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Kaiser Mental Health Therapists Strike for Racial Justice on MLK Day

“People of color don’t stop being people of color when negotiations are done,” said Jessica Dominguez, the founder and lead clinician at Kaiser Permanente’s La Clínica. “Racism within the Kaiser system does not end when we ratify a contract. These issues are deeply embedded in this system and will not simply go away. And it is not enough to denounce racism. We must be anti-racist… We will not give up and we will not give in because mental health is a social justice issue.”

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Striking Kaiser workers march for racial justice. Photo courtesy of the National Union of Healthcare Workers web site.
Striking Kaiser workers march for racial justice. Photo courtesy of the National Union of Healthcare Workers web site.

By Matthew Artz

Refusing to let Kaiser pay lip service to racial justice while failing to provide culturally responsive health care for communities of color, mental health clinicians at Kaiser Permanente’s Richmond and Oakland offices held a one-day strike on Martin Luther King Jr. Day.

Nearly 100 psychologists, social workers, addiction counselors and marriage and family therapists picketed outside Kaiser’s Oakland Medical Center at 3600 Broadway and marched through Downtown Oakland, chanting “Therapist! Power!” on their way to a rally outside Kaiser’s corporate headquarters in the Ordway Building at 1 Kaiser Plaza.

“This is my ‘bus boycott.’ This is my ‘sitting at the lunch counter’… This is what MLK would have done,” Sabrina Chaumette, a social worker, who is one of only five Black clinicians on Kaiser’s adult team in Oakland, told colleagues and allies during the rally.

Speaking on the picket line, Assemblymember Mia Bonta, D-Alameda, told the striking clinicians, “When you have people and workers here who want the dignity of celebrating the most sacred and important day in our country… I say, ‘be anti-racist, Kaiser.’”

Clinicians in Oakland and Richmond voted nearly unanimously to strike after Kaiser executives broke their promise to make Martin Luther King Jr. Day a paid holiday in 2022.

In response, Kaiser CEO Greg Adams announced that Kaiser will treat the King holiday as a paid holiday for all Kaiser employees in 2023, but Kaiser executives have still refused to work with clinicians to address structural racism within the HMO, which has resulted in the departure of clinicians of color, further depriving patients of culturally competent care.

Kaiser has rejected proposals aimed at improving recruitment of therapists of color and bilingual therapists, as well as addressing structural racism within the organization.

“Kaiser pays a lot of lip service to racial justice, but when it comes to taking action, it’s always ‘wait till next year,’” said Chaumette, whose schedule is so overbooked that new patients must wait four months for an appointment. “If Kaiser can’t even keep its promise about honoring Martin Luther King Jr. Day this year, how can we trust that it will ever take action to address structural racism in its ranks?”

Besides Bonta, participating elected officials included Alameda County Supervisor Nate Miley and Oakland City Council members Sheng Thao, Nikki Fortunato-Bas and Dan Kalb.

According to a 2019 report from the Substance Abuse and Mental Health Services Administration, Black adults in the U.S are significantly more likely than their white counterparts to report persistent symptoms of emotional distress, such as sadness, hopelessness and feeling like everything is an effort. Despite the need for mental health care, the same report found only one in three Black adults receives it.

At Kaiser, a recent survey of more than 1,500 Kaiser employees represented by the National Union of Healthcare Workers found that 62% of non-white workers reported experiencing racism on the job and 37% of all workers surveyed reported witnessing racism toward their patients.

Additionally, 41% of all respondents reported having patients who struggled to access or maintain treatment because they could not be seen by a culturally competent provider.

“We are living in a time of reckoning, a time when people of color are no longer content with the status quo,” said Jessica Dominguez, the founder and lead clinician at Kaiser Permanente’s La Clínica. “Because (the) status quo has never included people of color. Status quo is white supremacy.”

In response to claims from Kaiser that the clinicians were “weaponizing” the King holiday because they’re bargaining for a new contract, Dominguez said that “structural racism is baked into the Kaiser system.

“People of color don’t stop being people of color when negotiations are done,” Dominguez said. “Racism within the Kaiser system does not end when we ratify a contract. These issues are deeply embedded in this system and will not simply go away. And it is not enough to denounce racism. We must be anti-racist… We will not give up and we will not give in because mental health is a social justice issue.”

Matthew Artz works for the National Union of Healthcare Workers, a member-led movement representing 15,000 healthcare workers, including more than 4,000 Kaiser mental health clinicians in California and Hawaii.

