Healthcare

Best of the Bay 2013: BEST SUPER-WELLNESS INSURANCE

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Clamber up to the Queen Anne Victorian home on a quiet Richmond corner to find some of the best free health care in the city. For 20 years, the SF Free Clinic has tended to the uninsured and underinsured, doing the work that our great federal government is only just now starting to get to. Started in 1993 by Tricia and Richard Gibbs, two general practitioners who wanted to make the connection between low-income San Franciscans and the city’s high quality health resources, the facilities offer preventative health screenings, vaccines, and non-emergency care. Services like free diabetes screenings are aided by health facilities and pros from across the city who lend a hand at the California Street location. Example: renowned yoga instructor Betty Roi offers a regular healthful yoga class. The SF Free Clinic has seen more than 70,000 patient visits since it opened its doors, a staggering number that shows how valuable the clinic is to the city’s health and wellness.

4900 California, SF. (415) 750-9894, www.sffc.org

Government shutdown puts thousands of SF veterans’ benefits at risk

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More than 7,000 employees in Veterans Benefits Administration offices nationwide were furloughed today (Tues/8), the newest casualty of the federal government shutdown.

As the Republicans in Washington hold the nation hostage over President Obama’s Affordable Care Act, federal employees are leaving their offices in droves. Now the veterans who rely on the federal government for healthcare and education checks have nothing to do but wait on word of their uncertain futures. 

The furlough of veterans benefits workers comes at an especially awful time as they struggle to meet an enormous backlog of health benefit claims, revealed this year by the Berkeley-based Center for Investigative Reporting.

“VA’s ability to make significant progress reducing the disability claims backlog is hampered without the increased productivity gained from overtime for claims processors,” the Veterans Benefits Administration said in a statement released today. The agency has reduced the disability claims backlog by more than 190,000 claims over the last six months, it wrote.  

But even worse, it said that if the government shutdown persists into late October there would be no funding available to supply veterans with their November support checks — money many rely on for rent and food.

In the event of a prolonged shutdown, claims processing and payments in these programs would be suspended when available funding is exhausted,” the office wrote in a release.

San Francisco has veterans of many stripes who depend on federal benefits: Students paying tuition, ex-soldiers getting housing benefits, the disabled seeking health care, all would be left without support.

The loss can be felt keenly at City College of San Francisco, where the employees of its pioneering Veterans’ Resource Center wait in fear of Nov. 1. 

 “With the government shutdown we’re going to have a massive amount of people coming in asking questions,” said Adam Harris, a student worker at CCSF’s Veterans’ Resource Center. The 25-year-old is a veteran himself, and served in the Navy for six years as a petty officer second class in Iraq, Afghanistan, and Guantanamo Bay.  

“If people aren’t paid on the first when they’re expected to you get a wave of people asking ‘where’s my money at?’” he said. The GI Bill pays for full tuition for student veterans who have completed their service, and those still serving. But it’s not just tuition. 

“It’s pretty much a living allowance,” he said. In addition to tuition the the GI Bill pays for housing, food and living expenses. City College of San Francisco alone has over 1,200 student veterans according to their own data, many of whom attend full time. 

The state community college chancellor’s office, which oversees California’s 112 community colleges, said the loss of benefits would be dire for its student veterans.

“Should this come about, our student veterans would be left without education benefits and basic housing allowances,” said Paul Feist, a spokesperson for the Community College Chancellor’s office.  “It’s probably safe to assume that many student veterans would be forced to drop out of school should this occur.”

They noted that the VA’s educational benefits hotline is inaccessible during the government shutdown, cutting off a vital counseling service as student veterans navigate their tuition payments.

The CA Community College Chancellor’s Office most recent data shows that as of the 2011-12 school year, there were over 44,000 community college student veterans receiving benefits statewide, many of whom are in the Bay Area. All would be affected. 

Rachel Maddow announcing the shutdown of veteran benefits offices, which give advice and aid for veterans seeking help with their education, lhousing and health benefits.

Student at the state level colleges will fare no better, though, and there are just over 700 student veterans at San Francisco State University, according to their website. The head of SFSU’s veterans center, Rogelio Manaois, said that his office was sending regular updates to SFSU students and that they were prepared for the possible delay of benefits.

Notably not all veterans depend on the GI Bill to live. Some vets the Guardian spoke to at City College said that they had part time jobs and would not be in hardship if there were a drop in payments. Also, the VA Medical Center in the Outer Richmond announced on its website that it will not be affected by the government shutdown. Not all veterans are in the same boat, however.

Bobby Hollingsworth served as a Criminal Investigations Divisions investigator in the US Army from 1999 to 2010. Though he’s now a graduate of SFSU, he and his family depend on disability payments from the VA to live. 

Hollingsworth injured his his leg in basic training, and the repeated stress through the years required multiple surgeries that he never fully recovered from. His disability payments also cover PTSD, as through his decade of service he spent over a year listening to the explosions of mortar shells peppering his Containerized Housing Unit in Iraq. 

He remembers those days vividly.

“I heard commotion and opened my door and looked up and to the side of our CHU’s. The sky was lit up like a scene in Star Wars” he said. “We got hit with seven mortars that night and a few airmen were rushed to the hospital with unknown injuries. We just never really followed up on those things. At the time maybe we thought best not to know.”

To say he earned his benefits is an understatement, he said, and the same goes for all of his fellow Veterans. 

As a documentary filmmaker, he is investigating other Veterans who have been denied their education benefits. Now the government shutdown may delay Hollingsworth’s payments as well. 

His wife depends on them for college, he said, and without his disability payments he may be unable to make his first mortgage payment on their new house. His wife and four-year-old son will be fine for now, he said, but if the payments are delayed for long he’ll be worried.

“I can hold out for a month because of emergency savings and the food bank,” he said. “But by December, it will be a nightmare.”

Yesterday the VA posted their “Veterans Field Guide to Government Shutdown,” which can be read here.  

Friends in the shadows

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rebecca@sfbg.com, joe@sfbg.com

It’s a simple fact of life: Money buys influence. But in San Francisco, despite strict sunshine laws to illuminate donations to city agencies and gifts to the regulators from the regulated, money still circulates in the shadows when it flows through the coffers of “Friends” in high places.

Major real estate developers, city contractors, and large corporations often lend financial support to San Francisco city departments, to the tune of millions of dollars every year. But the money doesn’t just flow directly to city agencies, where it’s easily tracked by disclosure laws. Instead, it goes through private nonprofits that sometimes label themselves as “Friends Of…” these departments.

They include Friends of City Planning, Friends of the Library, a foundation formerly known as Friends of the San Francisco Department of Public Health, Friends of SF Environment, and Friends of San Francisco Animal Care and Control.

The Friends pay for programs the departments supposedly cannot cover on their own. Bond money can build a skyscraper, but sometimes not fill it with furniture. Agencies are barred by law from funding an employee mixer or a conference trip, so departments turn to their Friends to fill in the gaps. Adding bells and whistles to city websites, holding lunchtime lectures, hiring a grant writer — or, in the case of the Department of Public Health, bolstering health services for vulnerable populations — these are all examples of what gets funded.

The extra help can clearly be a good thing, but the lack of transparency around who’s giving money raises questions — especially if it’s a business gunning for a major contract or a permit to build a high-rise.

City agencies receive outside funding from a wide variety of sources. Sometimes grants are made by the federal government, or a well-established philanthropic foundation — and according to city law, gifts of $10,000 or higher must be approved by the Board of Supervisors. But in the case of organizations like Friends, which are created specifically to assist city government agencies, the original funders aren’t always identifiable. And the collaboration is frequently much closer, with city staff members serving on Friends boards in a few cases.

the circle of donations to "friends of" foundations

Friends board members told the Guardian that their partnership with government helps bolster city agencies in a time of increasing austerity, in service of the public good. But do the special relationships these influential insiders hold with high-ranking city officials come into play when awarding a contract, issuing a permit, making a hiring decision, or determining whether a developer’s request for a rule exemption should be honored? Without more transparency, it’s tough to tell.

City disclosure rules state that any gift to a department must be prominently displayed on that department’s website, along with any financial interest the donor has involving the city. But Friends and other outside funders are under no obligation to share their supporters’ names, much less financial ties, when they distribute grants. Meanwhile, the disclosure rules that are on the books seem to be frequently ignored, misunderstood, or unenforced, our investigation discovered.

How are donors repaid for their support? Consider the controversy earlier this year around Pet Food Express, which won approval in June for another store in the Marina District despite opposition from four locally owned pet stores in the area that fear competing with a large national chain. Pet Food Express won the unlikely support of the city’s Small Business Commissioners, some of whom reversed their 2009 positions opposing the chain’s previous application.

SF Animal Care and Control Director Rebecca Katz personally lobbied the commission to support Pet Food Express, at least partially because the company has donated pet supplies valued at $50,000 to $70,000 per year to the department. That’s a lot of money for a cash-strapped city department, but a pittance compared to the profits of an expanding national chain.

It’s moments of clarity like those, when the public can easily trace the line from donations to political influence, that show why disclosure is so crucial. But those moments are few and far between when trying to trace the funders of private foundations and Friends organizations, where deals often happen in the dark.

 

WHEN DEVELOPERS ARE FRIENDS

At the Merchant Exchange Building in May, a crowd of high-profile real-estate developers mixed and mingled with city planners, commissioners, and even Mayor Ed Lee, wine glasses in hand. Sources told the Guardian that most of the planning staff was present, and not all were happy about having ribbons and name tags affixed to their shirts, as if they were being auctioned off.

With around 500 in attendance, the event was an annual fundraiser hosted by the Friends of San Francisco City Planning, a nonprofit organization that accepts contributions of up to $2,500 per individual to lend a helping hand to the Planning Department. This year’s event was titled “Incubator Startups, New Jobs for the Future,” hinting that the development community shares the mayor’s affinity for new tech startups and the droves of high-salaried IT professionals they’ve attracted to the city.

Some Friends of City Planning board members are major real-estate developers who routinely seek approval for major construction projects. Others are former planning commissioners, or have a background in community advocacy.

Amid widespread concern about displacement, gentrification, and the overall character of San Francisco’s built environment, no city department has greater influence than Planning. An individual’s interpretation of the Planning Code can carry tremendous weight; it’s a series of small decisions that shape a project’s profits and the look and feel of San Francisco’s future. And with cranes dotting the city’s skyline and market-rate construction catering to the wealthy while middle income residents get priced out, the amount of capital flowing through the development sector these days is astonishing.

In this dizzy climate, there might seem to be something askew about affluent developers and land-use attorneys rubbing elbows with city regulators, all eager to pass the hat for the Planning Department. Whiff of impropriety or no, the fundraiser appears to be totally legal.

“We aren’t violating the law — that I know,” Friends of City Planning Chair Dennis Antenore told the Guardian. “We’ve had legal advice on that for years.”

There is close collaboration between Friends of San Francisco City Planning and the Planning Department — a partnership so entrenched that it’s almost as if the nonprofit is an unofficial, private-sector branch of the agency.

“We are certainly thankful and appreciative,” Planning spokesperson Joanna Linsangan told the Guardian. “They’ve helped us for many, many years.” The additional funding is needed, she said, because “there isn’t a lot of wiggle room” in the departmental budget.

Each year, Planning Director John Rahaim submits a wish list to the Friends, outlining projects he wants funding for. This year, he requested $122,000 for a variety of initiatives, including training support to help planners assess proposals for formula retail (read: chain stores). That’s a hot-button issue lately, and one that shows how seemingly small decisions by planners can have big impacts.

When the department’s zoning administrator ruled that Jack Spade, a high-end clothing chain that opened up in the old Adobe Books location on 16th Street, wasn’t considered formula retail and therefore didn’t need a conditional use permit, neither widespread community outrage nor a majority vote by the Board of Appeals could reverse that flawed decision. It was a similar story with the Planning Commission’s Oct. 3 approval of the 555 Fulton mixed use project, where Planning Department support for exempting the grocery store for the area’s formula retail ban made it happen, to the delight of that developer.

Even though the planning director makes specific funding requests each year to the Friends and pitches the projects in person at their meetings — and the Friends publishes a list of the grants it awards to the department online — the Planning Department is not reporting those gifts to the Board of Supervisors.

“I confirm that the Planning Department did not receive any gifts,” Finance and IT Manager Keith DeMartini wrote in official gift reports submitted to the Board of Supervisors for the years 2011-12 and 2012-13. Those reports were sent to the board on Oct. 7 and Oct. 4, respectively, well after the July filing deadline and after the Guardian requested the missing reports.

The Friends typically funds two-thirds of the requests, said board member Alec Bash, totaling around $80,000 a year. In 2012, the Friends awarded a $25,000 grant to make the department’s new online permit-tracking system more user-friendly, making life a lot easier for developers.

When asked what safeguards are in place to prevent undue influence when the director is soliciting funding from a nonprofit partially controlled by developers, Linsangan responded, “those are two very separate things. One does not influence the other.”

She stated repeatedly that planners are not privy to information about individual contributors — but the fundraisers are organized by a board that includes identifiable developers, and anyone who attends can plainly see the donors in attendance. Nevertheless, Linsangan insisted that planners would not be swayed by this special relationship, saying, “That’s simply not the way we do things around here. We do things according to the Planning Code.”

But as the ruling on Jack Spade shows, as well as countless rulings by planners on whether a project is categorically exempt from the California Environmental Quality Act, interpreting the codes can involve considerable discretion.

The public can’t review a list of who wrote checks to the Friends of San Francisco City Planning for the May fundraiser. Since the organization waits a year between collecting the money and disbursing grants, donors stay shielded from required annual disclosures in tax filings.

But Antenore says the system was established with the public interest in mind. “We don’t reveal the contributors, because we don’t want anybody to have increased influence by a donation,” he insisted. Bash echoed this idea, saying the delay was to “allow for some breathing room.”

Unlike some of his fellow board members from the high-end development sector, Antenore has a history of being aligned with neighborhood interests on planning issues, helping author a 1986 ballot measure limiting downtown high-rise development. He emphasized that the developers on the Friends board are balanced out by more civic-minded individuals.

Still, developers who regularly submit permit applications for major construction projects sit on the Friends board. Among them are Larry Nibbi, a partial owner of Nibbi Bros.; Clark Manus, CEO of Heller Manus Architects; and Oz Erikson, CEO of the Emerald Fund development firm.

“We’re not making use of [the funding] in a way that benefits these people,” Antenore said. “I wouldn’t do this if I thought otherwise. I have been careful to maintain the integrity of this organization.” The money is meant to facilitate better planning, he added. “I don’t think there’s any conspiracy,” he said. “We’re not financing anything evil.”

