Beruflich Dokumente
Kultur Dokumente
UC, dubbed "California's worst public employer" by a State Legislative panel nearly three years ago, continues to
treat workers unfairly and remain unaccountable to the public. The State Public Employee Relations Board has
received 69 unfair labor practice charges against UC. "UC used to stand for quality education, research and
healthcare," said clerical workers' union president Claudia Horning, "But today it stands for unfair and
unaccountable. Workers call on the University to keep its commitment to employees and the public."
For more information, visit www.cueunion.org.
ALL RALLIES BEGIN AT 12:15 PM ON WEDNESDAY, FEBRUARY 26, 2003
Berkeley:
Assemble at California Hall, march to Sproul Plaza (arrive approx. 12:20pm).
Giant puppets, musical band. Assemblymember Loni Hancock (staffer) ; Judy Goff, Alameda Labor Council;
Jessica Quindel, Graduate Student Assembly.
Contact: Amatullah Alaji-Sabrie, (510) 435-8417.
Davis:
Silo Courtyard, off Hutchinson Dr. in the center of campus
Lt. Gov. Cruz Bustamante (invited). Union representatives.
Los Angeles:
Murphy Hall, 410 Charles Young Dr. East (use parking lot P2, off Hilgard/Manning Av.)
Charles Lester, Los Angeles Federation of Labor; Jerry Greenstein, office of Assemblyman Paul Koretz.
Riverside:
Assemble at Arts Building (University at Canyon Av.), march to Hinderaker Hall
Contact Rita Skinner, (909) 260-5298.
San Diego:
Assemble at Geisel Library (on Library Walk), march to Chancellor's office.
Assemblywoman Christine Kehoe (staffer); union representatives
Contact: Sally Hampton, (760) 500-5497(cell) or Chris Hertzog, (619) 957-6790.
San Francisco:
Medical Sciences Building, 513 Parnassus Av.
Supervisor Tom Ammiano, Representative of physicians group, union members.
Contact Marian Chapman, (415) 794-3234.
Santa Barbara:
"Regentsville" Soupline with union-management tug-of-war
Prof. Nelson Lichtenstein, union representatives.
Beverly Leaney (805) 714-1056 or Brandon Johnson, President, (805) 570-4300.
Santa Cruz:
Baytree/Quarry Plaza off Hagar Dr. (parking near bookstore).
Union representatives including City Councilmember Mike Rotkin (invited).
Contact Julie Jacobs, (831) 278-0881 or 420-0258.
COALITION OF UNIVERSITY EMPLOYEES
State Headquarters: 2855 Telegraph Av., Berkeley CA
(510) 845-2221
Fax (510) 845-7444
www.cueunion.org
See also this article: "UC unions rally in statewide solidarity," by Emma Schwartz, Jay Kapp & Kim-Mai Cutler,
Daily Californian, February 27, 2002.
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offset the extra $1000 dollars in fees which they will have to pay to the university in order to be able to work there.
Currently, a typical full-time teaching assistant at UBC makes $8900, of which he/she will have to pay back $3200
in fees from September. For many TAs, the remaining $6000 is the sum total of their disposable income. UBC's
published assessment of the minimum cost of living for a student is $9700.
The university's offer of 3%, 4%, 3% over 3 years would put the after-tuition income of the typical full-time TA at
$6300 from September. This compares with a $6700 figure for September 2001, since the fees TAs pay to the
university are increasing faster than the income they receive from the university. Although UBC tuition hikes for the
2004-5 academic year have not yet been announced, policy statements suggest they will be a further $500, in
addition to the $1000 increase already announced.
The teaching assistants' union, CUPE 2278, is therefore insisting that negotiations must include both wages and
tuition fees. UBC continue in their refusal to discuss tuition fees at the table.
"The proposed wage increase gives us nothing that can't be clawed back in tuition hikes", said Alex Grant, the TA
union president. Teaching assistants will escalate their strike actions today, picketing the Buchanan Tower, where
extensive humanities teaching occurs, the Forest Sciences Centre and the Centre for Advanced Wood Processing,
from 7am to 5pm. The number of buildings picketed and the length of picket actions has increased every day since
the TAs withdrew their services last Monday.
Posted via e-mail March 2, 2003
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cost pressures are placing big strains on employer-sponsored plans, and many employers are
reacting by passing costs onto workers and cutting back on coverage. Health care costs are rising
at rates that cannot be sustained. Benefits experts expect the costs of employer-sponsored health
plans to increase at double-digit rates for the third straight year in 2003 - by as much as 15
percent or more. Health care costs could double in just five years if that rate continued.