Activism

Oakland Post: Week of October 30 – November 5, 2024

The printed Weekly Edition of the Oakland Post: Week of October 30 – November 5, 2024

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“Two things can be true at once.” An Afro-Latina Voter Weighs in on Identity and Politics

“As a Puerto Rican I do not feel spoken to in discussions about Latino voters… which is ironic because we are one of the few Latino communities who are also simultaneously American,” Ortiz-Cedeño says. Puerto Ricans born in Puerto Rico, a U.S. territory, have American citizenship by birth but they do not have the right to vote for president if they live on the island. “I think that we miss out on a really interesting opportunity to have a nuanced conversation by ignoring this huge Latino population that is indigenously American.”

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Keyanna Ortiz-Cedeño at her graduation from UC Berkeley after receiving her master’s degree in City Regional Planning. Alongside her, are her parents holding a Puerto Rican flag. Courtesy photo.
Keyanna Ortiz-Cedeño at her graduation from UC Berkeley after receiving her master’s degree in City Regional Planning. Alongside her, are her parents holding a Puerto Rican flag. Courtesy photo.

By Magaly Muñoz

On a sunny afternoon at Los Cilantros Restaurant in Berkeley, California, Keyanna Ortiz-Cedeño, a 27-year-old Afro-Latina with tight curly hair and deep brown skin, stares down at her carne asada tacos, “I’ve definitely eaten more tortillas than plantains over the course of my life,” says Cedeño, who spent her childhood in South Texas, among predominantly Mexican-American Latinos. As she eats, she reflects on the views that American politicians have of Latino voters.

“As a Puerto Rican I do not feel spoken to in discussions about Latino voters… which is ironic because we are one of the few Latino communities who are also simultaneously American,” Ortiz-Cedeño says. Puerto Ricans born in Puerto Rico, a U.S. territory, have American citizenship by birth but they do not have the right to vote for president if they live on the island. “I think that we miss out on a really interesting opportunity to have a nuanced conversation by ignoring this huge Latino population that is indigenously American.”

Ortiz-Cedeño, an urban planner who is focused on disaster resilience, homelessness and economic prosperity for people of color, says that political conversations around Latinos tend to shift towards immigration, “I think this ties back into the ways that our perception of ‘Latino’ tends to be Mexican and Central American because so much of our conversation about Latinos is deeply rooted in what’s happening on the border,” she says. “I don’t think that the Afro-Latino vote is frequently considered when we’re talking about the Latino vote in the United States.”

Primarily surrounded by Mexican-Americans while growing up in South Texas, Keyanna participated in many Chicano cultured events, such as being a dama in several quinceñeras. Courtesy photo.

Primarily surrounded by Mexican-Americans while growing up in South Texas, Keyanna participated in many Chicano cultured events, such as being a dama in several quinceñeras. Courtesy photo.

As Ortiz-Cedeño sifts through childhood photos of her as a happy teen dancing with the Mexican ballet folklorico group in high school and as a dama in quinceñeras, she reflects on growing up in South Texas, an area with a large population of white and Mexican-Americans. The Black population was small, and within it, the Afro-Latino population was practically nonexistent.

“It was interesting to try to have conversations with other Latinos in the community because I think that there was a combination of both willful ignorance and a sort of ill intent and effort to try and deny my experience as a Latino,” she says. “There are a lot of folks in Latin America who experience a lot of cognitive dissonance when they think about the existence of Black Latinos in Latin America.

Ortiz-Cedeño comments on the long history of anti-Blackness in Latin America. “Throughout Latin America, we have a really insidious history with erasing Blackness and I think that that has been carried into the Latino American culture and experience,” she says. “People will tell you, race doesn’t exist in Latin America, like we’re all Dominicans, we’re all Puerto Ricans, we’re all Cubans, we’re all Mexicans. If you were to go to the spaces with where people are from and look at who is experiencing the most acute violence, the most acute poverty, the most acute political oppression and marginalization, those people are usually darker. And that’s not by accident, it’s by design.”

Because of the lack of diversity in her Gulf Coast town, as a teenager, despite being the only Spanish-speaker at her job in Walmart, Latinos refused to ask for her help in Spanish.

“Even if monolingual [Spanish-speaking] people would have to speak with me, then they were trying to speak English, even though they could not speak English, versus engaging with me as a Latina,” she says.