Both the Planning Department and its Friends dismissed the idea that the donations could open the door to favoritism or undue influence. So why isn’t the department reporting gifts it receives from the Friends to the Board of Supervisors, or disclosing them on its website, as required by city law?

According to a 2008 City Attorney memo on reporting gifts to city departments, when an agency receives a gift of $100 or more, it “must report the gift in a public record and on the department’s website. The public disclosure must include the name of the donor(s) and the amount of the gift [and] a statement as to any financial interest the contributor has involving the city.”

John St. Croix, director of the San Francisco Ethics Commission, confirmed that’s the current standard, telling us, “The actual disclosure should be on the website of the department that received the gift.”

Linsangan said records of the gifts are indeed available — listed as “grants” in the department’s Annual Report. But while the 2011-12 report lists grants from sources such as the Metropolitan Transportation Commission and the Environmental Protection Agency, there was no mention of Friends of City Planning.

The memo also says any gift of $10,000 and above must first be approved by a resolution of the Board of Supervisors. But last year, when the Friends provided $25,000 to upgrade the permit-tracking system, it wasn’t sanctioned by a board resolution. Asked why, Linsangan made it clear that she was not aware of any such requirement.

As is common, when it comes to adhering to disclosure laws, confusion abounds. And sometimes, only sometimes, politicos get caught.

 

READING UP ON DISCLOSURE LAWS

When the head of a city agency fails to report gifts totaling $130,000, how much do you think he is fined?

City Librarian Luis Herrera failed to report receiving that amount in gifts and he was fined exactly $600 by the California Fair Political Practices Commission on Sept. 19. Specifically, Herrera had to file a form 700 with the FPPC to state the gifts he received. From 2008-2010, the forms he turned in had the “no reportable interests” box checked.

The money was used in what he calls the City Librarian’s Fund, which is the money he keeps on hand to pay for office parties and giving honorariums to poets and speakers who perform at the library’s branches, money that wasn’t disclosed on the very forms designed for reporting it.

There are two stories of how the fine came about. Longtime library advocate James Chaffee said that it was the result of a complaint he filed with the FPPC in April, and indeed, he sought and obtained many public documents revealing the money trail. San Francisco Public Library spokesperson Michelle Jeffers disagreed, saying that the fine was the result of an ongoing conversation with the FPPC to figure how exactly to file the gifts appropriately.

“The law wasn’t clear around these forms and it wasn’t clear if he had to report them,” she told the Guardian. “For amending the reports you have to pay a $200 fine for every year it was proposed. We keep scrupulous records on every pizza party we have.”

When government officials receive “gift of cash or goods,” they must report them annually in statements of economic interest, known as a Form 700, to the city Controller’s Office. The form is kind of a running tally of who is receiving gifts from whom, a way for the public to track money’s influence in government.

The gifts came from the Friends of the San Francisco Public Library, another nonprofit that bolsters city agency funding. Now Herrera has to list the $130,000 gifts from fiscal years 2008-09 and 2009-10 on his website.

What exactly does that accomplish? As it turns out, not a whole lot.

City Administrative Code 67.29-6 defines the reporting of gifts to city departments, and one of those requirements is to make a statement of “any financial interest the contributor has involving the city.” Now that Herrera lists the Friends of the San Francisco Public Library as donors on the department website, the statement of financial interest by the friends group is this: “none.”

There are myriad donors to the Friends of the SFPL, and the group doesn’t have to state the economic interests of its donors, or even mention who its donors are. The code requires gifts be reported to the controller, and the deputy city controller told us this doesn’t apply to the “friends of” organizations, or any nonprofit foundation arms of city departments.

“If gifts are made to a department, yes, they have to disclose, so people don’t get preferential interest in getting city contracts,” Deputy Controller Monique Zmuda told us. “I know it’s a fine line. The foundations don’t provide us with anything.”

Friends of the SFPL doesn’t provide money just for pizza parties. A breakdown of a funding request from the library to its Friends shows requests up to $750,000 to advertise the library on Muni and in newspapers, funding for permanent exhibits, and the City Librarian’s personal fund. That’s just the money it gives to the library. Other monies are spent directly on activities supporting the library.

As Jeffers pointed out to the Guardian, the money isn’t spent on “trips to Tahiti.” Friends of the SPL do good city works, from a neighborhood photo project in the Bayview branch library to providing books for children. But the question is: Who’s buying that goodwill and why?

The millions of dollars in donations made to the Friends of the SFPL don’t need to be approved by the Board of Supervisors, like gifts to departments do. They’re not checked for conflicts of interest or financial interest by any governmental body. Donors give and the Friends of SFPL spend freely, financial interest or not.

When our research for this story began, no financial statements were available of the Friends of the SFPL website. After a few days of inquiries, the most recent year’s financial statements from 2011-12 were posted to the website.

Ultimately, the San Francisco Public Library is one of the smaller city departments, with an annual budget that hovers around $86 million. The Department of Public Health is a much bigger beast, with a 2011-12 budget of around $1.5 billion.

One of its main foundations, the San Francisco General Hospital Foundation, is also one of the largest nonprofits that supplements city spending. In many ways, it could be described as the model of disclosure for city foundations, although its disclosures are not by law, but by choice.

 

FOUNDATION OF FRIENDS

The Department of Public Health relies on a few entities that fundraise on its behalf: the San Francisco Public Health Foundation, the Friends of Laguna Honda Hospital, and the San Francisco General Hospital Foundation.

“They’re private nonprofit entities that are separate from the department,” CFO Greg Wagner told us. “But their roles are to support the department in its efforts.” He cited examples such as sending its staff to conferences or hosting meetings, “things that we don’t have the budget for or don’t have the staff or resources.”

The lion’s share of the DPH’s gifts are funneled through the SFGHF. Unlike many of the assorted Friends groups or foundations that support city services, the SFGHF extensively reports the sources of its $5 million in donations. The donors include a veritable who’s who of San Francisco: the Giants, Sutter Health, Xerox, Pacific Union, and Kohl’s all donated between $1,000 and $10,000 in the past two years.

But the largest gifts to the SFGHF came from Kaiser Permanente, and its financial interests in the city run deep. Kaiser came into the city’s crosshairs in July, when the Board of Supervisors passed a resolution calling on Kaiser to disclose its pricing model after a sudden, unexplained increase in health care costs for city employees. Kaiser holds a $323 million city contract to provide health coverage, and supervisors took the healthcare giant to task for failing to produce data to back up its rate hikes.

In the meantime, Kaiser has also been a generous donor. It contributed $364,950 toward SFGHF and another $25,000 to SFPHF in fiscal year 2011-12.

The funding from Kaiser and a host of other contributors — which include Chevron, Intel, Genentech, Macy’s, Wells Fargo (another city contractor), and a pharmaceutical company called Vertex — does support needed programs. They include research into the health of marginalized communities, services through Project Homeless Connect, screening for HIV, and immunization shots for travelers.

But because DPH doesn’t count much of this support as “gifts” formally received by the city, it isn’t subject to prior approval by the Board of Supervisors, or posted on the department’s website along with the contributors’ financial interests. Major contributions are disclosed in a report to the Health Commission, something Wagner described as a voluntary gesture in response to commissioners’ requests.

“Most gifts to foundations are donations to a nonprofit and do not come through the city or DPH at all,” he noted.

This distance is maintained on paper despite close collaboration with the department. In the case of Project Homeless Connect, a program that holds a bimonthly event to aid the homeless, it supports programs headquartered in city facilities. Penny Eardley, executive director of SFPHF— which used to be called Friends of San Francisco Public Health — noted that her organization occasionally makes grants or seeks funding in response to department requests. And Deputy Director of Health Colleen Chawla is a foundation board member. It’s almost like these foundations are extensions of the department, except they’re not.

SFPHF also earns revenue as a city contractor. When DPH received a grant from the Centers for Disease Control, it contracted with SFPHF to manage subcontracts with about a dozen community-based organizations.

The web gets even more tangled. The president of SFPHF is Randy Wittorp — who’s also Director of Public Affairs for Kaiser Permanente’s San Francisco Service Area. It’s a similar story with SFGHF, whose board includes several General Hospital administrators, including CEO Susan Currin.

Former Health Commissioner James Illig said people shouldn’t worry, that hospital the staff would never direct foundation funds to pet projects or mishandle funds. They maintain a separation and a firewall,” he said, for example noting, “Sue Currin is not directing funds to her own hospital.”

But he did admit that since SFGHF’s minutes are not public documents, that “raises a few concerns,” arguing the public should be able to inspect financial documents to decide if the foundations are directing funds lawfully to city departments.

Even when the public by law has a right to access financial records of a city department, rooting out corruption can be like pushing a boulder up a San Francisco hill.

 

FROM PATIENTS TO PARTIES

In 2010 and 2011, Laguna Honda Hospital administrators and staff used money from the hospital’s patient gift fund to throw a party. And then they spent it on airfare. And then they gave laser-engraved pedometers to the staff. All told, they spent nearly $350,000 meant for the dying and the infirm, nearly half of the total funds.

The incident was big, messy, and out in the public eye. It was an all-too-rare glimpse into the shady use of public funds by public officials. But when hospital staff members Dr. Derek Kerr and Dr. Maria Rivero blew the whistle on Laguna Honda’s misuse of patient funds in 2010, they were drummed out of their jobs.

Eventually litigation on behalf of the whistleblowers and their complaints of corruption were found to have merit.

Kerr’s vindication came at a meeting of the Health Commission in April 2013. In the packed City Hall meeting room, the public watched as Laguna Honda Executive Director Mivic Hirose read her apology to Kerr and Rivero aloud, even announcing a plaque in Kerr’s honor.

“The hospital will install the plaque in the South 3 Hospice,” she read, stiltedly, from a written statement, surrounded by microphones at the podium. “The plaque will say: In recognition of Derek Kerr MD of his contributions to the Laguna Honda’s hospice and palliative care program 1989-2010.”

Kerr received a settlement of $750,000 and something more important: His good name cleared.

But that conflict of interest was rooted out only after years of litigation that revealed the financial abuse through legal discovery of the department’s documents — documents that should’ve been public in the first place. ABC 7’s I-Team broke the story and did much of the reporting at the time, otherwise the entire affair may have been swept under the rug.

The misuse of funds was only brought to light with the revelation of public documents — revelations not possible with most Friends groups. The Laguna Honda Hospital Foundation has also had financial dealings with potential conflicts and a lack of transparency.

The now-defunct LHHF’s board chair, former City Attorney Louise Renne, made an interesting choice for her vice chair after she formed the nonprofit in 2003. Derek Parker was vice chair of the LHHF while simultaneously heading architecture firm Anshen-Allen, with a $585 million city contract to rebuild the hospital.

So he was not only rebuilding Laguna Honda under city contract, but soliciting and spending donations meant to supplement his project. Renne wrote to the Health Commission in December 2011 that LHHF’s purpose was to manage over $15 million in donations meant to furnish the hospital with beds, chairs, and other necessities. Eventually, then-Mayor Willie Brown found funding for the hospital, reducing the foundation’s role.

In a phone interview with the Guardian, Renne said the goals of the LHHF were only ever to furnish the newly christened hospital. “Our purpose was to fill the void, if you will, for what the city and its services could not do,” she said.

But in her letter, Renne advocated for LHHF to take an active role in fundraising for the hospital for years to come. “Today, the members of the Board of Directors of the Foundation continue to assist the hospital in various phases of its new projects and operations with projects approved by the City and/or the hospital administration,” she wrote to the Health Commission.

And Parker would have potentially managed millions of dollars flowing through donations for countless other hospital projects, while heading an architectural firm with contracts to build in San Francisco. We were unable to reach Parker for comment.

“I never saw Derek use his position as an architect or position for any political gain, I never saw it,” Renne told us. But no one else would see it either, because organizations like the now closed Laguna Honda Hospital Foundation operate without public oversight.

The Health Commission itself even noted this in its March 2012 meeting, the minutes describing then-commissioner James Illig as critiquing the foundation for not being open about its source of funding.

“Commissioner Illig thanks Ms. Renne and Mr. Parker for coming to the Commission,” the minutes read. “Because (LHHF) is a project of Community Initiatives, a fiscal sponsor for nonprofits, it is not possible to find basic financial information about the Foundation or its activities.”

Divided interests on hospital board

Due to a quirk of her foundation being under the “umbrella” of a separate entity, Community Initiatives, Illig was never able to even get the LHHF’s IRS forms, he told us. “We tried to get information and reports, and the Community Initiatives [Form] 990 was giant,” Illig said. “It didn’t separate anything out.”

Illig told us that it made sense to have Parker on the board because he is monied and well connected, making it easier to solicit donations. But insiders close to the board told us that Parker’s position may have made it easier to swing getting other contracts for his firm.

Parker got another city contract building the UCSF Benioff Children’s Hospital at Mission Bay, slated to open in 2015. No doubt his firm got the job partly due to his reputation as pioneering architecture that leads to healthy patient outcomes — but then again, the board he served on also approved donations to research at UCSF.

Laguna Honda Hospital Foundation may now be defunct, but it serves to illustrate the lack of controls and oversight of the foundations beyond even gift disclosure.

 

OFF THE BOOKS

It might be characterized as a web of influence, cronyism, or just the way business is done. But is there something improper about all of this?

Private funding often represents a needed boost that allows for important work to take place beyond what could happen under ordinary budgeting. At the same time, it smacks of privatization. While departments and funders point to lean times in the public sector to justify the need for this help, the funding continues to flow whether it’s a good year or a bad year for city government. And at the end of the day, the most glaring issue of all seems to be the lack of transparency.

Are city departments ever tempted to bend the rules to lend a little help to their Friends? As long as the funding is in the dark, the public has no way of knowing.

Ethics chief St. Croix told us his office lacks the resources to visit every city website and check up on whether departments are following the disclosure rules. “If someone brought it to my attention that a department received a gift and didn’t post it [on the website],” he said, “we would look into it.”

But if the watchdogs need watchdogs, citizens who can’t even review documents that should be publicly available, then these quasi-governmental functions and the people who fund them will remain in the shadows.  

Danielle Parenteau contributed to this report.  

ADDENDUM  

When city funders operate in the dark, one of the best ways to learn about corrupt influence, misuse of funds, and other transgressions is from whistleblowers. If you have a tip for us, send us snail mail at SAN FRANCISCO BAY GUARDIAN, 225 Bush, 17th Floor, San Francisco, CA 94104. Or email us at news@sfbg.com. Just make sure not to use an email address provided by your workplace, which is less secure.