One Hewitt Associates survey found that many employers are likely to pass along at least 25 to
30 percent of these price hikes to their employees. A Kaiser Family Foundation survey of
employer-provided health benefits similarly found that employers dealt with cost increases by
passing along premium hikes to their employees. On average, worker premium costs increases
by 27 percent for single coverage and 16 percent for family coverage in 2002. Three-quarters of
the employers the foundation surveyed said they are likely to pass along even more costs to
workers in 2003. Health care cost shifting inevitably adds to the ranks of the uninsured: An
earlier AFL-CIO study found that between 1989 and 1996, premium cost shifting accounted for
75 percent of the decline in employment-based coverage.
Workers are fighting to preserve hard-won health benefits at companies across the country - like
GE, where 20,000 workers struck for two days in January to protest cost-shifting and like the
Peterbilt company, where 700 workers have been locked out since the day after Labor Day.
Workers are also fighting to win health coverage for those workers whose low wages and high
health costs makes insurance unaffordable, such as janitors in Boston as well as other cities and
hotel workers in Chicago.
Prescription drug costs are likely to lead to deep cuts in or elimination of retiree health coverage.
Drug costs constitute 40 to 60 percent of employers' retiree health care costs, and steep price
hikes are prompting employers to eliminate drug benefits, cap their contributions or drop their
obligations altogether. The Kaiser Family Foundation survey found the share of large employers
offering retiree coverage declined from 66 percent in 1988 to 34 percent in 2002. A significant
share of employers that continue to provide retiree coverage has passed along substantial cost
increases to retirees.
In addition to soaring costs, public need-based programs for the uninsured are facing increased
demands for services during the economic downturn and the worst state financial crisis since
World War II. The Kaiser Commission on the Uninsured reports that 40 states expect shortfalls in
their fiscal year (FY) 2003 Medicaid budgets, and 49 states and the District of Columbia are
implementing FY 2003 cost-containment plans for Medicaid spending. In California,
Connecticut, Massachusetts, Missouri, Montana, Nebraska, Nevada, New Jersey, Oklahoma,
Tennessee and Washington, at least one million people, largely in working poor families, stand to
lose health care coverage altogether if the cuts proposed in these eleven states are implemented
fully. And the crisis will only worsen next year when Medicaid enrollment is predicted to grow
7.7 percent on average because of the sluggish economy.
After so many years of talk in Washington, D.C., Medicare recipients- seniors and disabled
workers - still do not have access to an outpatient prescription drug benefit as a standard feature
of the Medicare benefits package. Beneficiaries desperately need a prescription drug benefit to
address the significant role that prescription drugs play in modern health care and the soaring
costs of drugs. Enactment of a truly comprehensive prescription drug benefit also would relieve
some of the cost pressures being felt by state Medicaid programs and employer-sponsored retiree
health plans.
The health care crisis confronting the nation demands real leadership, but President George W.
Bush has failed to offer constructive responses to the country's health care challenges. Instead, he
is playing a shell game with families'Medicare and Medicaid benefits and putting forward private
insurance proposals that threaten to weaken the security of workers'health benefits.
The administration's proposal to change Medicare - by spending $400 billion over the next 10
years to create a prescription drug benefit within the Medicare+Choice program and propping up
the floundering Medicare+Choice managed care program - is deeply flawed and falls short of
meeting seniors' pressing needs. The president's plan forces seniors to leave the Medicare
coverage they trust and turn instead to profit-motivated Health Maintenance Organizations
(HMOs) for both their drug coverage and their basic health care. That means insurance
executives rather than Medicare would decide how much to charge and what to offer.
Far more than the $400 billion the president proposes is needed to provide a meaningful drug
benefit to seniors. According to the Congressional Budget Office's newest projections, the cost of
outpatient prescription drugs for Medicare beneficiaries over the next 10 years (2004-2013) will
total $1.84 trillion.
The president's plan also would not appear to reduce cost pressures on employers that provide
drug coverage for their retirees. A key design feature of any drug plan is whether and to what
extent it provides cost relief to existing employer health plans that provide prescription drug
coverage to retirees. Although very few specifics have been shared with the public on the
administration's plan, if it tracks last year's Republican congressional proposals, it will not
provide any such relief because employer contributions do not count as payments that trigger
Medicare coverage. The states and their residents who depend on Medicaid for basic health
coverage desperately need help from the federal government. But the president's response,
outlined in his FY 2004 budget, is a proposed Medicaid block grant that provides no real
financial relief for the states and leaves beneficiaries open to harsh benefit cuts and, for some,
elimination of health coverage.
