney dialysis clinics to have a physician, nurse practitioner, or physician assistant on-site during dialysis treatment. It would also prohibit clinics from reducing their services without state approval and make it illegal for them to refuse treatment for patients based on their insurance or payment source.
Although the proposition’s supporters say passing it would improve clinics across the board, opponents argue that requiring the presence of a physician at each clinic would force many clinics to shut down and increase healthcare costs for 80,000 California dialysis patients. Opponents also point out that the ballot measure would not require the physician to be a nephrologist or kidney specialist.
Dialysis is an important medical procedure for patients with kidney failure, with the risk of death increasing by 30% after one missed appointment. Patients need to attend a regular clinic to avoid complications in treatment that may arise if patients were forced to visit emergency rooms.
Opponents of Prop. 23 argue that many smaller clinics would not be able to afford the new staffing requirements and would be forced to shut down, leaving dialysis patients without a regular clinic.
“They’re not going to be able to operate because they’re not going to be able to afford the additional expense of paying this doctor when some of these expenses could be utilized to improve the equipment we have and which basically impacts the improvement in the care of a patient. It’s a waste of money,” said Kim Bailey, an Inglewood-based dialysis nurse.
African Americans make up the majority of dialysis patients. According to the National Kidney Foundation, more than 35% of all patients receiving dialysis for kidney failure in the U.S. are Black, even though Black people make up only 13.2% of the U.S. population.
Bailey spoke about her staff, using tasks her employees perform as examples of the services that dialysis clinics already provide without Prop. 23 in place. She emphasized that the patients, who come three times a week, are treated by nurses who match their shifts. This allows the nurses to bond with their patients and understand their conditions through familiarity.
“This clinic is one of the largest ones in Southern California. I have 58 chairs, I have about 350 in-center patients, and then I have a home program as well. I have a medical director and associate medical director that are very accessible to us at any given time. Each patient has an assigned nephrologist. My physicians frequent the clinic. There is always someone in this clinic,” said Bailey.
Los Angeles-based dialysis patient DeWayne Cox spoke about his own experience with dialysis, including what happened when he missed a treatment, as an example of what might happen to other dialysis patients if the proposition passes.
“I missed a shift for work on a Friday. I ended up in the emergency room that Saturday and the physicians there did not know how to treat me,” Cox said. “I am not diabetic, but the physician there treated me like I was a diabetic and gave me insulin. I’d never had insulin before in my life, and I nearly died. And other patients do because of something like that because they end up in the emergency room because they miss a session,” said Cox.
Kathy Fairbanks, the No on Prop 23 spokesperson who hosted the presentation, also spoke about the political back story behind the ballot measure.
Prop. 23, she said, is a predecessor of 2018’s Prop. 8, which was voted down. Both the previous proposition and this year are supported by the SEIU-UHW West, a labor union for healthcare workers. Opponents of Prop. 23 argue that Prop. 23 is the union’s latest attempt to unionize dialysis clinic workers.
“I think this is all part of a plan to put these initiatives on the ballot every two years, and essentially use it as a lever to force the dialysis provider to allow a union,’’ Fairbanks said. “If that were to happen, these initiatives every two years would cease to exist. We’d never seen another one on the ballot.”
“I don’t like the fact that it is involving patient care. They need to continue to address the teammates that work in the dialysis facilities in terms of their union and not involve the patients in this,” Bailey said.
#NNPA BlackPress
Recently Approved Budget Plan Favors Wealthy, Slashes Aid to Low-Income Americans
BLACKPRESSUSA NEWSWIRE — The most significant benefits would flow to the highest earners while millions of low-income families face cuts

By Stacy M. Brown
BlackPressUSA.com Senior National Correspondent
The new budget framework approved by Congress may result in sweeping changes to the federal safety net and tax code. The most significant benefits would flow to the highest earners while millions of low-income families face cuts. A new analysis from Yale University’s Budget Lab shows the proposals in the House’s Fiscal Year 2025 Budget Resolution would lead to a drop in after-tax-and-transfer income for the poorest households while significantly boosting revenue for the wealthiest Americans. Last month, Congress passed its Concurrent Budget Resolution for Fiscal Year 2025 (H. Con. Res. 14), setting revenue and spending targets for the next decade. The resolution outlines $1.5 trillion in gross spending cuts and $4.5 trillion in tax reductions between FY2025 and FY2034, along with $500 billion in unspecified deficit reduction.
Congressional Committees have now been instructed to identify policy changes that align with these goals. Three of the most impactful committees—Agriculture, Energy and Commerce, and Ways and Means—have been tasked with proposing major changes. The Agriculture Committee is charged with finding $230 billion in savings, likely through changes to the Supplemental Nutrition Assistance Program (SNAP), also known as food stamps. Energy and Commerce must deliver $880 billion in savings, likely through Medicaid reductions. Meanwhile, the Ways and Means Committee must craft tax changes totaling no more than $4.5 trillion in new deficits, most likely through extending provisions of the 2017 Tax Cuts and Jobs Act. Although the resolution does not specify precise changes, reports suggest lawmakers are eyeing steep cuts to SNAP and Medicaid benefits while seeking to make permanent tax provisions that primarily benefit high-income individuals and corporations.
To examine the potential real-world impact, Yale’s Budget Lab modeled four policy changes that align with the resolution’s goals:
- A 30 percent across-the-board cut in SNAP funding.
- A 15 percent cut in Medicaid funding.
- Permanent extension of the individual and estate tax cuts from the 2017 Tax Cuts and Jobs Act.
- Permanent extension of business tax provisions including 100% bonus depreciation, expense of R&D, and relaxed limits on interest deductions.
Yale researchers determined that the combined effect of these policies would reduce the after-tax-and-transfer income of the bottom 20 percent of earners by 5 percent in the calendar year 2026. Households in the middle would see a modest 0.6 percent gain. However, the top five percent of earners would experience a 3 percent increase in their after-tax-and-transfer income.
Moreover, the analysis concluded that more than 100 percent of the net fiscal benefit from these changes would go to households in the top 20 percent of the income distribution. This happens because lower-income groups would lose more in government benefits than they would gain from any tax cuts. At the same time, high-income households would enjoy significant tax reductions with little or no loss in benefits.
“These results indicate a shift in resources away from low-income tax units toward those with higher incomes,” the Budget Lab report states. “In particular, making the TCJA provisions permanent for high earners while reducing spending on SNAP and Medicaid leads to a regressive overall effect.” The report notes that policymakers have floated a range of options to reduce SNAP and Medicaid outlays, such as lowering per-beneficiary benefits or tightening eligibility rules. While the Budget Lab did not assess each proposal individually, the modeling assumes legislation consistent with the resolution’s instructions. “The burden of deficit reduction would fall largely on those least able to bear it,” the report concluded.
#NNPA BlackPress
A Threat to Pre-emptive Pardons
BLACKPRESSUSA NEWSWIRE — it was a possibility that the preemptive pardons would not happen because of the complicated nature of that never-before-enacted process.