Ain’t nobody who can sing — or bring the progressive fire — like Billy Bragg

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During his set yesterday at the Hardly Strictly Bluegrass Festival, iconic British singer/songwriter Billy Bragg said he doesn’t understand why he was booked for an event devoted to Americana, although he did note that it was Brits like the Beatles and Rolling Stones that first popularized African American roots music for white Americans.

Yet in the spirit of legendary American folk singer Woody Guthrie, whose songs Bragg covered with Wilco on the amazing Mermaid Avenue albums, Bragg yesterday unleashed a righteous lefty diatribe against US political powers who were willing to shut down the government and default on its debts rather than offer universal healthcare to its citizens.

“Health care is the Jim Crow issue of the 21st Century,” Bragg said, also calling healthcare reform the “civil rights issue of this time” and calling for “free health care for every American.”

After closing his set with a rousing rendition of Guthrie’s “All you Fascists Bound to Lose,” he implored the young audience to rise up and “just get true.” Apparently his messages resonated with both the audience and organizers, who allowed him back on stage for an encore and some more fearless truth-talking.

“Socialism is organized compassion,” Bragg said, urging Americans to drop their irrational fears of socialized medicine (not to mention the far more insurance-based Obamacare), before playing his anthem, “There is Power in a Union.”

Bragg closed by saying that our enemy in this struggle isn’t the right-wing crazies shutting down our government, it is our own apprehensions about what can be done in this country, and the fear of advocating for what needs to be done.

“The enemy is cynism,” Bragg said, “and the only antidote to your cyncism is your activism.”

I and others left the show with our political fires stirred, as Sup. John Avalos also confirmed when I ran into him after the show, traipsing through the woods of Golden Gate Park toward the next stage. And I thought about what Hardly Strictly founder Warren Hellmen told me about this festival and form of music when I interviewed him for a profile that ran as a Guardian cover story in 2007.

“I feel very strongly that an important part of our culture is built on the type of music and type of performance that goes on at Hardly Strictly Bluegrass,” Hellman told me. From parables set to music to songs of struggle and the old union standards, “that kind of music is the conscience of our country.”

He considered bluegrass a vital and historically important form of political communication, more so than many of the upscale art forms that he and other rich people have tended to sponsor in San Francisco.

“I’m glad that we have first-rate opera, but it’s equally important that we foster the kind of music, lyrics, etc., that support all this,” he said. “Somebody once said that most of the great Western philosophy is buried in the words of country songs. And that’s closer to the truth than most people think. A big passion of mine is to try to help — and people have defined it too narrowly — the kinds of music that I think have a hell of a lot to do with the good parts of our society.”

And that was something that it took a fiery Brit to remind of us of this weekend.

Endorsements 2013

125

We’re heading into a lackluster election on Nov. 5. The four incumbents on the ballot have no serious challengers and voter turnout could hit an all-time low. That’s all the more reason to read up on the issues, show up at the polls, and exert an outsized influence on important questions concerning development standards and the fate of the city’s waterfront, the cost of prescription drugs, and the long-term fiscal health of the city.

 

PROP. A — RETIREE HEALTH CARE TRUST FUND

YES

Note: This article has been corrected from an earlier version, which incorrectly stated that Prop A increases employee contributions to health benefits.

Throughout the United States, the long-term employee pension and health care obligations of government agencies have been used as wedge issues for anti-government activists to attack public employee unions, even in San Francisco. The fiscal concerns are real, but they’re often exaggerated or manipulated for political reasons.

That’s one reason why the consensus-based approach to the issue that San Francisco has undertaken in recent years has been so important, and why we endorse Prop. A, which safeguards the city’s Retiree Health Care Trust Fund and helps solve this vexing problem.

Following up on the consensus pension reform measure Prop. B, which increased how much new city employees paid for lifetime health benefits, this year’s Prop. A puts the fund into a lock-box to ensure it is there to fund the city’s long-term retiree health care obligations, which are projected at $4.4 billion over the next 30 years.

“The core of it says you can’t touch the assets until it’s fully funded,” Sup. Mark Farrell, who has taken a lead role on addressing the issue, told us. “The notion of playing political football with employee health care will be gone.”

The measure has the support of the entire Board of Supervisors and the San Francisco Labor Council. Progressive Sup. David Campos strongly supports the measure and he told us, “I think it makes sense and is something that goes beyond political divides.”

There are provisions that would allow the city to tap the fund in emergencies, but only after it is fully funded or if the mayor, controller, the Trust Board, and two-thirds of the Board of Supervisors signs off, a very high bar. So vote yes and let’s put this distracting issue behind us.

 

PROP. B — 8 WASHINGTON SPECIAL USE DISTRICT

NO, NO, NO!

Well-meaning people can arrive at different conclusions on the 8 Washington project, the waterfront luxury condo development that was approved by the Board of Supervisors last year and challenged with a referendum that became Prop. C. But Prop. B is simply the developer writing his own rules and exempting them from normal city review.

We oppose the 8 Washington project, as we explain in our next endorsement, but we can understand how even some progressive-minded people might think the developers’ $11 million affordable housing and $4.8 million transit impact payments to the city are worth letting this project slide through.

But Prop. B is a different story, and it’s something that those who believe in honesty, accountability, and good planning should oppose on principle, even if they support the underlying project. Contrary to the well-funded deceptions its backers are circulating, claiming this measure is about parks, Prop. B is nothing more than a developer and his attorneys preventing meaningful review and enforcement by the city of their vague and deceptive promises.

It’s hard to know where to begin to refute the wall of mendacity its backers have erected to fool voters into supporting this measure, but we can start with their claim that it will “open the way for new public parks, increased access to the Embarcadero Waterfront, hundreds of construction jobs, new sustainable residential housing and funding for new affordable housing.”

There’s nothing the public will get from Prop. B that it won’t get from Prop. C or the already approved 8 Washington project. Nothing. Same parks, same jobs, same housing, same funding formulas. But the developer would get an unprecedented free pass, with the measure barring discretionary review by the Planning Department — which involves planners using their professional judgment to decide if the developer is really delivering what he’s promising — forcing them to rubber-stamp the myriad details still being developed rather than acting as advocates for the general public.

“This measure would also create a new ‘administrative clearance’ process that would limit the Planning Director’s time and discretion to review a proposed plan for the Site,” is how the official ballot summary describes that provision to voters.

Proponents of the measure also claim “it empowers voters with the decision on how to best utilize our waterfront,” which is another deception. Will you be able to tweak details of the project to make it better, as the Board of Supervisors was able to do, making a long list of changes to the deal’s terms? No. You’re simply being given the opportunity to approve a 34-page initiative, written by crafty attorneys for a developer who stands to make millions of dollars in profits, the fine details of which most people will never read nor fully understand.

Ballot box budgeting is bad, but ballot box regulation of complex development deals is even worse. And if it works here, we can all expect to see more ballot measures by developers who want to write their own “special use district” rules to tie the hands of planning professionals.

When we ask proponents of this measure why they needed Prop. B, they claimed that Prop. C limited them to just talking about the project’s building height increases, a ridiculous claim for a well-funded campaign now filling mailers and broadcast ads with all kinds of misleading propaganda.

With more than $1 million and counting being funneled into this measure by the developer and his allies, this measure amounts to an outrageous, shameless lie being told to voters, which Mayors Ed Lee and Gavin Newsom have shamefully chosen to align themselves with over the city they were elected to serve.

As we said, people can differ on how they see certain development deals. But we should all agree that it’s recipe for disaster when developers can write every last detail of their own deals and limit the ability of professional planners to act in the public interest. Don’t just vote no, vote hell no, or NO, No, no!

 

PROPOSITION C — 8 WASHINGTON REFERENDUM

NO

San Francisco’s northeastern waterfront is a special place, particularly since the old Embarcadero Freeway was removed, opening up views and public access to the Ferry Building and other recently renovated buildings, piers, and walkways along the Embarcadero.

The postcard-perfect stretch is a major draw for visiting tourists, and the waterfront is protected by state law as a public trust and overseen by multiple government agencies, all of whom have prevented development of residential or hotel high-rises along the Embarcadero.

Then along came developer Simon Snellgrove, who took advantage of the Port of San Francisco’s desperate financial situation, offered to buy its Seawall Lot 351 and adjacent property from the Bay Club at 8 Washington St., and won approval to build 134 luxury condos up to 12 stories high, exceeding the city’s height limit at the site by 62 percent.

So opponents challenged the project with a referendum, a rarely used but important tool for standing up to deep-pocketed developers who can exert an outsized influence on politicians. San Franciscans now have the chance to demand a project more in scale with its surroundings.

The waterfront is supposed to be for everyone, not just those who can afford the most expensive condominiums in the city, costing an average of $5 million each. The high-end project also violates city standards by creating a parking space for every unit and an additional 200 spots for the Port, on a property with the best public transit access and options in the city.

This would set a terrible precedent, encouraging other developers of properties on or near the waterfront to also seek taller high-rises and parking for more cars, changes that defy decades of good planning work done for the sensitive, high-stakes waterfront.

The developers would have you believe this is a battle between rival groups of rich people (noting that many opponents come from the million-dollar condos adjacent to the site), or that it’s a choice between parks and the surface parking lot and ugly green fence that now surrounds the Bay Club (the owner of which, who will profit from this project, has resisted petitions to open up the site).

But there’s a reason why the 8 Washington project has stirred more emotion and widespread opposition that any development project in recent years, which former City Attorney Louise Renne summed up when she told us, “I personally feel rich people shouldn’t monopolize the waterfront.”

A poll commissioned by project opponents recently found that 63 percent of respondents think the city is building too much luxury housing, which it certainly is. But it’s even more outrageous when that luxury housing uses valuable public land along our precious waterfront, and it can’t even play by the rules in doing so.

Vote no and send the 8 Washington project back to the drawing board.

 

PROP. D — PRESCRIPTION DRUG PURCHASING

YES

San Francisco is looking to rectify a problem consumers face every day in their local pharmacy: How can we save money on our prescription drugs?

Prop. D doesn’t solve that problem outright, but it mandates our politicians start the conversation on reducing the $23 million a year the city spends on pharmaceuticals, and to urge state and federal governments to negotiate for better drug prices as well.

San Francisco spends $3.5 million annually on HIV treatment alone, so it makes sense that the AIDS Healthcare Foundation is the main proponent of Prop. D, and funder of the Committee on Fair Drug Pricing. Being diagnosed as HIV positive can be life changing, not only for the health effects, but for the $2,000-5,000 monthly drug cost.

Drug prices have gotten so out-of-control that many consumers take the less than legal route of buying their drugs from Canada, because our neighbors up north put limits on what pharmaceutical companies can charge, resulting in prices at least half those of the United States.

The high price of pharmaceuticals affects our most vulnerable, the elderly and the infirm. Proponents of Prop. D are hopeful that a push from San Francisco could be the beginning of a social justice movement in cities to hold pharmaceutical companies to task, a place where the federal government has abundantly failed.

Even though Obamacare would aid some consumers, notably paying 100 percent of prescription drug purchases for some Medicare patients, the cost to government is still astronomically high. Turning that around could start here in San Francisco. Vote yes on D.

 

ASSESSOR-RECORDER

CARMEN CHU

With residential and commercial property in San Francisco assessed at around $177 billion, property taxes bring in enough revenue to make up roughly 40 percent of the city’s General Fund. That money can be allocated for anything from after-school programs and homeless services to maintaining vital civic infrastructure.

Former District 4 Sup. Carmen Chu was appointed by Mayor Ed Lee to serve as Assessor-Recorder when her predecessor, Phil Ting, was elected to the California Assembly. Six months later, she’s running an office responsible for property valuation and the recording of official documents like property deeds and marriage licenses (about 55 percent of marriage licenses since the Supreme Court decision on Prop. 8 have been issued to same-sex couples).

San Francisco property values rose nearly 5 percent in the past year, reflecting a $7.8 billion increase. Meanwhile, appeals have tripled from taxpayers disputing their assessments, challenging Chu’s staff and her resolve. As a district supervisor, Chu was a staunch fiscal conservative whose votes aligned with downtown and the mayor, so our endorsement isn’t without some serious reservations.

That said, she struck a few notes that resonated with the Guardian during our endorsement interview. She wants to create a system to automatically notify homeowners when banks begin the foreclosure process, to warn them and connect them with helpful resources before it’s too late. Why hasn’t this happened before?

She’s also interested in improving system to capture lost revenue in cases where property transfers are never officially recorded, continuing work that Ting began. We support the idea of giving this office the tools it needs to go out there and haul in the millions of potentially lost revenue that property owners may owe the city, and Chu has our support for that effort.

 

CITY ATTORNEY

DENNIS HERRERA

Dennis Herrera doesn’t claim to be a progressive, describing himself as a good liberal Democrat, but he’s been doing some of the most progressive deeds in City Hall these days: Challenging landlords, bad employers, rogue restaurants, PG&E, the healthcare industry, opponents of City College of San Francisco, and those who fought to keep same-sex marriage illegal.

The legal realm can be more decisive than the political, and it’s especially effective when they work together. Herrera has recently used his office to compel restaurants to meet their health care obligations to employees, enforcing an earlier legislative gain. And his long court battle to defend marriage equality in California validated an act by the executive branch.

But Herrera has also shown a willingness and skill to blaze new ground and carry on important regulation of corporate players that the political world seemed powerless to touch, from his near-constant legal battles with PG&E over various issues to defending tenants from illegal harassment and evictions to his recent lawsuit challenging the Accreditation Commission of Community and Junior Colleges over its threats to CCSF.

We have issues with some of the tactics his office used in its aggressive and unsuccessful effort to remove Sheriff Ross Mirkarimi from office. But we understand that is was his obligation to act on behalf of Mayor Ed Lee, and we admire Herrera’s professionalism, which he also exhibited by opposing the Central Subway as a mayoral candidate yet defending it as city attorney.

“How do you use the power of the law to make a difference in people’s lives every single day?” was the question that Herrera posed to us during his endorsement interview, one that he says is always on his mind.

We at the Guardian have been happy to watch how he’s answered that question for nearly 11 years, and we offer him our strong endorsement.

 

TREASURER/TAX COLLECTOR

JOSE CISNEROS

It’s hard not to like Treasurer/Tax Collector Jose Cisneros. He’s charming, smart, compassionate, and has run this important office well for nine years, just the person that we need there to implement the complicated, voter-approved transition to a new form of business tax, a truly gargantuan undertaking.

Even our recent conflicts with Cisneros — stemming from frustrations that he won’t assure the public that he’s doing something about hotel tax scofflaw Airbnb (see “Into thin air,” Aug. 6) — are dwarfed by our understanding of taxpayer privacy laws and admiration that Cisneros ruled against Airbnb and its ilk in the first place, defying political pressure to drop the rare tax interpretation.