The president calls for an additional $12.7 billion in Medicaid funding over seven years - $3.25
billion in FY 2004 - but the added resources are limited to states that agree to convert to a
Medicaid block grant with capped funding regardless of the number of new beneficiaries joining
the program. States that prefer to continue under the existing program are ineligible for
additional assistance. The president describes his approach as giving states a "choice," but at a
time when states are starved for resources, "coercion" is a more apt description.
In fact, even states that go along with the president's plan will get no increase in funding over the
next 10 years. The extra resources the president proposes stop after seven years; thereafter,
participating states essentially are required to pay them back as federal Medicaid contributions
decline.
The administration's flagship proposal to address the growing ranks of the uninsured - a
refundable tax credit for the purchase of health insurance, costing $89 billion over 10 years fails uninsured Americans and jeopardizes job-based coverage for low- and middle- income
workers.
The proposed premium credit assistance ignores the high costs of individual polices and the
difficult circumstances facing those most in need. According to a recent study by the Center for
Studying Health System Change, premiums for individual policies in 1998 and 1999 ranged from
$1,452 a year for a young adult (age 18 to 29) in excellent health to $3,276 per year for an early
or near retiree (age 55 to 64) in poor health. Under the Bush plan, an individual who had $20,000
in annual income and no dependents would be eligible for a $556 premium credit, only slightly
more than one-third the cost of the least expensive policy. Maximum benefits under the Bush
plan are available only to individuals who earn $15,000 or less per year (in modified adjusted
gross income) and who have no dependents and to all other filers with $25,000 or less in income.
The Bush tax credit proposals also threaten to undermine job-based coverage for low- and
moderate- income workers. If young, healthy workers believe they can find adequate coverage
with the tax credits, they may abandon employer-sponsored plans. As a result, employers' risk
pools would dry up and lead to higher per-worker insurance costs for those who remain. Some
employers - especially those with predominantly low-wage workforces - may eliminate their
health insurance plans altogether and urge their workers to rely on the Bush premium credits
even though they may be inadequate. President Bush's proposal to create Association Health
Plans (AHPs) raises troubling questions. AHPs are described often by proponents as a panacea
for small businesses trying to purchase affordable coverage in an era of double-digit health care
inflation. In fact, proposals, such as President Bush's, that would exempt AHPs from state
regulation would do little to address the current small employer insurance crisis and would leave
all working families paying more for less health coverage.
At best, AHPs would offer minimal benefits that are attractive only to young and healthy
workers, raising costs for older and sicker workers remaining in other group health plans. The
Congressional Budget Office has estimated that less than 1 percent of the uninsured will gain
coverage through AHPs and four out of five workers in small firms will see their premiums
increase.
To the extent that younger, healthier workers migrated to AHPs on the promise of lower costs,
traditional group insurance coverage would see costs rise dramatically, especially for small and
medium size firms, where costs are already rising over 20 percent per year. Insurers in this
market, notably Blue Cross Blue Shield, believe that the group insurance market could be
destroyed as a result, an outcome that many independent experts also believe possible. At their
worst, AHPs are at high risk for fraud and abuse. The strong consumer protections and solvency
standards that exist in every state must be there to safeguard working families from the health
insurance scams that have left millions of dollars in unpaid medical bills and thousands without
coverage. Far better alternatives to the president's flawed proposals exist. Congressional
proposals to establish a meaningful Medicare drug benefit, with substantial cost relief for
employers, are being advanced, as are proposals to lower prescription drug costs for all
purchasers by making it easier to bring generic drugs to market. The AFL-CIO remains
convinced that only comprehensive, national health care reform will solve the problems of health
care cost, coverage and quality. A special challenge exists at time in recruiting employer support
for comprehensive reform. In this regard, the work of the National Coalition on Health Care is
especially important.
Congressional proposals have again been put forward that would require most, if not all,
employers to provide health benefits or to enroll all Americans in a single, unified system of
health care funded by contributions by employers and workers. National unions and labor
movements at the state level, along with their community allies, are on the leading front of
initiatives to expand coverage and reduce costs. At the same time, the lack of leadership in
Washington is leading states to tackle comprehensive reform at their level.
A number of states are exploring statewide health care reform, using a variety of models. In
Wisconsin, the state labor federation is garnering support for a payroll-tax based system (similar
to the states' unemployment insurance program), which would serve four purposes: first, extend
coverage to all workers and their families; second, constrain costs by having all employers, union
plans, and major public programs purchase care through a single insurance pool; third, level the
playing field between employers who provide benefits and those who currently freeload; fourth,
provide a platform for introducing proven methods of improving quality and reducing
preventable medical mistakes. Though details remain to be worked out, preliminary cost
estimates indicate that the plan is an affordable way to expand coverage without compromising
care. Importantly, the Wisconsin approach preserves options for collectively bargained plans to
expand on the basic coverage under the state program, either by providing richer benefits or
absorbing greater shares of workers' costs.
