Want a Riverside Med School? Legislature Says (Commands?) Do It Yourself

There has been ongoing agitation from UC-Riverside and UC for the state to put up money for a med school.  As bits and pieces about the state budget leak out, it appears that the legislature has not provided extra money but instead has told UC to take it out of its general allocation.  Apparently, the legislature doesn’t view this matter as a suggestion; more of a command.

From the Riverside Press-Enterprise:
The Legislature’s budget conference committee late Monday altered the funding mix for a school of medicine at UC Riverside, eliminating a $15 million augmentation but directing the UC system to allocate money to the school from its budget. The compromise means the school will finally get the state money it has sought unsuccessfully since 2010. It effectively saves the state general fund $15 million. And most importantly, it has the support of the Brown administration, which did not include any money for the medical school in its January spending proposal or May revision…

Full story at http://blog.pe.com/2013/06/10/medical-school-no-new-money-but-uc-told-to-allocate/

Of course, the Regents and UCOP could assert their constitutional autonomy but the legislature might object:

UCLA History: Santa Monica Hospital – now a part of UCLA – back in the day

Santa Monica Hospital in 1941:LA Public Library collection

Previous posts on this blog have dealt with the current strike at UC hospitals including UCLA.  News coverage tends to focus on Westwood. But UCLA also operates Santa Monica Hospital which it acquired a few years ago. The two-day strike is also occurring at the Santa Monica location.  (The photo above from 1941 shows a building – seen from 16th Street – that has since been replaced.)

Coverage on the strike can be found at http://www.latimes.com/news/local/la-me-uc-strike-20130522,0,3925126.story

Meanwhile, the conservative FlashReport news aggregation website was so interested in the UC strike story that someone forgot to use a spellcheck:

UPDATE: If at first you don’t succeed in using your spellcheck, try, try, again:

{And maybe again?)

UC (& UCLA) hospital 2-day strike to go ahead this morning with court-orded exceptions

A Sacramento judge Monday refused to stop a strike today by thousands of employees at…  UC hospitals – but ordered a limited number of critical care employees to stay on the job.  The union for nearly 13,000 workers, including nursing assistants, pharmacists, medical technicians, operating room scrubs and other health care workers, was to begin a two-day strike at 4 a.m. today (Tuesday, May 21). The American Federation of State, County and Municipal Employees announced the walkout of workers at the UC Davis Health System and University of California hospitals in Los Angeles, San Francisco, San Diego and Irvine. The union, which is resisting demands for increases in employee pension contributions, claims the strike is about hospital staffing that has been reduced to dangerous levels. UC officials say the walkout is over an intractable contract dispute over wages and benefits…
Full article at http://www.sacbee.com/2013/05/21/5435481/judge-allows-thousands-of-uc-medical.html

UPDATE: Below is a not-very-good cellphone photo of the strike today:

 

Something that didn’t happen

Our prior post noted that the LA Times today carries a story about a deal that did occur – albeit not to the benefit of UCLA.  The Times also carries a story about a deal that did not happen, a possible purchase by UCLA of St. John’s Hospital in Santa Monica:
http://www.latimes.com/business/money/la-fi-mo-st-johns-hospital-20130517,0,3436718.story

An earlier post on this blog about this deal that didn’t happen (when it was still a possibility) is at:
http://uclafacultyassociation.blogspot.com/2013/03/hospital-takeover.html

UPDATE: See also:
http://bhcourier.com/open-letter-communities-santa-monica-west-los-angeles-2/2013/05/17

Possible Two-Day UC Hospital Strike Next Week

From the LA Times today:

Facing a possible two-day strike next week by patient care and technical workers, the five large University of California medical centers are starting to cancel elective surgeries that had been scheduled as soon as Monday, officials said. Emergency care will not be shut and patients already in the five hospitals across the state will continue to receive care. But many elective procedures will delayed until after the potential strike, set for Tuesday and Wednesday… At UCLA’s hospitals in Westwood and Santa Monica, …administrators are planning to hire 600 replacement workers through agencies and are preparing to train them and move them past picket lines…While UC is seeking an injunction to prevent the strike, both sides said they now consider the walkout likely, starting at 4 a.m…