So Cisneros has the Guardian’s enthusiastic endorsement. He also has our sympathies for having to create a new system for taxing local businesses based on their gross receipts rather than their payroll costs, more than doubling the number of affected businesses, placing them into one of eight different categories, and applying complex formulas assessing how much of their revenues comes from in the city.

“This is going to be the biggest change to taxes in a generation,” Cisneros told us of the system that he will start to implement next year, calling the new regime “a million times more complicated than the payroll tax.”

Yet Cisneros has still found time to delve into the controversial realm of short-term apartment sublets. Although he’s barred from saying precisely what he’s doing to make Airbnb pay the $1.8 million in Transient Occupancy Taxes that we have shown the company is dodging, he told us, “We are here to enforce the law and collect the taxes.”

And Cisneros has continued to expand his department’s financial empowerment programs such as Bank on San Francisco, which help low-income city residents establish bank accounts and avoid being gouged by the high interest rates of check cashing outlets. That and similar programs are now spreading to other cities, and we’re encouraged to see Cisneros enthusiastically exporting San Francisco values, which will be helped by his recent election as president of the League of California Cities.

 

SUPERVISOR, DIST. 4

KATY TANG

With just six months on the job after being appointed by Mayor Ed Lee, Sup. Katy Tang faces only token opposition in this race. She’s got a single opponent, accountant Ivan Seredni, who’s lived in San Francisco for three years and decided to run for office because his wife told him to “stop complaining and do something,” according to his ballot statement.

Tang worked in City Hall as a legislative aide to her predecessor, Carmen Chu, for six years. She told us she works well with Sups. Mark Farrell and Scott Wiener, who help make up the board’s conservative flank. In a predominantly Chinese district, where voters tend to be more conservative, Tang is a consistently moderate vote who grew up in the district and speaks Mandarin.

Representing the Sunset District, Tang, who is not yet 30 years old, faces some new challenges. Illegal “in-law” units are sprouting up in basements and backyards throughout the area. This presents the thorny dilemma of whether to crack down on unpermitted construction — thus hindering a source of housing stock that is at least within reach for lower-income residents — look the other way, or “legalize” the units in an effort to mitigate potential fire hazards or health risks. Tang told us one of the greatest concerns named by Sunset residents is the increasing cost of living in San Francisco; she’s even open to accepting a little more housing density in her district to deal with the issue.

Needless to say, the Guardian hasn’t exactly seen eye-to-eye with the board’s fiscally conservative supervisors, including Tang and her predecessor, Chu. We’re granting Tang an endorsement nevertheless, because she strikes us as dedicated to serving the Sunset over the long haul, and in touch with the concerns of young people who are finding it increasingly difficult to gain a foothold in San Francisco.

Legal foes invited to weigh in on healthcare policy

4

A few years ago, the Golden Gate Restaurant Association lost a legal battle it waged over the employer mandates in the city’s landmark Health Care Security Ordinance, a universal healthcare program that has provided safety-net services for the city’s uninsured since its passage in 2006, partially through the Healthy San Francisco program.

Composed of San Francisco restaurant owners, GGRA took issue with a mandatory employer spending contribution designed to help employees cover healthcare costs. While the city’s flagship healthcare program ultimately emerged unscathed, the lawsuit went all the way to the U.S. Supreme Court and consumed city staff time and legal expenses.

Now that the federal Affordable Care Act is poised to begin, with enrollment in low-income programs starting in October, a new debate has surfaced over whether current employer requirements should stay the same under Obamacare. While ardent supporters of HCSO have urged the city not to make any drastic policy changes because the existing system can help low-wage workers take advantage of federally subsidized healthcare options, local business interests have signaled that they think it’s time to scale back employer contributions.

In late August, representatives from the city’s Department of Public Health sent out invitations to various stakeholders to join an advisory body called the Universal Healthcare Council, which will be charged with “reviewing local policies against the backdrop of the federal law.” Despite the failed, messy legal battle that nearly undermined Healthy SF just a few years ago, and the more recent scandals involving restaurants fraudulently using customer surcharges and still stiffing employees (see “Check please,” April 23), an invitation was sent to Rob Black, executive director of GGRA. For the sake of uninsured employees throughout San Francisco, let’s hope the restaurant association doesn’t have another lawsuit up its sleeve.

Alerts: September 18 – 24

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WEDNESDAY 18

Discussing Art and Social Change Mission Cultural Center for Latino Arts (MCCLA), 2868 Mission, SF. missionculturalcenter.org. 7-9 p.m., free. The MCCLA is hosting a discussion on the use of art to take a stand against oppression, and to bring about change in public policy. A panel of six local, Latino artists will discuss their work and influences, including Paz De La Calzada and Eliza Barrios — who re-purposed newspaper stands in Downtown SF to display messages about economic problems.

THURSDAY 19

Spiritual support for the Trust Act Alameda County Sheriff’s Office, 1401 Lakeside Dr., Oakland. www.icir-clue.blogspot.com. 8:30-10am, free. Join The Interfaith Coalition for Immigrant Rights (CLUE-CA), Faith for a Moral Economy and the East Bay Interfaith Immigration Coalition (EBIIC) as they stand together in support of the Trust Act (AB 4), a bill that directly opposes the repressive Secure Communities program. Since 2008, S-Comm has deported more than 160,000 Californians and detained countless others. The Trust Act’s main opposition is the CA State Sheriff’s Association, and the president of the association, Sheriff Gregory Ahern, is based in Alameda County. The group will be sharing testimonials, prayer and meditation in favor of the Trust Act. RSVP by sending an email to either dlee@clueca.org or kristi@workingeastbay.org.

FRIDAY 20

Affordable Care Act information workshop SF Public Library Chinatown Branch, Chinatown Meeting Room, 1135 Powell, SF. tinyurl.com/ACA920. 3-4pm, free. Spokespeople from the Chinese Community Health Plan (CCHP) will explain the Affordable Care Act and Covered California, new options for health care coverage under federal healthcare reform. Learn what options are available to you, whether financial assistance is available and how to enroll. Information will be available for individuals, families and small businesses. The presentation will also be given in Cantonese 2-3 p.m. For more information and resources, visit http://tinyurl.com/m8zl2hx.

SATURDAY 21

Baile Annual de MUA El Rio, 3158 Mission, SF. mujeresunidas.net 3-8 p.m., $15. Join Mujeres Unidas y Activas for its annual benefit and dance party, featuring Latin American food and DJs spinning the best of Latin contemporary, banda, punta, Durangense, salsa, and cumbia. MUA is a nonprofit organization based in SF and Oakland that works with Latina immigrants, and is dedicated to both the personal transformation and working toward social and economic justice.

SUNDAY 22

4 Little Girls 1187 Franklin, SF. tinyurl.com/4Lgirls. 12:30-2pm, free. Spike Lee’s 1997 documentary, 4 Little Girls, is showing at the Unitarian Universalist Center on Sun/22, the 50th anniversary of the 16th Street Baptist Church bombing in Birmingham. The documentary chronicles the tragic 1963 attack, which took the lives of four young girls of color. Sponsored by the Unitarian Universalists for Peace (San Francisco) and Sensible Cinema. Lunches are available for a suggested donation of $5.

 

California prisoners end hunger strike after Bay Area legislators call hearings

9

Bay Area legislators Tom Ammiano (D-SF) and Loni Hancock (D-Berkeley) — who chair the Assembly and Senate Public Safety Committees, respectively — played pivotal roles in today’s decision by California prison inmates to end their hunger strike after 60 days.

The legislators last week called for legislative hearings to consider implementing some of the reforms that the prisoners and their supporters have been calling for, including changes to solitary confinement policies that critics say amount to illegal torture under international law.

“I am relieved and gratified that the hunger strike has ended without further sacrifice or risk of human life,” Sen. Hancock said in a joint public statement with Ammiano. “The issues raised by the hunger strike are real – concerns about the use and conditions of solitary confinement in California’s prisons – and will not be ignored.”

“I’m happy that no one had to die in order to bring attention to these conditions,” Ammiano said. “The prisoners’ decision to take meals should be a relief to CDCR and the Brown administration, as well as to those who support the strikers.”

The question now is whether the legislative hearings, set for next month, can persuade the executive branch to finally take action, despite the fact that both Gov. Jerry Brown and the California Department of Corrections and Rehabilitation have taken a hard line on prison issues, even resisting federal court orders to reduce the population in the severely overcrowded prison system and to improve substandard health care.

Ammiano spokesperson Carlos Alcala told the Guardian that the end of the hunger strike could help end that stalemate: “Mr. Ammiano is hopeful that CDCR’s intransigence has been directed at negotiating under the hunger strike pressure, but that they will now be open to making some changes that are meaningful.”

CRCR head Jeffrey Beard issued a public statement saying, “We are pleased this dangerous strike has been called off before any inmates became seriously ill.”

Issac Ontiveros of the Oakland-based California Prisoner Hunger Strike Solidarity group said the hunger strike generated international attention and support, waking the public up to horrific conditions in the prisons and putting pressure on the CDCR to implement reforms.

“Their demands are legitimate and they are pointing out human rigths violations in California’s prisons,” Ontiveros told the Guardian, noting that Amnesty International and a long list of other groups are putting pressure on California to reform its prison practices. “What made them call off the strike was the political gains that they made…It was a thoughtful civil rights strategy.”

This latest hunger strike was called for and organized by prisoners in the “secure housing units,” aka solitary confinement cells, at the maximum security Pelican Bay State Prison, many of whom have gone years without meaningful human interaction. Court filings indicated that more than 400 prisoners have been locked up in solidary for more than a decade, despite the psychological harm that experts say such confinement causes.   

The prisoners today issued a long statement announcing the end of the hunger strike, which includes this excerpt: “To be clear, our Peaceful Protest of Resistance to our continuous subjection to decades of systemic state sanctioned torture via the system’s solitary confinement units is far from over. Our decision to suspend our third hunger strike in two years does not come lightly. This decision is especially difficult considering that most of our demands have not been met (despite nearly universal agreement that they are reasonable). The core group of prisoners has been, and remains 100% committed to seeing this protracted struggle for real reform through to a complete victory, even if it requires us to make the ultimate sacrifice.  With that said, we clarify this point by stating prisoner deaths are not the objective, we recognize such sacrifice is at times the only means to an end of fascist oppression.

“Our goal remains: force the powers that be to end their torture policies and practices in which serious physical and psychological harm is inflicted on tens of thousands of prisoners as well as our loved ones outside.  We also call for ending the related practices of using prisoners to promote the agenda of the police state by seeking to greatly expand the numbers of the working class poor warehoused in prisons, and particularly those of us held in solitary, based on psychological/social manipulation, and divisive tactics keeping prisoners fighting amongst each other. Those in power promote mass warehousing to justify more guards, more tax dollars for “security”, and spend mere pennies for rehabilitation — all of which demonstrates a failed penal system, high recidivism, and ultimately compromising public safety.”

Slipping away

10

By Amy Yannello

Note: This article has been corrected from an earlier version.

As she had done countless times before, Gloria Davidson sat and waited for her son to be brought into the courtroom. His hands and feet were shackled, and his blue uniform branded him as different — someone to be judged apart from the rest of the crowd in this room.

His crime? Aaron Davidson has schizophrenia.

On that day earlier this year, which Gloria recounted and shared with the Guardian in a recent interview, he faced charges for violating one of five restraining orders against him — but he didn’t understand what he’d done to deserve them, his mother said.

“The neurons and synapses in his brain fire inappropriately and he sees and hears things that are not really there,” Gloria explained. “As a result, his responses to his perceived reality are often unwarranted or make no sense,” she continued, “or frighten the people around him.” Aaron could neither speak coherently nor acknowledge that his actions had led to restraining orders, she said.

In his case, the judge deemed Aaron “incompetent to stand trial” and sent him to Napa State Hospital for treatment. He remains there, where he’ll turn 36 later this month.

Davidson is one of three Bay Area mothers with adult sons at NSH to push for full, statewide implementation of Laura’s Law.

Known formally as “assisted outpatient treatment” (AOT), the law is named for Laura Wilcox, a 19-year-old college student who lost her life when Scott Harlan Thorpe, a man with a persistent and severe mental illness who had stopped taking his medication, shot and killed her and a coworker at a Nevada City mental health clinic.

While Thorpe, then 41, was in too deep of a state of psychosis to benefit from AOT at the time of the shootings, his family, psychiatrist, and the Wilcoxes all believed that if the legislation had been in effect even six months earlier, when Thorpe’s family first noticed he’d stopped taking medication, the tragedy could have been averted.

 

DEBATE ON INVOLUNTARY TREATMENT

Through AOT, an individual’s family, doctor, or trusted third party may advocate to a judge that a patient is at risk of decompensation — serious psychological deterioration making it impossible to function independently — if left untreated. In very narrow circumstances, a judge may order a person to receive AOT as a condition of being allowed to continue living independently.

Currently, only Nevada, Los Angeles and Yolo counties have embraced the law, which allows courts in very limited circumstances to compel into treatment those residents who are too ill to know they are ill.

This “lack of insight” — a neurological condition known as “anosognosia” — is said to affect upward of 40 percent of people with serious mental illnesses.

Gloria Davidson and Teresa Pasquini, another mother of a mentally ill NSH patient, are now pushing for Laura’s Law implementation in Contra Costa County. They’re joined by a third mother, Candy DeWitt, who founded a project called Voices of Mothers Project to bring together parents of people suffering from anosognosia. Alameda County’s Behavioral Health Care Services has issued a report recommending to its Board of Supervisors that it approve a one-year AOT pilot project. The issue is expected to be taken up at the BOS’ Oct. 28 meeting, where it would need a majority vote to be approved, DeWitt said. 

Laura’s Law isn’t without its detractors. “Where does it end?” asked Dan Brzovic, an attorney based in the Oakland office of Disability Rights California. “Pretty soon, we’ll have people saying that anyone with a mental illness cannot think for themselves.”

“The moral issue is that people who are competent to make choices for themselves must be given that right,” he continued. “That’s if they have the capacity. If they don’t, then there are involuntary treatment options already on the books, like conservatorship.”

But the debate surrounding Laura’s Law and mental health service delivery goes deeper, since underlying questions remain about whether dedicated funding has translated to sufficient levels of care. Each of the three mothers told the Guardian that their sons — all deemed to be suffering from “serious mental illness” — never received adequate treatment as they moved through California’s fragmented and broken public mental health system, despite the advent of Proposition 63, the 2004 ballot initiative that created California’s Mental Health Services Act.