“I think that the perception of Latinos in the United States is of a light brown person with long, wavy or straight hair. The perfect amount of curves and the perfect combination of Indigenous and white genes. And very rarely will people also consider that maybe they also have a sprinkle of Blackness in them as well,” she says. “Over 90% of the slave trade went to the Caribbean and Latin America.”

Keyanna as a toddler, holding a whiteboard up with her last name, Ortiz-Cedeño, on it. Courtesy photo.

Keyanna as a toddler, holding a whiteboard up with her last name, Ortiz-Cedeño, on it. Courtesy photo.

Ortiz-Cedeño remembers when a Cuban family moved in next door to her in Texas. The teen daughter had blue-eyes, blonde hair and only spoke Spanish, which caused neighboring Latinos to take pause because she didn’t fit the Latino “look” they were used to.

“People didn’t have an option to try and negate her [Latino] identity because they had to acknowledge her for everything that she was,” Ortiz-Cedeño says.

Later on, the girl’s cousins, a Black, Spanish-speaking Cuban family, came into town and again locals were forced to reckon with the fact that not all Latinos fit a certain criteria.

“I think it forced everybody to have to confront a reality that they knew in the back of their mind but didn’t want to acknowledge at the forefront,” Ortiz-Cedeño says.

Having gone through these experiences as an Afro-Latina, Ortiz-Cedeño says it’s easy for her to understand Kamala Harris’ mixed Indian and Jamaican heritage, “It comes really naturally to accept that she is both Indian and Black. Two things can exist at the same time,” she says. “I had a long term partner for about seven years who was South Indian, from the same state as Kamala Harris, so if we had had a kid, they would look like [Harris],” Ortiz-Cedeño jokingly shares.

She says she can relate to having to walk the road of people only wanting to see Harris as a Black American. The talking point about [Harris] not being Indian or not being Black, just deciding to be Black, is really disingenuous and cheap,” she says.

Ortiz-Cedeño believes that the Harris campaign has not capitalized on the vice president’s mixed identity, which could be vital in bringing together different communities to understand each other on a new level and allow for improvements on America’s racial dynamics.

Keyanna co-managed a recovery center with her mother after Hurricane Harvey. They packed essentials, such as diapers, food, and water for families in need. Courtesy photo.

Keyanna co-managed a recovery center with her mother after Hurricane Harvey. They packed essentials, such as diapers, food, and water for families in need. Courtesy photo.

As she rushes into a Berkeley Urban Planning Commission meeting straight out of Ashby BART station, Ortiz-Cedeño explains her love for talking about all things infrastructure, homelessness, and healthcare access. The topics can be dry for many, she admits, but in the end, she gets to address long-standing systemic issues that often hinder opportunities for growth for people of color.

Having lived through the effects of Hurricane Katrina as a child, with the flooding and mass migration of Louisiana residents into Texas, Ortiz-Cedeño was radicalized into issues of displacement, emergency mitigation, and housing at nine years old.

“I remember my principal had to carry her students on her shoulders and swim us home because so many parents were trying to drive in and get their kids from school [due to] the flooding that was pushing their cars away,” she recalls.

Her family relocated to Houston soon after Katrina, only to be met with a deadly Hurricane Rita. They wound up in a mega-shelter, where Ortiz-Cedeño says she heard survivors stories of the unstable conditions in New Orleans and beyond, which got her wondering about urban planning, a term she wasn’t familiar with at the time.

“I think that when you put people in the context of the things that were happening in this country around [these hurricanes], a lot of us started to really think seriously about who gets to make decisions about the urban environment,” she adds.

Watching the heavy displacement of disaster survivors, hearing stories of her Navy veteran father’s chronic homelessness, and her own mother’s work and activism with homeless communities in the non–profit sector put her on the path to progressive politics and solutions, she says. After attending college on the East Coast- where she says she was finally recognized as a Puerto Rican- and working in housing, economic development, and public policy, she returned to California to earn a Master’s in City Regional Planning from UC Berkeley.

Young Keyanna volunteering at a beach clean up. Activism and giving back to her community has always been a key part of her upbringing. Courtesy photo.

Young Keyanna volunteering at a beach clean up. Activism and giving back to her community has always been a key part of her upbringing. Courtesy photo.

Her vast interest in the urban success of underserved communities even took her abroad to Israel and Palestine when she was an undergraduate college student. “I’ve seen the border with Gaza, I’ve had homestays with farmers in the West Bank,” she says. “For me personally, Palestine is an issue that is really close to the heart.”

