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Dialysis Nurses – Prop 23 Poses Grave Threat to Black Patients

Published

5 years ago

October 21, 2020

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.

Michelle Snider

Associate Editor for The Post News Group. Writer, Photographer, Videographer, Copy Editor, and website editor documenting local events in the Oakland-Bay Area California area.

Posts by Michelle Snider | Website

Related Topics:Dialysis Nurses featured National Kidney Foundation Prop 23 Prop. 8 SEIU-UHW West

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Michelle Snider

Associate Editor for The Post News Group. Writer, Photographer, Videographer, Copy Editor, and website editor documenting local events in the Oakland-Bay Area California area.

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#NNPA BlackPress

LIHEAP Funds Released After Weeks of Delay as States and the District Rush to Protect Households from the Cold

BLACKPRESSUSA NEWSWIRE — The federal government has released $3.6 billion in home heating assistance after a delay that left states preparing for the start of winter without the program’s annual funding.

Published

7 days ago

December 1, 2025

Stacy M. Brown

By Stacy M. Brown
Black Press USA Senior National Correspondent

The federal government has released $3.6 billion in home heating assistance after a delay that left states preparing for the start of winter without the program’s annual funding. The Low-Income Home Energy Assistance Program, known as LIHEAP, helps eligible households pay heating and cooling bills. The release follows a shutdown that stretched 43 days and pushed agencies across the country to warn families of possible disruptions.

State officials in Minnesota, Kansas, New York, and Pennsylvania had already issued alerts that the delay could slow the processing of applications or force families to wait until December for help. In Pennsylvania, more than 300,000 households depend on the program each year. Minnesota officials noted that older adults, young children, and people with disabilities face the highest risk as temperatures fall.

The delay also raised concerns among advocates who track household debt tied to rising utility costs. National Energy Assistance Directors Association Executive Director Mark Wolfe said the funds were “essential and long overdue” and added that high arrearages and increased energy prices have strained families seeking help.

Some states faced additional pressure when other services were affected by the shutdown. According to data reviewed by national energy advocates, roughly 68 percent of LIHEAP households also receive nutrition assistance, and the freeze in multiple programs increased the financial burden on low-income residents. Wolfe said families were placed in “an even more precarious situation than usual” as the shutdown stretched into November.

In Maryland, lawmakers urged the Trump administration to release funds after the state recorded its first cold-related death of the season. The Maryland Department of Health reported that a man in his 30s was found outdoors in Frederick County when temperatures dropped. Last winter, the state documented 75 cold-related deaths, the highest number in five years. Rep Kweisi Mfume joined more than 100 House members calling for immediate federal action and said LIHEAP “is not a luxury” for the 100,000 Maryland households that rely on it. He added that seniors and veterans would be placed at risk if the program remained stalled.

Maryland Gov. Wes Moore used $10.1 million in state funds to keep benefits moving, but noted that states cannot routinely replace federal dollars. His administration said families that rely on medical equipment requiring electricity are particularly vulnerable.

The District of Columbia has already mapped out its FY26 LIHEAP structure in documents filed with the federal government. The District’s plan shows that heating assistance, cooling assistance, weatherization, and year-round crisis assistance operate from October 1 through September 30. The District allocates 50 percent of its LIHEAP funds to heating assistance, 10 percent to cooling, 13 percent to year-round crisis assistance, 15 percent to weatherization, and 10 percent to administrative costs. Two percent is used for services that help residents reduce energy needs, including education on reading utility bills and identifying energy waste.

The District’s plan lists a minimum LIHEAP benefit of $200 and a maximum of $1,800 for both heating and cooling assistance. Crisis benefits are provided separately and may reach up to $500 when needed to resolve an emergency. The plan states that a household is considered in crisis if it has been disconnected from energy service, if heating oil is at 5 percent or less of capacity, or if the household has at least $200 owed after the regular benefit is applied.