A staggering report released in mid-August by State Auditor Elaine Howle brings this claim into focus. According to the audit, the California Department of Mental Health and the Oversight and Accountability Commission have exercised such “minimal oversight” since MHSA went into effect that the state has “little assurance” that $7.4 billion has been used “effectively and appropriately.” That amount represents the total funding generated by the MHSA — which imposes a 1 percent tax on personal income in excess of $1 million — from 2006 to 2012.

In response to these revelations, Rose King, a co-author of Prop. 63 who previously served as a consultant for then-Attorney General Bill Lockyer, stated, “No county has been required to demonstrate its accountability for any spending or program choices. The public — and state officials — have no idea whether counties have improved county mental health systems, whether spending complies with the law, and whether private contractors have delivered promised services.”

 

“WASTE, FRAUD, MISMANAGEMENT”

The MHSA ramped up services for some 600,000 adults and children in the public mental health system, bringing in $1 billion per year in dedicated funding for the treatment of serious mental illness.

But beyond patients tracked via Medi-Cal, no one tracks the true number of uninsured patients served. There isn’t a data system capturing all the clients or services tied to MHSA funds, making outcomes impossible to track with accuracy.

Some funding has gone to client advocacy groups who actively oppose Laura’s Law. Disability Rights California and the California Network of Mental Health Clients, both opponents of AOT, received $3 million and $1.5 million in MHSA grants respectively. These groups believe voluntary services should be the only programs to receive funding through MHSA and have actively threatened to sue counties that have tried to implement Laura’s Law.

Some of the very people who campaigned hardest for MHSA have since become watchdogs monitoring its implementation. They include King, who lost both a husband and son to suicide due to lack of treatment for their severe mental illnesses, and Pasquini — whose only son is languishing in NSH with a diagnosis of schizophrenia and a felony charge for an alleged assault on a fellow patient while on the incorrect medication.

These embattled mothers say they’ve observed a system awash in “waste, fraud and mismanagement.” They also charge that the system results in disproportionate services for what King terms the “worried well” — people merely experiencing life’s ups and downs — in many cases to the neglect of those struggling with what’s classified as “serious mental illness.”

 

MISSPENDING OF FUNDS DESIGNATED FOR PREVENTION?

Under the MHSA, only a specified population may receive treatment using these funds. Patients must have been diagnosed with “serious mental illness,” amounting to psychological problems that are severe enough to prevent an individual from functioning independently without assistance should they go untreated.

But critics like King and DJ Jaffe of the Mental Illness Policy Org. (MIPO), a national think tank that has been critical of California’s management of MHSA monies, contend that the 20 percent of MHSA funds designated for Prevention and Early Intervention (PEI) programs are instead being funneled into programs with little connection to mental illness treatment.

The MHSA specifically limits PEI dollars to programs that “prevent mental illnesses from becoming severe or disabling” or that “limit the duration of untreated mental illness.”

Yet King contends that these funds have been used instead to underwrite social service programs ranging from domestic violence prevention and parenting classes, to social skills for disadvantaged youth — all good causes that are nevertheless “not legitimate recipients” of money intended for mental illness treatment, King says.

 

CONFLICT-OF-INTEREST ALLEGATIONS

Jaffe’s organization has seized on the PEI expenditures as a violation of the MHSA, turning a skeptical eye on the 16-member Mental Health Services Oversight and Accountability Commission.

In 2011, according to a MIPO analysis, more than $23 million in PEI grants went to advocacy organizations and service providers with direct financial ties to both OAC commissioners and committee members. MIPO characterized it as “insider dealing” and a violation of California conflict-of-interest laws.

OAC committee member Rusty Selix, a lobbyist and Prop. 63 co-author, dismissed the MIPO report, saying, “I don’t see any conflict.”

Selix added that unpaid OAC board members recuse themselves from voting whenever it’s deemed to be necessary. And he defended a system where stakeholders, such as consumers and family members, also serve on committees, saying, “You can’t expect to include them in the process without crisscrossing some stakeholders who also receive MHSA grants.”

Jaffe took a different tack. “The problem, besides the blatant conflict-of-interest,” countered Jaffe, “is how these PEI monies are being spent. And they’re not being spent to help the seriously mentally ill,” he continued. “Yet year after year, they’re getting approved. Millions and millions of taxpayer dollars that were supposed to go to treat the sickest among us are being spent on social programs.”

 

NOT ENOUGH BEDS

Some believe the broad issue of funds not making it to the intended target population might be playing out within the microcosm of San Francisco. In 2010-11, the most recent available data, San Francisco County received $23 million in MHSA funding, 75 percent of which was earmarked for direct services.

But that money hasn’t gone toward ensuring that there are enough beds for treating mentally ill patients, according to Geoff Wilson, president of the Physicians’ Organizing Committee. Wilson’s organization reported that as of August, San Francisco General Hospital had dropped to 19 emergency psychiatric beds, down from 88 two years ago.

“It’s unconscionable. We’ve got the highest 5150 rate in the state,” Wilson told The Guardian, referring to 72-hour psychiatric holds imposed by law enforcement. We’re not saying ‘lock everyone up,’ we’re just saying that for people who need it, the beds need to be there, and there’s barely any left in the city.”

Wilson explained the cuts by saying that when Medi-Cal stopped paying for the care — essentially “raising the bar” for what it took to keep someone in a psychiatric inpatient bed — the county slashed the number of beds because it “simply wasn’t profitable” to keep them open.

Asked to respond to this claim, SFDPH spokesperson Eileen Shields told the Guardian that only Barbara Garcia, the agency director, was in a position to respond. But Garcia was out of town and unavailable for comment.

According to the POC’s Dr. Cameron Quanbeck, it costs $250 per day to house inmates in jail, compared with $1,700 per day for hospital care. In March, Sheriff Ross Mirkarimi testified before the Mental Health Board that the jail system had become the “default” place for people with mental illness, identifying more than 70,000 contacts with Jail Psychiatric Services in 2012 alone.

 

LAW ENFORCEMENT AND LAURA’S LAW

According to the U.S. Department of Justice, 16 percent of inmates have a severe mental illness, making jails and prisons the largest de facto psychiatric treatment facilities. The National Sheriff’s Association has come out in support of AOT laws in all 50 states.

Pasquini says her son could have benefited from AOT, and she believes that “AOT should be a mandated MHSA program in every county to prevent tragedy and intervene with the criminalization of mental illness.”

Since his initial diagnosis of schizo-affective disorder at 16, Pasquini’s 31-year-old son has had more than 70 emergency contacts with law enforcement and/or ambulance personnel, most of them resulting in 5150 holds.

He is now a patient at NSH, where “he wants to die every day, and I don’t blame him,” continued Pasquini. “It’s a reality for him. His illness has progressed, because every time you have a ‘break,’ you get a little worse. He’s the perfect candidate for Laura’s Law.”

 

Fulfill MLK’s dream of a guaranteed income

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OPINION Today, Aug. 28, we mark the 50th anniversary of Martin Luther King’s I Have a Dream speech at the March on Washington. But we are sobered by the fact that 46 million citizens are living in poverty and that we have become two Americas — one for the rich and one for the rest of us.  

Dr. King had a solution to poverty and to the bleak economic conditions faced by many Americans today. “I am now convinced that the simplest solution to poverty is to abolish it directly by a new widely discussed measure: the guaranteed income,” he wrote in his 1967 book, Where Do We Go From Here: Chaos or Community? “A host of psychological changes inevitably will result from widespread economic security.”  

In 1969, a presidential commission recommended, 22-0, that the United States adopt a guaranteed annual income, with no mandatory work requirements, for all citizens in need. The report was buried and forgotten, even though the National Council of Churches, by a vote of 107-1, agreed. So did the Kerner Commission, the California Democratic Council, the Republican Ripon Society, and the 1972 Democratic Party platform.  

Fast forward 50 years and the concept of a guaranteed income — or Basic Income Guarantee — is not discussed much anymore. But it remains, as even the late economist Milton Friedman always maintained, the most practical and sensible way to end poverty in America and provide economic security to all Americans.  

Today we have more than 14 million Americans unemployed with no evidence to back up the claim that we can create jobs for everyone who wants one. Machines are doing work people used to do. Jobs are not coming back and many families teeter on the brink of poverty.  

Relying on jobs and economic growth does not work. Job creation is a completely wrong approach because the world doesn’t need everyone to have a job in order to produce what is needed. We need to rethink the concept of having a job. When we say we need more jobs, what we really mean is we need more money to live on.  

Today there are more than 300 income-tested federal social programs costing more than $400 billion a year. Much of that money goes for administrative expenses, not to the needy.  

Charles Murray, a conservative author whose 1984 book Losing Ground claimed that welfare was doing more harm than good, now agrees with the Rev. King’s approach. Murray calls for giving an annual cash grant of $10,000 — with no work requirement — to every adult over age 21.  

“We still have millions of people without comfortable retirements, without adequate health care, and living in poverty. Only a government can spend so much money so ineffectively. The solution is to give the money to the people,” Murray writes in his book: In Our Hands.  

Indeed, the state of Alaska has given an annual cash grant to its people for the past 30 years of between $800 and $2,000, with no work requirements, reducing poverty and the inequality of income in Alaska.  

The U.S. is a wealthy nation. Our net worth is $58 trillion. That’s an average of $185,000 for each man, woman, and child in the country. A basic income guarantee would establish economic security as a universal right. It will give all of us the assurance that, no matter what happens, we won’t go hungry.  

This year, as we celebrate the March on Washington, the adoption of a basic income guarantee would help to fulfill the Rev. King’s dream of economic security as a universal right of all Americans.  

Allan Sheahen is the author the new book: Basic Income Guarantee: Your Right to Economic Security. He is a board member of the U.S. Basic Income Guarantee (USBIG) Networks (www.basicincomneguarantee.com).

“Refeeding” is prison authorities’ new word for force-feeding

The practice of force-feeding inmates has a branding problem.

The issue first came to light after a U.S. District Judge last week granted the California Department of Rehabilitation and Corrections, or CDRC, the ability to feed inmates who are hunger striking even if they signed “Do Not Resuscitate” waivers, commonly known as DNR’s. The order called any DNR granted during the beginning of the hunger strike 50 days ago as invalid.

As the negotiations wind on, it’s looking more inevitable that the hunger strike holdouts will soon be near death. But when the prisons start force-feeding inmates, a whole new problem will arise: image.

The CDRC have given all the concessions they’re willing to give, they said, and if an inmate dies while fasting they’d become a martyr. At some point, the prisons may have to feed the inmates via liquid in an IV, or even via tubes.

The tubes are inserted through the nose and directly into their stomachs, and conjure images of alleged terrorists at Guantanamo Bay. 

In a video made by musician Mos Def, aka Yasiin Bey, Bey allowed himself to be force fed to bring attention to Guantanamo’s detainees. Bey is strapped to a chair, and a clear plastic tube is inserted through his nose as he screams, writhes, and begs for it to stop.

“The tube went in and the first part of it is not that bad, but then you get this burning,” he said in the video. “It starts to be like really unbearable, like something is reaching into the back of my brain…. I really couldn’t take it.”

For Mos Def, the feeding was brief. For inmates, the process can take two hours.

To address that issue the California Department of Corrections and Rehabilitation (CDCR) has taken to calling force feeding “refeeding,” which is term that already has a definition: feeding someone who has recently ended a fast. It has medical significance because a whole host of ailments can occur when someone who is ending a fast is fed the wrong foods, or fed too quickly. They can even die. 

But now the CDCR has used the word “refeeding” to mean feeding inmates who have already signed DNRs and are fed to prevent death. The word was in every major news report on the court’s recent decision, from Democracy Now to Al Jazeera.

“Refeeding” is the new force-feeding. 

Joyce Hayhoe, legislative director of California Correctional Health Care Services, wanted to make it clear that no one has been force-fed yet, and that refeeding was not force feeding.

“What I would like to say is we’re not force-feeding anybody,” she told the Guardian. “When doctors do not have a valid DNR, in the absence of any other information, when we have an inmate we cannot communicate with, we’re going to save their lives.”

But the sticking point in her statement is the word “valid,” advocates say. What is a valid DNR? The health care providers allege that some inmates began the hunger strike because of intimidation by senior gang members in the jails. Hayhoe said one inmate hid food so his fellow hunger strikers would not know, and that “implied something” to her.

There were 12,000 inmates who started the hunger strike on July 8, according to counts by the prisons themselves. Of those, it’s entirely conceivable that a few were coerced, said Dr. Ronald Ahnen, a politics professor at Saint Mary’s College focusing on prison reform.

“Is it possible some prisoners were coerced,” due to the sheer number of inmates involved, he said in an interview. But, “if you read the call from the hunger strike forward, and you heard from the reps in Pelican Bay (Prison), they have always stated emphatically and clearly that the hunger strike is voluntary. They have said no one should continue with the hunger strike longer than they were willing or able to do.”

Now the number of inmates in the hunger strike is down to 92, according to the CDRC. Of those, 41 have been on a hunger strike continuously since it began on July 8.

Hayhoe said there are only a handful of strikers with DNRs left, but would not reveal specific numbers. 

Ahnen, who is affiliated with the hunger strikers as a reform advocate but did not speak as their spokesperson, said that though those numbers have dwindled, they’re still significant.

“What amazes me is, 41 people who have been without food for 50 days. I think the major media is missing the importance of that,” he said. “When you think of the Irish hunger strike that we all think of from 1980, that’s 23 individuals who all died. We now have 42, risking their lives to have humane conditions in their confinement. Its very, very historic.”

Lost in the debate over food are the actual reasons for striking. The inmates have five core issues which you can see at their website here, but mostly they revolve around quality of life in Segregated Housing Units, commonly referred to as the SHU. The prisoners say it is solitary confinement, and they can be thrown in there easily by being told they have affiliations with gangs.

“I’ve had prisoners tell me their investigators say they can use any evidence and implicate anyone (as a gang member),” Ahnen said.

And the inmates have little recourse once they’ve been labeled a gang member and thrown in the SHU. Toshio Meronek covered this for Bay Guardian last month (“Hungry for Reform,” 7/3/13), saying it would take nearly 20 years to conduct reviews of the over 10,000 inmates presently held in solitary confinement in California.

In a statement circulated shortly after the CDCR’s on Thursday, State Senator Mark Leno wrote, “I have concerns that this review process is moving too slowly and I would like to see it accelerated.”

The hunger strike is one of the inmate’s last tools to reform that system. Now, in a cell that strips away most all human freedoms, “refeeding” may take away an inmate’s choice to die.