By April Ryan
President Trump is working to undo the traditional presidential pardon powers by questioning the Biden administration’s pre-emptive pardons issued just days before January 20, 2025. President Trump is seeking retribution against the January 6th House Select Committee. The Trump Justice Department has been tasked to find loopholes to overturn the pardons that could lead to legal battles for the Republican and Democratic nine-member committee. Legal scholars and those closely familiar with the pardon process worked with the Biden administration to ensure the preemptive pardons would stand against any retaliatory knocks from the incoming Trump administration. A source close to the Biden administration’s pardons said, in January 2025, “I think pardons are all valid. The power is unreviewable by the courts.”
However, today that same source had a different statement on the nuances of the new Trump pardon attack. That attack places questions about Biden’s use of an autopen for the pardons. The Trump argument is that Biden did not know who was pardoned as he did not sign the documents. Instead, the pardons were allegedly signed by an autopen. The same source close to the pardon issue said this week, “unless he [Trump] can prove Biden didn’t know what was being done in his name. All of this is in uncharted territory. “ Meanwhile, an autopen is used to make automatic or remote signatures. It has been used for decades by public figures and celebrities.
Months before the Biden pardon announcement, those in the Biden White House Counsel’s Office, staff, and the Justice Department were conferring tirelessly around the clock on who to pardon and how. The concern for the preemptive pardons was how to make them irrevocable in an unprecedented process. At one point in the lead-up to the preemptive pardon releases, it was a possibility that the preemptive pardons would not happen because of the complicated nature of that never-before-enacted process. President Trump began the threat of an investigation for the January 6th Select Committee during the Hill proceedings. Trump has threatened members with investigation or jail.
#NNPA BlackPress
Reaction to The Education EO
BLACKPRESSUSA NEWSWIRE — Meanwhile, the new Education EO jeopardizes funding for students seeking a higher education. Duncan states, PellGrants are in jeopardy after servicing “6.5 million people” giving them a chance to go to college.

By April Ryan
There are plenty of negative reactions to President Donald Trump’s latest Executive Order abolishing the Department of Education. As Democrats call yesterday’s action performative, it would take an act of Congress for the Education Department to close permanently. “This blatantly unconstitutional executive order is just another piece of evidence that Trump has absolutely no respect for the Constitution,” said Rep. Maxine Waters (D-CA) who is the ranking member on the House Financial Services Committee. “By dismantling ED, President Trump is implementing his own philosophy on education, which can be summed up in his own words, ‘I love the poorly educated.’ I am adamantly opposed to this reckless action, said Rep. Bobby Scott who is the most senior Democrat on the House Education and Workforce Committee.
Morgan State University President Dr. David Wilson chimed in saying “I’m deeply concerned about efforts to shift federal oversight in education back to the states, particularly regarding equity, justice, and fairness. History has shown us what happens when states are left unchecked—Black and poor children are too often denied access to the high-quality education they deserve. In 1979 then President Jimmy Carter signed a law creating the Department of Education. Arne Duncan, former Obama Education Secretary, reminds us that both Democratic and Republican presidents have kept education a non-political issue until now. However, Duncan stressed Republican presidents have contributed greatly to moving education forward in this country.
During a CNN interview this week Duncan said during the Civil War President Abraham “Lincoln created the land grant system” for colleges like Tennessee State University. “President Ford brought in IDEA.” And “Nixon signed Pell Grants into law.” In 2001, the No Child Left Behind Act was signed into law by President George W. Bush which increased federal oversight of schools through standardized testing. Meanwhile, the new Education EO jeopardizes funding for students seeking higher education. Duncan states, PellGrants are in jeopardy after servicing “6.5 million people” giving them a chance to go to college. Wilson details, “that 40 percent of all college students rely on Pell Grants and student loans.”
Rep. Alma Adams (D-NC) says this Trump action “impacts students pursuing higher education and threatens 26 million students across the country, taking billions away from their educational futures. Meanwhile, During the president’s speech in the East Room of the White House Thursday, Trump criticized Baltimore City, and its math test scores with critical words. Governor West Moore, who is opposed to the EO action, said about dismantling the Department of Education, “Leadership means lifting people up, not punching them down.”
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