Full story at http://www.latimes.com/health/la-me-0517-uc-medical-20130517,0,4947148.story

UPDATE: A court decision on UC’s request (or is it PERB’s request? – not clear) for an injunction is due on Monday, May 20:
http://www.latimes.com/local/lanow/la-me-ln-uc-strike-20130517,0,7957414.story

http://www.bizjournals.com/sacramento/news/2013/05/17/uc-goes-to-court-to-stop-hospital-strike.html

UPDATE: Apparently, food service for students will be affected by the strike:
http://dailybruin.com/2013/05/17/ucla-housing-will-alter-services-in-sympathy-with-striking-patient-care-technical-workers/

Note: Much of the public comment session at the Regents on Wednesday was focused on the impending strike.  President Yudof began with a statement about it.  Most of the speakers thereafter were from the AFSCME local involved in the dispute and – after a demonstration began – the room was cleared.  You can hear it at the link below:

Possible strike at UC hospitals (including UCLA)

2008 strike at UCLA hospital

From the State Worker blog of the Sacramento Bee: The University of California said today that it will ask a judge to keep hospital workers from striking later this month. American Federation of State, County and Municipal Employees Local 3299 says its members will walk off the job at the university system’s five hospitals May 21 and May 22. UC officials and the union have been in negotiations since last summer for a new contract covering some 13,000 patient care workers. The contract expired Oct. 1, and the contentious talks deadlocked earlier this year. AFSCME says it’s fighting to fix unsafe hospital conditions and foolish spending by high-level university officials who enrich themselves while seeking cuts to employee compensation. The university counters that the union’s real aim is to avoid new state laws that significantly reduce retirement benefits for new pension-system members…

Full story at http://blogs.sacbee.com/the_state_worker/2013/05/university-of-california-wants-court-to-stop-workers-strike.html

It might be noted that unlike many states, California does not have a general prohibition on strikes by public employees although such strikes may be enjoined in some cases.  Labor relations matters in private hospitals are subject to federal regulation by the National Labor Relations Board NLRB).  Because UC is a state entity, however, labor relations issues at UC hospitals are regulated by state law and the California Public Employment Relations Board (PERB).  The particular state law covering UC (and CSU) is the Higher Education Employment Relations Act (HEERA) which can be found at http://www.perb.ca.gov/laws/HEERA.aspx. A strike at UC hospitals last occurred in 2008.  An earlier post on this blog concerning the current situation is at http://uclafacultyassociation.blogspot.com/2013/04/strike-vote-to-be-taken-at-uc-med.html.

Read more here: http://blogs.sacbee.com/the_state_worker/2013/05/university-of-california-wants-court-to-stop-workers-strike.html#storylink=cpy

Not Clear on the Concept

You may have seen the LA Times article today which reports that UCLA’s Reagan hospital received a D grade for patient safety, albeit up from F in the prior survey of the Leapfrog Group.  We reported on the F last November: http://uclafacultyassociation.blogspot.com/2012/11/whatever-happened-to-grade-inflation.html

The new report says UCLA’s Santa Monica Hospital, in contrast, received a top grade.  I get nervous about composite rating systems so I went on the Leapfrog website [http://www.leapfroggroup.org/cp] which allows comparisons of hospitals and compared Reagan with Santa Monica.  The two look pretty much the same as the image above shows. [Click on the image to enlarge.]  Indeed, Reagan shows a somewhat better rating in one category than Santa Monica. 

The LA Times article is at: http://www.latimes.com/news/local/la-me-hospital-ratings-20130509,0,7228604.story

Maybe you can figure it out.  It’s true that Reagan himself didn’t always promote healthy habits.

But on the other hand:

Hearing CalPERS Rate Hike for Long-Term Care Insurance

San Francisco’s Poor House

As prior blog posts have noted, although UC is not under CalPERS, UC employees – because they were state employees – were invited to enroll in CalPERS’ long-term care insurance plan.  Such plans ostensibly protect enrollees against potential catastrophic expenses that can be entailed in major health crises.  Those who did enroll now find themselves facing large rate hikes or accepting an alternative less generous plan.  Many who enrolled did so assuming that CalPERS would protect them from such hikes.  Yours truly has encountered a number of folks who now find themselves in this predicament.  CalPERS blames the matter on stock market reverses, low current interest rates, and early underestimates of what the program would actually cost.