The federal judge’s decision to strip away that right reverberated across the world. The United Nations Special Rapporteur on torture, Juan E. Méndez, issued a statement saying “it is not acceptable to use threats of forced feeding or other types of physical or psychological coercion against individuals who have opted for the extreme recourse of a hunger strike.”

Hayhoe, from the prison’s health services, said there is some wiggle room in having your request to not be resuscitated honored.

“If a person has signed a DNR during the hunger strike, the best thing they can do is start having discussions with his primary care physician and expressing their need,” she said. The inmates have been sustained on Gatorade and vitamins, she said, and are not yet at the point of needing resuscitation.

Ahnen also clarified that the violent method of force-feeding may not be used. Another way to do it, he said, is to feed patients through an IV should they lapse into unconsciousness.

“This is a more likely scenario,” he said, but it is still force-feeding. Hayhoe said she would contact a doctor to see when each method would be used, but did not have the information immediately available.

These inmates are close to dehydration, close to organ failure, and close to death for their principles, Ahnen said, and now their political stand won’t be honored. They’ll be force-fed, no matter what terminology is used to describe it.

“Make no mistake about it, if a prisoner is being fed against their will, this is force feeding,” he said.

And with the flip of a word, the inmates have lost their right to die.

To learn see future actions on the hunger strike, visit http://prisonerhungerstrikesolidarity.wordpress.com/take-action-2/ .

Lawsuit alleges Uber unfairly withholds tips from drivers

A class action lawsuit filed against Uber, a tech-based service that connects riders to drivers and has filled San Francisco streets with sleek black town cars, alleges that the company is cheating its drivers out of tips.

The suit also charges that drivers have been misclassified as independent contractors under California law.

Uber’s website tells customers there is “no need to tip,” and drivers are prohibited from accepting any extra cash. The complaint alleges that “drivers do not receive the tips that are customary in the car service industry and that they would otherwise receive were it not for Uber’s communication to customers that they do not need to tip.”

The lawsuit was filed in San Francisco’s Northern District on Aug. 16. Attorney Shannon Liss-Riordan, of the Boston-based firm Lichten & Liss-Riordan, believes that by withholding tips “Uber is artificially trying to make the total price look lower – and in doing so, they’re hurting the drivers.”

Douglas O’Connor, who is named as a plaintiff in the lawsuit, said that when he started working as an Uber driver in San Francisco about 10 months ago, he was told not to accept tips because they were included in the service fees automatically charged to customers’ credit cards. But there’s nothing in his paycheck to indicate whether he has received a gratuity or for what amount, O’Connor said.

“For some of the drivers there has been a line item, but that line item that’s called the gratuity has not gone to the drivers,” Liss-Riordan explained. In those cases, it appears Uber takes half, she said. And in cases like O’Connor’s, “There is no separate gratuity that’s going to the drivers,” Liss-Riordan said, so the representation that any tip was included in the first place is “a lie.”

Liss-Riordan noted that Uber has even been known to send out “secret shoppers” who are directed to take Uber, offer cash tips, and report whether the drivers accepted the tips or declined with the explanation that the tips are included in the service fee, as they are instructed to.

Meanwhile, Uber recently required drivers to agree to revised contract terms, which is mandatory in order to continue their relationship with the ridesharing company. Buried in the fine print is an arbitration clause with a class action waiver. By agreeing to these terms – something Uber not only requires but makes exceptionally easy with the tap of a button on a smartphone – drivers are essentially giving up their rights to join a class action suit against the company. O’Connor noted that the contracts were sent out in English only, but English is not the first language of many Uber drivers.

“In order to opt out of this class action they have to send a hand-delivered letter to the general counsel of Uber in San Francisco,” Liss-Riordan pointed out. “We’re also trying to get the word out to Uber drivers that if they want to participate in this class action case and potentially recover their tips, they actually have to opt out of this arbitration clause.”

O’Connor said he drives between 30 and 70 hours a week, and would like to continue doing so in the long run. But without the additional income he feels he could be earning in tips, “I’m not going to be able to do it. It’s just so expensive to live in the San Francisco Bay Area.” He described what happened when a businessman he’d ferried to the airport offered to add an additional $10 to $15 onto his company credit card for exceptional customer service. He couldn’t, because Uber does not provide a mechanism for attaching an additional driver bonus onto the service fee. 

Asked if there was an estimate as to how much drivers could be losing in tips, Liss-Riordan said, “It adds up to a lot – for someone working there for over a year, you could be talking in the hundreds if not thousands of dollars.” And for the entire class of Uber drivers, who are estimated to number in the thousands across major U.S. cities, she noted that the total damages sought could end up being in the millions.

In addition to charging that Uber is “unjustly enriching” itself by collecting fees that are owed to drivers, the suit also claims that Uber drivers should be classified as employees under California law.  

“Under California law, there’s a multi-factor test to determine whether someone is an employee or an independent contractor and the test looks at things like … whether the workers’ services form the core part of what the business does,” Liss-Riordan explained. In this case, they do, she added: “If there were no drivers, there would be no Uber.”

As independent contractors, Uber drivers must pay for their own gas expenses and vehicle maintenance. They are not eligible for workers compensation or unemployment benefits in the event that they are terminated. Nor is Uber required to make any contributions toward its San Francisco drivers’ health care costs, since its drivers aren’t considered employees. The San Francisco Health Care Security Ordinance mandates that employers contribute toward healthcare for any employee working eight hours or more.

Liss-Riordan specializes in representing tipped employees. She prevailed in a lawsuit against American Airlines on behalf of skycaps who were prevented from receiving tips because the airline created a $2 fee for curbside check-in that led passengers to believe that gratuity was included.

Reached via email, Uber spokesperson Andrew Noyes declined to answer questions about the allegations raised in the complaint, nor would he explain why Uber required its drivers to agree to an arbitration clause waiving their rights to join a class action suit. Noyes declined to comment, saying the complaint had not yet been formally served.

O’Connor, meanwhile, said he agreed to be named as a plaintiff in the case “in order to improve working conditions for myself and my colleagues.” Asked if he was concerned whether this decision would affect his standing as an Uber driver, O’Connor shrugged it off. “I’m probably not going to get the employee driver of the month award,” he joked.

Compromises deliver results

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OPINION When Guardian Editor Steven T. Jones asked me to respond to his recent columns (“Chiu becomes City Hall’s go-to guy for solving tough problems“, 7/23/13; “Chiu: Centrist Compromiser, Effective Legislator, or Both,” 7/30/13), I reflected on how our Board of Supervisors’ 2013 accomplishments exemplifies the lessons and rewards of working together.

After several decades of intense fights between TIC owners and tenants, I asked both sides to sit down, share perspectives, and brainstorm beyond the impasse. To our surprise, when TIC owners shared their struggles and offered to pay a fee to condo convert, tenant advocates agreed to finally support conversions as long as their core principle of preventing evictions — which I strongly shared — was addressed.

After a decade of failed CEQA reform attempts, the pundits predicted an epic battle between developers and neighbors this year. The breakthrough for unanimous support occurred when both sides acknowledged to me that real neighborhood input and predictability in the planning process are not mutually exclusive, and progressive leaders wanted to ensure that pedestrian, bike, affordable housing, and public projects are not delayed.

After years of controversy, CPMC/Sutter and the coalition of dozens of community-based organizations deadlocked over how to rebuild the Cathedral Hill and St. Luke’s hospital campuses. After exposing financial documents challenging the original proposal, I worked with colleagues for six months at a mediation table that refashioned a CPMC plan to rebuild those 21st century hospitals the right way.

While each story is unique, what all of these accomplishments — along with recently balanced budgets, business tax reform, and pension reform — have in common is hard work and extreme patience by dedicated San Franciscans seeking creative solutions.

As Board President, my job is to build consensus among our diverse supervisors and deliver results. When I first came to City Hall, I asked my colleagues to move beyond past politics that had magnified differences. I am proud that today’s Board has the highest approval ratings in a decade, as we do more together working through our differences.

At the negotiation table, it’s essential to stand firm on core values. My vision for San Francisco has been of a city that protects tenants and families; creates good jobs across the economic spectrum; offers high quality public services with Muni, our schools, and our parks; and embraces our diversity, our immigrants, our seniors, and those who have been historically disenfranchised.

When we can’t always find creative win-wins, it’s still important to fight for what’s right. I’ve taken my political lumps championing the right of noncitizen parents to vote in school board elections, standing up for workers requesting family-friendly workplaces, and taking on a Yellow Pages industry dumping millions of phone books on our streets.

When I hear criticisms of “compromise,” I reflect that the most important federal legislation in recent years — from the Civil Rights Act to the Affordable Care Act, Wall Street reform to comprehensive immigration reform — were also criticized as “compromises.” Critics often forget the big picture: by incorporating different views, reforms actually get done, and if we wait forever for the perfect policy, people will suffer.

San Franciscans are at our best when we unite around shared values — from marriage equality to universal health care to environmental protections. We still have plenty of challenges: housing affordability, struggling workforces, family flight, public transit.

Let’s continue to work together to show the rest of the country how our city can govern.

David Chiu, who represents District 3 (North Beach, Chinatown, Nob Hill), is serving his second term as president of the Board of Supervisors.

Tales from the tracks

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news@sfbg.com

BART’s trains will keep running, for now, after a San Francisco Superior Court judge ordered the 60-day cooling-off period that Gov. Jerry Brown was angling for last week to address BART’s labor contract impasse. The injunction is in effect until Oct. 10, blocking any strike or lockout until then.

A report by the Bay Area Council said that the four-day strike in early July cost the Bay Area $73 million a day. That estimate was also a conservative one, according to a report put together by a special investigative board convened by Brown to look into the brinkmanship between BART workers and management.

“All parties agree that the major issues of the negotiations remain unresolved, including wages, health benefits, pensions contributions, and workplace safety,” the Aug. 8 report said.

Aside from the nitty gritty of the contracts, the two parties can’t even agree on math. The report found that the “parties do not agree on the magnitude of the gap in their respective economic proposals,” and that they are between $56 and $62 million apart on their forecasts of district finances for the next three years.

Management’s biggest concerns are still capital investments. Last year, BART approved a contract for 410 new cars, at a cost of about $2.2 million per car. The union’s proposals leave little room for capital improvements, BART management said at the Aug. 8 investigatory hearing.

But the unions say that BART is financially healthy and can offer a decent contract to workers. Out of a budget of $1.5 billion, union officials say payroll for their members totals about $200 million.

The unions and management will now have two months to cool off. But will that help along their negotiations? SEIU Local 1021, which represents engineers and custodial workers, doesn’t seem to think so.

“We have bargained unsuccessfully with this employer from May 13 to June 30, 2013 with no true indication from the district that it intended to reach an agreement,” the unions wrote in a letter to the investigative board. “We have no reason to believe that if a 60 day cooling off period were created, we would not be standing then on the precipice of another work stoppage without an agreement.”

Meanwhile, to put a human face on a labor standoff that has provoked sometimes nasty reactions from the public, we ran a couple profiles of BART workers on the SFBG.com Politics blog last week. The response was so passionate and overwhelming, we decided to run them in the paper as well:

 

ROBERT BRIGHT

First we met Robert Earl Bright, a 47-year-old transit vehicle mechanic at the Hayward yards, where he’s been for three years. BART trains seem tame compared to the machines he used to work with, starting out as an Air Force mechanic working on cargo planes.

It’s that experience he draws from when he said BART’s policies are becoming increasingly dangerous.

Bright is tall but soft-spoken, and while we sat at a bench in a courtyard at Lake Merritt BART station, he talked about the shortcuts BART has taken lately, and how overtime and consolidation are bad practices for everyone involved.

There used to be specific workers called Power & Way controllers who looked out for workers on the train tracks and made sure they were safe, he said, but those responsibilities were consolidated into a separate train controller position. Since then, Bright saw the death of a colleague, a mechanic who switched from a graveyard shift to a day shift and was hit by an oncoming train.

Only after the death did BART take steps to ensure parts of the track where there was less clearance safe from trains were marked, he said.

“The problem is BART seems to wait until someone gets killed until they want to do something about it,” he said.

Bright is a new grandfather. He helps support his daughter and her two toddlers, and he supports his older brother who suffers from dementia. Bright has a home that his fiancée bought, but is “upside-down,” as he says, because of a predatory loan.

He’s one of the lucky ones though, as the military pays for his health care, and the negotiations don’t impact him as far as that goes. But he does worry about his pension, and thinks he may have to cut back on supporting his elderly brother and his grandchildren. Even with those cutbacks in his life, he’ll likely have to look for a part-time job as a car mechanic, he said.

While contemplating that future, his four-hour daily commute, and the new expectations BART asked of his crew to repair more cars in less time, he started to develop an ulcer.

“They’re short on people, and it’s cheaper for the managers to pay for overtime than to pay for another person,” he said. The stress pressed on him and one day at work he grew dizzy and collapsed. That’s when he started to be a little more Zen about what BART asked of him. But he still said it’s not right.

“Our shop is a mod [modification] shop, but we got tasked with doing preventive maintenance. Our shop isn’t set up for that,” he said. And that means workers who aren’t trained for that particular job are pushed to fix up cars when normally they’re doing an entirely different job. That can be dangerous, he said.

“We have to make sure that those trains not only run, we also have to make sure they’re safe,” Bright said. “Something could happen, like a panel popping off. It touches the third rail, it could catch on fire. If we could miss something… it could cause a derailment.”

As far as Bright goes, he said he’s seeing more people working overtime at the request of managers, working longer hours that could lead to unsafe conditions — not just for the mechanics, but for the people who ride BART every day.

 

PHYLLIS ALEXANDER

Phyllis Alexander has been with BART for 16 years in systems service, which she said basically means, “cleaning, cleaning, cleaning.”

“Wherever they need me, that’s what I do,” she said.

Alexander often starts her days cleaning the elevators and escalators at Powell Street Station, and if you’ve been reading the news lately, you know what that means.

She doesn’t mince words about it: “I clean the urine and the feces out of the elevators and make sure it’s clean and smelling good for the patrons.”

But Alexander doesn’t hold it against the homeless. When she first started at BART, she had little contact with them. But over the years, she’s made good friends out of some of the homeless at Powell and 16th Street stations, and the latter is where she sat and told her story.

“As the years passed, it got worse. People living in their cars on the streets, in their doorways. I’ve met a lot of wonderful homeless people, wonderful people,” she said. And as the years went by, it got harder for the cleaning crew, too. She’s one of two systems service folk who take care of Powell Street Station at any one time.

“Sometimes it can be tough, it can get hectic, but we get it done. It’s hecka huge, and there’s only two of us, but we have to do the best we can do.”

But she keeps with it for herself and her daughter.