The labor movement is working on coverage initiatives in other states, as well. A pay-or-play
proposal, which would require employers to provide a minimum level of coverage or pay into a
state fund, has been developed by the California Labor Federation and introduced in the
California State Senate. A single-payer proposal is also being introduced in California, with
considerable union backing. Other state labor federations also are developing new approaches to
expanding health coverage at the state level.
State labor movements have also been major players in local efforts to control drug costs and to
make drugs more affordable to seniors and low-income individuals. Spurred on by the
groundbreaking Maine RxHealth law, numerous states have passed or are considering programs
that use their states' bulk purchasing power to negotiate steep discounts on drugs. For example,
the Washington State AFL-CIO is leading an effort to enact legislation that will create a
statewide prescription drug purchasing pool that includes public, private and individual
purchasers.
Unions are also seeking to use pooled purchasing arrangements to reduce overall health care
costs. The American Federation of Teachers, for example, is promoting group purchasing for its
members' health care through both voluntary cooperative agreements and statewide legislation.
Recent efforts to collect and report quality data on health care providers are an important step in
promoting improved quality and reducing costs. The U.S. Department of Health and Human
Services, under the leadership of Secretary Thompson, has led the way in health quality
measures with its ground-breaking work on nursing homes and home health. In addition, efforts
by hospital associations to report hospital performance measures represent meaningful progress.
AFL-CIO affiliated unions are playing singular roles in negotiating for programs that measure
and control quality of care, reduce errors and address chronic disease and wellness. Their
experience is that the front-end investments in these programs reap savings in the long run, both
in overall program costs and quality of life for active and retired members and their families.
Unions are working directly with employers to reduce the rate of medical error in hospitals that
contract with their plans, by agreeing to certain patient safety measures through contract
language and through participation in national coalitions such as the Leapfrog Group.
Implementation of the group's three top safety recommendations - requiring computerized entry
of doctors' medication orders, evidence-based hospital referrals and staffing of intensive care
units with doctors trained in critical care medicine - has been shown to reduce medication errors
by 50 percent in the former case and to reduce the risk of death by 30 percent and 10 percent,
respectively, in the latter two.
Unions also play an active role in the National Quality Forum, an outgrowth of the Clinton
managed care commission that was created to develop and implement a national strategy for
health care quality measurement and reporting. Other unions have developed new measurement
tools on their own or in conjunction with local or national efforts such as the National Committee
on Quality Assurance and the Foundation for Accountability. Finally, several unions and
employers are working together in labor - management committees to jointly select providers
based on agreed-upon quality measures.
Collectively, all of these approaches to quality and safety are designed both to improve patient
outcomes and to reduce health care costs. Now, even more than in the past, the AFL-CIO
believes strongly that universal coverage is the best and ultimately only way to achieve the goal
of extending affordable, high quality health care to all Americans. Until we are able to move to
such a system, the AFL-CIO and its affiliated unions, along with state federations and central
labor councils, will:
Explore and analyze the cost, feasibility and strategies to provide comprehensive,
high quality and affordable health care to all Americans
Continue to support federal legislative and regulatory initiatives to cut health care
costs, improve quality and expand coverage, including efforts to enact an affordable,
comprehensive prescription drug benefit within Medicare that is available to all
beneficiaries and that recognizes and supports the contributions of employer- sponsored
retiree plans,
At the federal level, seek waivers and other appropriate legislative and regulatory
measures that will allow states to engage in responsible innovation designed to boost
coverage, improve quality and lower costs,
Oppose irresponsible strategies that will not ultimately lower costs, improve
quality or expand coverage, including specifically proposals such as President Bush's
individual tax credit and AHP plans that threaten to undermine existing health coverage,
Oppose efforts to block grant the Medicaid program, while also pushing for more
federal support to help states meet demands under their Medicaid programs and to expand
coverage under State Children's Health Insurance Program to reach more low income
children and their parents,
In bargaining and otherwise, urge our employers to join the union movement in
backing and participating in campaigns and initiatives designed to boost health care
coverage, reduce costs and improve quality,
Through legal actions and otherwise, resist efforts by industry giants and their
trade associations, including the Pharmaceutical Research and Manufacturers of America,
to block adoption and implementation of prescription drug plans and other initiatives, and
Host three regional meetings this spring and summer (one in the northeast, one in
the Midwest and one on the west coast) to explore further the crises in health care
bargaining and in health care in general, and to assist unions in health benefits bargaining
and in broader public policy work.
Copyright 2003 AFL-CIO
Posted via e-mail on March 1, 2003.
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