Yours truly offers this observation.  An insurance carrier can cut the cost of offering such plans by removing from coverage the truly catastrophic expenses.  But that is what insurance is all about.  If you go to the audio link below, you will hear from CalPERS that most people don’t have catastrophes and therefore taking an alternative plan that effectively removes them from full coverage won’t affect most enrollees. The problem is that it is catastrophes that insurance is all about.  Most people who have fire insurance on their houses won’t have their house burn down.  But it is precisely that unlikely event that causes people to buy fire insurance. If CalPERS ever does reopen with some version of long-term care insurance – see below – caveat emptor.

The California State Assembly Committee on Aging and Long-Term Care held a hearing today largely devoted to the CalPERS issue.  A link to an audio of the first part of that hearing – which runs about two and a quarter hours – can be found below.  There is a general presentation on long-term care followed by witnesses including one from CalPERS.  After the official witnesses, there are lengthy public comments by CalPERS enrollees and others, generally expressing anger at the hikes, the fact that CalPERS is an autonomous public entity not subject to the kind of regulation that applies to private companies, etc.  At present, it appears that CalPERS is not offering long-term care policies to new enrollees.  However, it was said that there might be such new enrollment allowed – albeit to a limited policy – later this year.

The audio link is at:

Below is the agenda:

“Paying the Price for a Long Life: What’s Next for Long-Term Care Insurance?”
 

Hearing of California Assembly Committee on Aging and Long-Term Care held largely in response to large premium increases announced by CalPERS for its long-term care program, May 7, 2013
 

Hearing chaired by Assembly Member Mariko Yamada
 

Presentation on trends of older Americans and Older Californians preparing for retirement and Long-Term Care, Victoria R. Ballesteros, Director of Communications, The SCAN Foundation
 

PANEL 1 Government/Industry Officials

1. Ann Boynton, Deputy Executive Officer of CalPERS
2. Nettie Hoge, Chief Deputy Commissioner, Department of Insurance
3. Ted Angelo, Association of California Life & Health Insurance Companies
4. Rebecca Blanton, Executive Director, Commission on the Status of Women and Girls

Public Comments

 

Note: Recorded from a live stream. In some cases, there were breaks in the transmission. Gaps have been edited out of the recording.

Cap Removed

Earlier posts on this blog have noted the controversy surrounding the lifetime cap on UC student health insurance.  Most students are healthy and never hit the cap.  But if a major illness occurs, the insurance, which students must have unless they have some other coverage, could run out.

The new federal healthcare law generally forbids such caps but UC was able to continue it as a self-insured plan.  It appears, however, that after complaints about the limit, the cap will be removed. (We also noted in a recent post that UC-Berkeley was planning to pull out of the UC-wide plan and provide its own insurance program.)

An article on the removal can be found in the Sacramento Business Journal at:
www.bizjournals.com/sacramento/news/2013/05/03/uc-eliminating-lifetime-coverage-limit.html

I’m Outta Here

An earlier post on this blog noted that there were concerns about caps on total payouts under the health insurance plan for students at UC.*  Now, apparently, there are also big premium jumps coming. UC-Berkeley has announced it will pull out of the UC-wide plan and run its own.  From the San Francisco Business TimesFollowing intense pressure from students, UC Berkeley is pulling the plug on participation in a controversial, deficit-plagued student health plan run by the University of California system, Chancellor Robert Birgeneau said Thursday. Birgeneau said the system’s flagship Berkeley campus will jump ship effective Aug. 15, when it will leave the UC Student Health Insurance Plan and return to a campus-specific plan. As of that date, health coverage for UC Berkeley students will revert to the former Berkeley campus-run program…

Full story at http://www.bizjournals.com/sanfrancisco/blog/2013/05/uc-berkeley-jumps-ship-will-leave.html

*Our earlier post is at http://uclafacultyassociation.blogspot.com/2013/01/issue-of-uc-health-cap-for-students.html