Her daughter just finished medical school and is still living with her. Alexander makes about $52,000 a year, she said, and couldn’t figure out major cuts she’d make in her lifestyle to make room for paying more into her pension or health care.

“It would hurt me,” she said. She said that though people in the Bay Area demonize BART workers for wanting a raise, she feels it’s simply been too long since they’ve had one.

“I think I haven’t gotten a raise in two contracts. It’s been like seven or eight years,” she said.

Devoutly religious, ultimately she keeps faith that the workers will prevail in negotiations.

“(God) is going to bring this through,” she said. “This thing with management, it’s going to be all right.”

 

For the Record: Clearing up misinformation about BART workers

 

HEALTHCARE

BART workers pay only $92 a month into their health care. Right? Wrong. “That doesn’t tell the full story,” said Vincent Harrington, a lawyer representing the unions at the negotiating table. “These workers contributed 1.627 percent of their wages into a fund to cover not only the ongoing health care of active employees, but also the retirees.”

That brings the total to about $180 per person, he said, with a caveat. Some time ago, employer-provided health care was capped. “Additional (healthcare) costs beyond that cap would be on the workers and their families, not on BART,” he said.

 

PENSIONS

It’s true that BART workers don’t contribute to their pensions, but the entity responsible for that is BART management. In 1980, BART made the proposal to pay employee contributions to pensions in exchange for wage concessions from BART workers. The unions recently proposed to contribute 7 percent of their pension benefits, with wage increases of 6.5 percent to offset that. BART management said they’d agree, if the wage increase was lowered to 0.5 percent instead.

 

WAGES VERSUS COST

A database constructed by the San Jose Mercury News lists a BART employee’s full cost to the taxpayer — often at around $100,000. This is their “cost” to BART, not the wages they take home, a common mistake regularly made by angry online commenters. All employees everywhere, private or public sector, have a cost to their employer past their base salary.

According to Intuit.com, a web resource for small businesses, business owners should consider that each employee they hire will cost twice the amount of their wages. This is normal stuff, people. It’s wrong, and not factually significant, to demonize BART workers for costing more than their salaries.

 

OVERTIME

BART employees have also been villainized for working overtime. But these employees don’t necessarily want to work overtime at all, and often do it at the urging of managers who have slashed so many workers in the past decade that the only way the trains will run is if everyone puts in extra work. A worker at the Aug. 7 BART hearing said, “I go to work before my daughter wakes up, and I’m home from work when my daughter goes to sleep.”

Some mechanics we talked to said that working overtime can also lead to more injuries, and a higher possibility of mistakes that could cost riders their lives.

 

SAFETY

Since 2010, 1,099 BART customers reported being physically attacked, and so were 99 BART employees. Those station agents often work alone at night and just before dawn, the only staff in the entire station. They want extra staffing to help meet OSHA recommendations that employees work in pairs. They also want better worker’s compensation coverage. Saul Almanza, a BART representative from SEIU Local 1021 and a 17-year railroader, said “The area where [BART mechanic] Mr. [Robert] Rhodes was killed was very dark, and remains that way today. Look at the picture to the left, and that’s where Mr. Rhodes was standing as the southbound train proceeded through the interlock. It was dark and loud, and that’s where he was struck as he stood there with no place to go.”

 

BATHROOMS

One of the underreported asks at the bargaining table is unlocked bathrooms. Since the terrorist attacks of 9/11/01, many of the bathrooms at most BART’s stations have been locked. This prevents customers and workers alike from doing as nature intended. It’s a matter of respect and dignity to be able to do use a bathroom while at your workplace, said one BART worker, Jon Kozlosky, at the hearing. THE TRAINS DRIVE THEMSELVES One of the accusations we see on our comment board with every article is that since the trains drive themselves, the workers must have little expertise. But the drivers still carry out many functions of the trains. Besides, most BART workers toil behind the scenes: 920 of BART workers are drivers and station agents, but about 1,450 employees are in mechanical maintenance, clerical, and other jobs (like sanitation).

Prison hunger strike enters month two

As a hunger strike staged across California prisons enters its second month, inmates and their advocates are mourning the loss of Billy “Guero” Sells, a Corcoran State Prison inmate who committed suicide on July 22 after 14 days of fasting.

Advocates with the Prison Hunger Strike Solidarity Coalition counts Sells as the first casualty of the mass protest. Donna Willmott, a member of the coalition’s media committee, told the Bay Guardian that “people who knew him  believe that [suicide] was very uncharacteristic of him. As a coalition, we’re not saying, ‘no he didn’t commit suicide,’” Willmott added, “but we still think that the CDCR is responsible for what happened to him.”

State Assembly Member Tom Ammiano noted in an Aug. 1 statement that “although the death of a prisoner who had participated in the hunger strike has been ruled a suicide, I can’t be comforted by the knowledge that conditions in taxpayer funded institutions have led to unusual rates of suicide instead of reasonable rates of rehabilitation.”

Ammiano said he “remain[s] concerned about the hundreds of prisoners still participating in a hunger strike to protest conditions. These are not minor prisoner complaints; they are violations of international standards that have drawn worldwide attention. To keep anyone in severe isolation for indefinite amounts
of time does not meet norms of human rights that civilized countries accept.”

On August 8, the California Department of Corrections and Rehabilitation (CDCR) released a tally of 349 inmates in seven prisons who had skipped the last nine consecutive state-issued meals, including 193 who hadn’t eaten at all since the strike began on July 8.

Strike leaders at Pelican Bay State Prison have demanded reforms surrounding solitary confinement. They have asked the CDCR to address the unreliable method by which inmates are flagged for segregated housing, conditions in confinement, indeterminate and long sentences, and the lack of clear and fair guidelines on how inmates can work towards being released back into the prison’s general population.

Activists have organized a number of recent events to demonstrate support for the inmates. Demonstrators picketed outside of San Quentin State Prison recently. On Aug. 5, seven protesters were arrested after locking themselves to the front doors of the Elihu M. Harris State Building in Oakland.

The loss of Sells spurred a renewed sense of urgency amongst prisoners’ rights advocates. Danny Murillo, a formerly-incarcerated student at UC Berkeley, told the rallying crowd in Oakland that “as time progresses, we do need to put pressure, because we’ve already seen one of our brothers fall.”

Sanyika Bryant, a Civic Engagement Organizer at Causa Justa, added that “when people are going to go on a hunger strike, that’s really a last stand. The conditions are just so bad that you have to take your life on the line to stand up.” He added, “this is for real life and death.”

District 11 Supervisor John Avalos participated in a day of action on July 31 by forgoing meals. “I’m fasting today in solidarity,” he told the Guardian on that day, and went on to describe long-term solitary confinement as “completely inhumane. You take away so much liberty. You shouldn’t take away their humanity. People should have the ability for self-actualization.”

So far, a team of mediators has made little progress in reaching an agreement with state prison officials that could put an end to the strike. In the meantime, California Correctional Health Care Services (CCHCS) says it’s adhering to a care guide crafted by CDCR, outlining the protocol for dealing with inmates who reach the point of starvation.

Care providers are required to conduct body-mass index (BMI) determinations, and after 14 days of striking, fasting prisoners receive informational notifications from CDCR staff, informing them of their options if they reach a critical medical condition. Some inmates have reported not receiving BMI determinations, and being subjected to increased isolation or excessive heat or air conditioning, to the point of severe discomfort.

Ron Ahnen, Associate Professor of Politics at St. Mary’s College and President of the human rights non-profit California Prison Focus, expressed concern about “the coming tsunami of people collapsing and having serious medical issues. Especially all at the same time.”

Inmates have the right to refuse medical treatment, explained Joyce Hayhoe, Director of Legislation and Communications for CCHCS. “We cannot force them to eat or take measures to force them to eat without a court order. We do have inmates that fill out advance directives. If, for some reason, an inmate lost consciousness and there was not an advance directive, doctors would take whatever steps were necessary to preserve their life.” This could include feeding tubes, she said.

Melissa Guillen, who is 22, said her father Antonio Guillen is a strike organizer who has spent a decade in solitary at Pelican Bay. She’d heard from his counselor that “he’s doing okay. That he’s strong. He’s not planning on stopping anytime soon. But, you know, they’re getting weak.” She added, “We know he’s strong. I hope he gets what he wants out of this.”

Last tango: Investigators sort through BART’s labor impasse

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Much of BART’s dirty laundry was aired at the first hearing on the negotiations in Oakland today, part of a seven-day investigation called by Gov. Jerry Brown after Sunday night’s talks between unions and management threatened the Bay Area with another strike.

The particulars of each side’s bargaining offers are normally hush-hush, but the hearing was a chance for the public to get a peek into what each side has been asking for. As the three-person panel on the governor’s fact-finding board sat at a long table facing the audience, management and unions sat on separate tables, much like that in a courtroom. 

Amid all the particulars of wages and economics, the unions levied  major allegations over safety concerns, saying that BART management hasn’t incorporated safety changes after the deaths of workers.

Saul Almanza, a BART representative from SEIU Local 1021 and a 17-year railroader, showed the board a set of photos of the places where BART workers had been killed on the job. 

“I’d like to start out with the picture with the part where Robert [Rhodes] was killed,” he said. “The area where Mr. Rhodes was killed was very dark, and remains that way today. Look at the picture to the left, and that’s where Mr. Rhodes was standing as the southbound train proceeded through the interlock. It was dark and loud, and that’s where he was struck as he stood there with no place to go.”

Almanza said that he brought up lighting improvements to his management at many levels, many times. When no improvements were made, that’s when the safety issues became a major point in bargaining, one sticking point that led to the four-day strike in early July. 

Paul Oversier, BART’s general manager of operations, made it a point to hammer home how pained the Bay Area was during the strikes, alleging that “people who depend on BART, who want to fill their prescriptions” may have been delayed, among others. 

He also touted some drastic numbers, saying the direct cost of the BART strike to the Bay Area was estimated at about $73 million per a weekday. 

“That doesn’t include empty tables at Bay Area restaurants, higher day care payments for working parents, or the  overall increase in personal stress throughout the region,” Oversier said. “None of these are counted in the economic model used for the BART strike.” 

But the union said that management did everything short of inviting them to strike, repeatedly used stalling tactics, making counter-offers that had changes of “point five percent” from their previous offers, and avoiding bargaining for as long as 33 hours at a time. 

Vincent Harrington has represented BART unions in contract negotiations since 1978, but he said this negotiation has had more hardball tactics than he’s seen in any negotiation. “This time around, we couldn’t even reach an agreement on ground rules,” he told the board. 

He also said that management used the media as a way to spread inaccurate information. He wanted to use the hearing as a chance to air the “facts versus myths.”

One commonly misreported figure is that BART workers pay only $92 per month into their healthcare, he said. “That doesn’t tell the full story. These workers contributed 1.627 percent of their wages into a fund to cover not only the ongoing health care of active employees, but also the retirees. There are 3,000 employees in the plans,” he said.

That brings the total to about $180 per person, he said, with a caveat. Some time ago, employer-provided healthcare was capped. “Additional costs beyond that cap would be on the workers and their families, not on BART,” he said.

Harrington also brought up a point of contention in negotiations that is familiar to regular BART riders: how bathrooms in the station are routinely locked and unavailable for use.
“We want BART to reopen bathrooms for patrons. We are not aware of a single transit station today that keeps the bathrooms locked. What does that mean for workers and our patrons? Where do they go? That means they relieve themselves in the stations,” he said. The bathrooms were locked since the 9/11/01 terrorist attacks at nearly every station. “We asked them to open them up. BART has said no.”

Management and the unions both presented their idealized BART systems, with management reiterating their need to invest in new trains and to control pension costs, and unions saying their workers deserve a living wage.

This will be the only public hearing day, and afterward the panel of Jacob Applesmith, Micki Callahan, and Robert L. Balgenort will put together a draft report for Brown, which is due Sunday. 

This could lead to a 60-day cooling off period where no strikes could take place, or Monday morning we could find ourselves with no BART trains and negotiations again at a standstill.

BART union negotiators said that they were willing to talk, and that they could even hammer out a deal with management by Sunday — if management is willing to bargain in good faith.

“It’s like a textbook on how to bargain but not actually be bargaining,” Harrington said. “It’s like a tango: you can’t do it by yourself very effectively.”

Any member of the public that wishes to send a comment about the BART negotiations may do so to communications@dir.ca.gov until 9am tomorrow [Thu/8]. The board said its report, once sent to the governor, would also be made public and likely available on the governor’s website.

 

 

 

California’s refusal to reduce its prison population is a sign of deeper problems

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California just doesn’t get it when it comes to criminal justice. We have among the highest incarceration rates in the world (just below Russia’s, and about four times the European average); our prisons eat up far too much of our state budget; they are shamefully overcrowded, secretive, and inhumane; yet politicians from Gov. Jerry Brown on down refuse to show the courage or leadership to try a different approach.

When the conservative-dominated US Supreme Court — which on Friday upheld the lower court requirement that California reduce its prison population by 10,000 by the end of the year — is more progressive and enlightened than California’s leaders, you know there’s something seriously wrong here.

Rather than finally doing the right thing and complying with court orders to reduce a population that is still more than 43 percent over design capacity — despite reducing the population by 46,000 since 2006 because of court orders related to woefully inadequate health care in prisons — Corrections Secretary Jeffrey Beard yesterday responded to last week’s news by saying he will send more inmates to prisons in other states, at a high cost to California taxpayers.

What’s wrong with these people?!?! California prisons already lock up 124,363 people as of July 31, with another 8,959 inmates locked up in Arizona, Mississippi, and Oklahoma prisons at our expense. Tens of thousands more have been sent back to county jails under the state’s Realignment policies (which San Francisco, to the credit of its progressive approach to criminal justice, has managed to absorb and still reduce our jail population, thanks to smart alternatives to incarceration). And yet state officials still can’t get our prisons back to anywhere close to their design capacity?!?!

Of course, doing so would require rethinking decades of mindless “tough-on-crime” legislation that swelled our prison population. They’d probably also need to address the gutting of reentry and rehabilitation programs in the state, as well as conditions in some prisons that drive inmates mad (the subject of an onoing prison hunger strike). And they might even need to reform an economic system that is squeezing those on the bottom — sowing widespread economic insecurity that drives even law-abiding citizens to contemplate desperate measures —  just to maintain the wasteful churn of modern capitalism and the obscenely inequitable concentration of wealth at the top.

Hmm, I do believe that I’m starting to understand the motivations of our elected officials after all, those guardians of status quo power and privilege from both major parties. But if we’re ever going to move toward justice and sustainability, California’s prison system is probably a good place to start. 