“I have a very intimate understanding of the conflict and I’m very disturbed by the way in which the [Democratic] party has not been willing to engage in what I would perceive to be a thoughtful enough conversation about the conflict,” Ortiz-Cedeño says. “The issue of Palestine is going to be one of those that is a make or break issue for her. It has not been one that has been taken seriously enough by the party.”

Ortiz-Cedeño is not under the illusion that one candidate will address every policy issue she wants to see tackled by the president. But she believes it’s better than what former President Donald Trump has to offer.

“Trump has made it very clear what his intentions are with Palestine, and what his relationship is with [Benjamin] Netanyahu,” Ortiz-Cedeño says. “I understand the political strategy that many people are trying to engage in by withholding their vote, but I would also encourage them to re-engage in the political process.”

Casting her vote for Harris is a decision grounded in calculation rather than outright support. “I think I can vote in this election in order to have harm reduction… because I have deep care and concern for other communities that are going to be impacted by a Trump presidency,” Ortiz-Cedeño says.

She also hopes that American politicians will consider the nuance and perspective that Afro-Latinos bring to the table when it comes to politics, policy, and race in America, “When we don’t think expansively about who is Latino in the United States, the breadth of Latino experiences in the United States, we miss an opportunity to capture how diverse Latinos interests are politically.”

This story was reported in collaboration with PBS VOCES: Latino Vote 2024.

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Activism

On Your November Ballot: Prop 6 Could End “Involuntary Servitude” in California Prisons

Proposition (Prop) 6 would repeal language in the California Constitution that prohibits “involuntary servitude except to punish crime.” Instead, it will replace it with language that prohibits slavery and involuntary servitude absolutely.

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By Edward Henderson, California Black Media

Proposition (Prop) 6 would repeal language in the California Constitution that prohibits “involuntary servitude except to punish crime.”

Instead, it will replace it with language that prohibits slavery and involuntary servitude absolutely.

The amendment would also prohibit the California Department of Corrections and Rehabilitation from disciplining any incarcerated person for refusing a work assignment and authorize the department to award time credits to incarcerated persons who voluntarily participate in work assignments.

To gain a greater understanding of the proposition and the experience of incarcerated individuals impacted by the current language, California Black Media spoke with Dr. Tanisha Cannon, Managing Director of Legal Services for Prisoners with Children (LSPC).

“There are really two main messages for this to be a yes vote,” said Cannon. “The way that the Constitution names what’s going on in these prisons is called involuntary servitude. Involuntary servitude is just another name for slavery. That means that there’s a force and there’s coercion. So, the main message here is that involuntary servitude is slavery.”

So far, eight states, including California, have made provisions in their constitutions permitting involuntary servitude, but not slavery, as a criminal punishment. According to the National Conference of State Legislatures, 34 states have “earned time” credits that are awarded for participating in or completing education, vocational training, treatment, and work programs. Time credits can later be applied towards early release from secure custody.

The Anti-Recidivism Coalition has also been on record supporting Prop 6, stating that, “More than 94,000 Californians are currently enslaved in state prison. African Americans account for 28% of the prison population despite making up less than 6% of California’s overall population.”

Of those roughly 90,000 inmates, the state’s prison system employs nearly 40,000 who complete a variety of tasks including cleaning, cooking, firefighting, construction and yard work. Most of these workers earn less than 74 cents an hour, excluding the firefighters who can make up to $10 a day. State law permits the corrections department to pay up to half of the current minimum wage in California ($16).

Eighty percent of the employees at LSPC have been directly impacted by the prison-industrial complex. Cannon’s brother works there as well and was in prison at the age of 16 experiencing first-hand how forced labor can negatively impact an individual’s psyche.

“My grandmother passed away and he received that news in the evening. On the outside, you’d get some grieving time. That wasn’t the case for him,” said Cannon.

“He had to wake up at five o’clock the next morning. So, imagine learning that the woman who raised you just passed away. You’re due for work at 5 a.m. in the morning to operate heavy machinery and you cannot say that you don’t want to work because there’s no excused absence in prison.”

So far, there hasn’t been any organized opposition to Prop 6 in California.

A “yes” vote supports amending the state constitution to prohibit slavery and involuntary servitude as punishment for a crime and authorize the Department of Corrections and Rehabilitation to award credits to incarcerated persons who voluntarily participate in work assignments.

A “no” vote opposes amending the state constitution to prohibit slavery and involuntary servitude as punishment for a crime.

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Oakland Post: Week of October 30 – November 5, 2024

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