The District’s filing notes that LIHEAP staff conduct outreach through community meetings, senior housing sites, Advisory Neighborhood Commissions, social media, posters, and mass mailings. The plan confirms that LIHEAP applicants can apply in person, by mail, by email, or through a mobile-friendly online application and that physically disabled residents may request in-home visits.

As agencies nationwide begin distributing the newly released funds, states continue working through large volumes of applications. Wolfe said LIHEAP administrators “have been notified that the award letters have gone out and the states can begin to draw down the funds.”

Stacy M. Brown

Posts by Stacy M. Brown

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Seven Steps to Help Your Child Build Meaningful Connections

BLACKPRESSUSA NEWSWIRE — Swinging side by side with a friend on the playground. Sharing chalk over bright, colorful sidewalk drawings. Hiding behind a tree during a spirited game of hide-and-seek. These simple moments between children may seem small, but they matter more than we think

Published

7 days ago

December 1, 2025

Oakland Post

By Niyoka McCoy, Ed.D., Chief Learning Officer, Stride/K12

Swinging side by side with a friend on the playground. Sharing chalk over bright, colorful sidewalk drawings. Hiding behind a tree during a spirited game of hide-and-seek. These simple moments between children may seem small, but they matter more than we think: They lay the foundation for some of life’s most important skills.

Through everyday play, young children begin learning essential social and emotional skills like sharing, resolving conflicts, showing empathy, and managing their emotions. These social skills help shape emotional growth and set kids up for long-term success. Socialization in early childhood isn’t just a “nice-to-have”—it’s essential for development.

Yet today, many young children who haven’t yet started school aren’t getting enough consistent, meaningful interaction with peers. Research shows that there’s a decline in active free play and peer socialization when compared to previous generations.

There are many reasons for this. Children who are home with a parent during the day may spend most of their time with adults, limiting opportunities for peer play. Those in daycare or preschool may have restricted free play, and large classrooms can reduce supervision and social coaching. Some children live in rural areas, are homebound due to illness, have full schedules, or rely on screens to fill their playtime. And for some families, finding other families with young children to connect with isn’t easy.

While these challenges can feel significant, opportunities for connection still exist in every community. Families can take simple steps to help children build friendships, create a sense of belonging, and strengthen social skills. Here are some ideas to get started:

Storytime sessions at libraries or local bookstores
Community offerings such as parent-child workshops, art, music, gymnastics, swimming, or sports programs
Weekly events at children’s museums, which may include art projects, music workshops, or science experiments
Outdoor exploration, where kids can play with peers
Local parenting groups that organize playdates and group activities
Volunteer opportunities where children can participate, such as pet adoption events or packing meals at a food bank
Classes for kids at local businesses, including hardware, grocery, or craft stores

Some of these community activities are free or low-cost and give kids the chance to build friendships and practice social skills. Parents can also model positive social behavior by interacting with other parents and encouraging their children to play with their peers.

These may seem like small moments of connection, but they can have a powerful impact. Every time your child shares a toy, plays make-believe with peers, or races a friend down the slide, they’re not just playing—they’re learning the skills that build confidence, empathy, and lasting friendships. And it’s good for you, too. Creating intentional opportunities for play also helps you strengthen your own network of parents who can support one another as your children grow together.

Oakland Post

Posts by Oakland Post

#NNPA BlackPress

Seven Steps to Help Your Child Build Meaningful Connections

Published

7 days ago

December 1, 2025

Oakland Post

By Niyoka McCoy, Ed.D., Chief Learning Officer, Stride/K12

Storytime sessions at libraries or local bookstores
Community offerings such as parent-child workshops, art, music, gymnastics, swimming, or sports programs
Weekly events at children’s museums, which may include art projects, music workshops, or science experiments
Outdoor exploration, where kids can play with peers
Local parenting groups that organize playdates and group activities
Volunteer opportunities where children can participate, such as pet adoption events or packing meals at a food bank
Classes for kids at local businesses, including hardware, grocery, or craft stores