From the mouths of BART workers; cleaning the dreaded escalators, skirting death

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A reprieve in BART negotiations has given the Bay Area time to breathe before the next possible strike, but a lot of public concerns and animosity toward BART still remains. So the Guardian decided to take a look at BART workers themselves (we found them through their union) and ask, “How would your life change if the unions adopted BART management’s offers on safety, pensions, wages and health care?”

Note: The audio interviews are summarized in this post, but give them a listen to get a fuller picture of the impact of labor negotiations on worker’s lives.

First we met Robert Earl Bright, a 47-year-old transit vehicle mechanic at the Hayward yards, where he’s been for three years. BART trains seem tame compared to the machines he used to work with, as he started out as an Air Force mechanic working on cargo planes.

It’s that experience he draws from when he said BART’s policies are becoming increasingly dangerous.

Bright is tall but soft-spoken, and while we sat at a bench in a courtyard at Lake Merrit BART station, he talked about the shortcuts BART has taken lately, and how overtime and consolidation are bad practices for everyone involved.

There used to be specific workers called Power & Way controllers who looked out for workers on the train tracks and made sure they were safe, he said, but those responsibilities were consolidated into a separate train controller position. Since then, Bright saw the death of a colleague, a mechanic who switched from a graveyard shift to a day shift and was hit by an oncoming train.

Only after the death did BART take steps to ensure parts of the track where there was less clearance safe from trains were marked, he said.

“The problem is BART seems to wait until someone gets killed until they want to do something about it,” he said.

Bright is a new grandfather. He helps support his daughter and her two toddlers, and he supports his older brother who suffers from dementia. Bright has a home that his fiance bought, but is “upside-down,” as he says, because of a predatory loan.

He’s one of the lucky ones though, as the military pays for his health care, and the negotiations don’t impact him as far as that goes. But he does worry about his pension, and thinks he may have to cut back on supporting his elderly brother and his grandchildren. Even with those cutbacks in his life, he’ll likely have to look for a part time job as a car mechanic, he said.

While contemplating that future, his four-hour daily commute, and the new expectations BART asked of his crew to repair more cars in less time, he started to develop an ulcer.

“They’re short on people, and it’s cheaper for the managers to pay for overtime than to pay for another person,” he said. The stress pressed on him and one day at work he grew dizzy and collapsed, and that’s when he started to be a little more zen about what BART asked of him. But he still said it’s not right.

“Our shop is a mod [modification] shop, but we got tasked with doing preventive maintenance. Our shop isn’t set up for that,” he said. And that means workers who aren’t trained for that particular job are pushed to fix up cars when normally they’re doing an entirely different job. That can be dangerous, he said.

“We have to make sure that those trains not only run, we also have to make sure they’re safe,” Bright said. “Something could happen, like a panel popping off. It touches the third rail, it could catch on fire. If we could miss something… it could cause a derailment.”

As far as Bright goes, he said he’s seeing more people working over time at the request of managers, working longer hours that could lead to unsafe conditions — not just for the mechanics, but for the people who ride BART every day.


Phyllis Alexander, a BART systems service worker, cleans up in the Mission. Photo courtesy of Mark Mosher, SEIU 1021

Phyllis Alexander

Phyllis Alexander has been with BART for 16 years in systems service, which she said basically means, “cleaning, cleaning, cleaning.”

“Wherever they need me, that’s what I do,” she said.

Alexander often starts her days cleaning the elevators and escalators at Powell Street Station, and if you’ve been reading the news lately, you know what that means.

She doesn’t mince words about it: “I clean the urine and the feces out of the elevators and make sure it’s clean and smelling good for the patrons.”

But Alexander doesn’t hold it against the homeless. When she first started at BART, she had little contact with them. But over the years, she’s made good friends out of some of the homeless at Powell and 16th St. stations, and the latter is where she sat and told her story.

“As the years passed it got worse. People living in their cars on the streets, in their doorways. I’ve met a lot of wonderful homeless people, wonderful people,” she said. And as the years went by, it got harder for the cleaning crew, too. She’s one of two systems service folk who take care of Powell Street Station at any one time.

“Sometimes it can be tough, it can get hectic, but we get it done. It’s hecka huge, and there’s only two of us, but we have to do the best we can do.”

But she keeps with it for herself and her daughter.

Her daughter just finished medical school and is still living with her. Alexander makes about $52,000 a year, she said, and couldn’t figure out major cuts she’d make in her lifestyle to make room for paying more into her pension or health care.

“It would hurt me,” she said. She said that though people in the Bay Area demonize BART workers for wanting a raise, she feels it’s simply been too long since they’ve had one.

“I think I haven’t gotten a raise in two contracts. Its been like seven or eight years,” she said.

Devoutly religious, ultimately she keeps faith that the workers will prevail in negotiations.

“(God) is going to bring this through … this thing with management, it’s going to be all right,” she said.

Mayor on local health care policy: “Everything is on the table”

A recent controversy has been brewing around San Francisco’s Health Care Security Ordinance, the 2006 legislation authored by then-Sup. Tom Ammiano that created Healthy San Francisco, the city’s medical services safety net program for the uninsured.

As we explain in greater depth in an article for tomorrow’s issue of the Guardian, influential forces in the business community such as the San Francisco Chamber of Commerce and the Golden Gate Restaurant Association have been publicly raising questions about the Health Care Security Ordinance in light of the federal implementation of the Affordable Care Act, aka Obamacare.

In a recent article in the San Francisco Business Times, Small Business California President Scott Hauge was quoted as saying, “We question whether Healthy San Francisco should continue in its current form with the ACA coming in.” And an article published today suggests that some are continuing to question whether the HCSO can legally coexist alongside the federal requirements under the ACA despite clarification given by Jon Givner of the San Francisco City Attorney’s Office last Thursday stating that the ACA expressly allows jurisdictions like San Francisco to adopt health-care policies such as the HCSO.

Meanwhile, the message from defenders of the city’s health care policy at a hearing called by Sup. David Campos last week was clear: Funding for employee health care generated by employer contribution provisions under the HCSO will be needed more than ever once the ACA is implemented, because many people who now rely on the low-cost Healthy San Francisco for medical care will suddenly find themselves ineligible for that program and automatically funneled into a new system where they are eligible to sign up for subsidized health care, but won’t necessarily be able to afford it.

The ACA will begin enrollment in October, and will take effect in January of 2014. At that point, roughly two-thirds of current enrollees in Healthy San Francisco will either transition to Medi-Cal (if they earn up to 138 percent of the federal poverty level) or qualify for subsidized health care coverage under Covered California, the health benefit exchange created under the ACA. Things are apt to be the most complicated for Healthy San Francisco enrollees who discover they cannot actually afford to take advantage of the options offered under Covered California. 

For this reason, Campos stressed that the HCSO should remain in place without being scaled back or tampered with, because medical reimbursement accounts provided by employer contributions under the ordinance could serve to fill those gaps and help low-wage earners obtain coverage regardless of income. As things stand, Campos and Healthy San Francisco advocates said, gaps created under the ACA will be filled by stronger HCSO provisions, so the programs stand to complement one another.

But the business community, seeking what GGRA executive director Rob Black described to the Guardian as “guidance” from the city on how to move forward given the pending implantation of federal health care reform, wishes instead to open up a new policy dialogue about the HCSO. The mayor has been receptive to their concerns, and recently reconstituted the Universal Healthcare Council, a body that was previously formed to hash out local health care policy.

A key question is who will be appointed serve on that board: Department of Public Health Director Barbara Garcia will chair it, but so far the only indication of who else will be named is that it will consist of “community, healthcare, labor and business stakeholders,” according to a quote attributed to Garcia in the Business Times. Will the makeup include members of the GGRA, the business organization that sued the city to overturn the employer contribution mandate under the HCSO? 

In response to questions about whether the mayor believed the employer spending requirement ought to be revisited in light of ACA implementation, and who would be appointed to the newly convened healthcare council, mayoral spokesperson Christine Falvey responded ot the Guardian with the following statement: “Everything is on the table as the City develops a plan to best implement [the Affordable Care Act]. This is a great opportunity to see how the city can continue to be a leader in making sure San Franciscans have access to quality healthcare. We are currently updating a membership list for the Universal Healthcare Council. More information on that as it becomes available.”

Under fire again

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rebecca@sfbg.com

At a recent hearing on San Francisco’s Health Care Security Ordinance — once-controversial legislation that is now in the business community’s crosshairs once again — a nursing student stood at the podium to address members of the Board of Supervisors Neighborhood Services & Safety Committee.

She told them about her mother, who battled illness but did not have access to healthcare for 14 years due to her immigration status, recalling a day when her mother explained why she wasn’t seeking medical attention: “If I go to the hospital, I’ll bury you in debt.”

For the uninsured and undocumented, going without medical care or going into insurmountable debt could be the only options if it weren’t for Healthy San Francisco, a medical services safety net that was created by the HSCO in 2006. The program is expected to continue to provide care for undocumented enrollees who won’t be eligible for federal assistance once the Affordable Care Act, also called Obamacare, takes effect early next year.

The HCSO’s mandate that businesses provide some healthcare coverage for their employees was fiercely opposed by the business community, which challenged it all the way to the US Supreme Court. Now, those same powerful forces are gearing up for a fresh challenge that could jeopardize HCSO’s potential to fill coverage gaps that will be created under Obamacare.

Under federal health care reform, two-thirds of the enrollees in Healthy San Francisco will become ineligible to continue receiving coverage because they will automatically gain eligibility for some form of federal assistance. Those earning up to 138 percent of the federal poverty level will be guaranteed coverage under Medi-Cal. But for low-income earners whose wages hover around $14 an hour, things are far less certain because they will be eligible to enroll in the federally created health benefit exchange, Covered California, although they won’t necessarily be able to afford it. For someone earning around $30,000 per year before taxes, the estimated monthly cost for a health insurance plan under Covered California hovers at more than $200 per month, in many cases making it too much of a stretch.

As things stand, uninsured San Francisco employees who earn too much to qualify for Medi-Cal, but not enough to afford enrollment in Covered California — despite being eligible — can still access funds set aside for them in medical reimbursement accounts under the HCSO. This option may provide enough of a financial boost for low-wage earners to take advantage of federally subsidized health insurance after all.

“For working people, the implementation of the Affordable Care Act actually makes the Health Care Security Ordinance more important,” explains Ian Lewis, research director at UNITE-HERE Local 2. “There are many consequences of the ACA … and the Health Care Security Ordinance is a buffer against them.”

As it stands, the local law “makes Covered California actually work in a high-cost city like ours,” Lewis added.

Under HCSO, San Francisco employers are required to contribute toward employees’ health care on a per-hour basis for each employee working more than eight hours per week, regardless of immigration status or city of residence, amounting to an estimated $255 per participant per month.

This mandate, known as the Employer Spending Requirement, has been the target of multiple lawsuits brought against the city by the Golden Gate Restaurant Association since the landmark health care ordinance, authored by then-Sup. Tom Ammiano, was first enacted in 2006.

That same requirement also makes the local ordinance stronger than the federal law when it comes to worker protections, because the federal mandate only requires employers to offer coverage for workers who put in 30 hours a week or more. That has prompted businesses nationwide to reschedule their workers down to 29 hours per week in a gesture of opposition to health care reform, but no such incentive exists in San Francisco because of the hourly contribution requirement.

Now that federal health care reform is poised for implementation, with enrollment set to begin in October and a transition to the new system slated for early next year, GGRA and the San Francisco Chamber of Commerce are urging the city to open up a new policy dialogue about employer requirements under the local health care law — and Mayor Ed Lee has been receptive.

“We question whether Healthy San Francisco should continue in its current form with the ACA coming in,” Small Business California President Scott Hauge told the San Francisco Business Times (“Healthy San Francisco, related program to shrink dramatically, but not price tag,” July 16). Hauge has met with Jim Lazarus, the Chamber’s senior vice president for public policy, and GGRA Director Rob Black on the issue, the article noted.

Reached by phone, Black emphasized to the Guardian that GGRA employers are merely seeking guidance on how businesses should comply with the local and federal mandates. “It’s important that we really focus on getting together, and getting together quickly,” Black said, to ensure “San Franciscans have access to the full benefits and subsidies of the Affordable Care Act.”

Longtime advocates of Healthy San Francisco and progressive policymakers are watching closely. “They’ve been trying to get out of their responsibility to provide worker’s health care since the law was passed,” Hillary Ronen, a legislative aide for Sup. David Campos, said of business interests who are airing complaints about employer requirements.

Once the federal law takes effect, San Francisco employers will have the option of either providing coverage, or contributing to a city program that establishes medical reimbursement accounts for employees administered by city government, Ronen explained. A third option, “standalone health reimbursement accounts,” under which employers manage reimbursement funds for employees, will be rendered illegal under Obamacare. That system generated controversy in recent years because employers were placing undue restrictions on the use of those funds, and in some cases even pocketing the money after neglecting to inform their workers that it was available (see “Check, please,” 4/23/13).

On July 25, Lee announced that the city’s Universal Health Care Council, a body previously tasked with guiding local health care policy, would be reconvened to “examine San Francisco’s implementation of the Federal Affordable Care Act (ACA) and engage stakeholders in identifying necessary local policies” to support the transition.

In response to signals that the business community is gearing up for a fresh challenge to the city’s health care law using the ACA as ammunition, Campos convened a hearing July 25 to discuss the importance of the HCSO in relation to the federal law.

For several hours, advocates of Healthy San Francisco — many of them members of the immigrant community who would have no other options if it weren’t for the program — delivered passionate defenses of the current program. Campos emphasized that federal health care reform stood to be a great success in combination with the local health care ordinance, which would serve to fill in any gaps in coverage.

Deputy Director of the Department of Public Health Colleen Chawla explained during the hearing that of the 60,000 San Franciscans currently enrolled either in Healthy San Francisco or SF Path, a second medical assistance program, roughly 40,500 will automatically become eligible to enroll either in Medi-Cal or Covered California under federal health care reform come January. The remaining 19,500 won’t be eligible, however, mostly due to immigration status. Healthy San Francisco is expected to continue providing a safety net for those who would otherwise fall through the cracks. But when it comes to the two-thirds who are eligible for federal assistance, but may not be able to actually afford it, things would be thrown into uncertainty if the Employer Spending Requirement were altered or eliminated. “Folks in the business community would be happy to say, the Affordable Care Act is enough, and businesses shouldn’t be complicated with an additional burden,” notes Le Ly, program director at the Chinese Progressive Association. But the HCSO “is an important pillar of the total continuum of care,” he said. “We see it as continuing to complement and strengthen health care coverage.”