From: Leila Khader <
Sent: Tuesday, September 12, 2023 3: 56 PM
To: cityclerk@chulavista. gov < cityclerk@chulavista. gov> Subject: PRESENTATION: Agenda Item 8.2
Hi there,
I will be speaking in favor of the agenda item 8. 2 Healthcare Worker Minimum Wage tonight and would like to do a presentation. The attached documents are what I will be reading off, and the " supplemental documents" are what I would like to show on the camera. Thank you Best Regards,
Leila Khader
Regional Political Organizer
SEIU- UHW
WrittenCommunications
Item8.2E - Khader
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SEIU-UHW
September2023
1 ImpactReport: Benefitsof a $25MinimumWagefor ChulaVistaHealthcare Workers
INTRO
GoodeveningChulaVistaCityCouncil. MynameisLeilaKhaderandI amapoliticalorganizerfor SEIU- UHW. Werepresentover100,000healthcareworkersin California. I’mherebeforeyoutodaystanding with theworkersof ourcommunityfromlocalhealthcarefacilities, clinics, anddialysisclinicsNotonly arewehereto advocatefor alivingwagefor theseworkers, butwearealsohereto advocateto keep ourcommunitiessafe.
BACKGROUND
Asthe COVID-19pandemichasprogressedoverrecentyears, legislationto increasetheminimum wagefor healthcareworkershasbeenproposedthroughoutCalifornia. Thismovementseeksto positivelyimpactthelivesof healthcareworkerssubjectto theincreaseaswellasthequalityand availabilityof healthcareservicesprovidedto patients.
Accordingto anOctober2022surveyconductedbyAMNHealthcare, 85% of hospitals, medicalgroups, homehealthprovidersandotherhealthcarefacilitiesareexperiencingashortageof healthcare workers. It hasalsobeenreportedthat 47% of healthcareworkersareplanningonleavingtheindustry by2025.
Aminimumwageordinancefor healthcareworkersisaimedat ensuringcoveredhealthcareworkers receiveanadequatelivingwageandaddressingworkerretentionchallengesin coveredfacilities, amongotherpurposes. Theproposedordinancewouldsetaminimumwagefor coveredworkersof 25anhour.
THEPOSITIVEIMPACTOFMINIMUMWAGES
Thetableherebrieflysummarizesaselectionof publicationsandwritingsthat supportminimumwage implementationandincreases. (SHOWTABLE1)
Themainobjectiveof minimumwageincreasessuchasTHISproposedinChulaVistaisto raiseincomesand improvelivingstandardsof low-wageworkers, whilereducinginequality. Minimumwageincreaseshavebeen shownto resultin little to noeconomicdisruptionwhilealsoleadingto severalpotentialeconomicbenefits.
Inmodelsanalyzingminimumwagesin termsof efficientworkersearchandjobmatching, minimumwageshave beenshownto leadto morejobcreation. Thehigherminimumwagemakesemploymentmoreattractive relativeto unemploymentfor prospectiveworkers, thusleadingto increasedjobsearcheffort byunemployed workers. Bypotentiallyincreasingthepoolof workerslookingfor ajobaswellastheintensityof theirjob WrittenCommunications
Item8.2E - Khader
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September2023
2 search, minimumwagescanleadto bettermatchesbetweenprospectiveemployersandemployees. Therefore, employmentlevelscouldincreasedueto aminimumwageincrease.i SEIU-UHWanticipatesthat in ChulaVista, theproposedminimumwageincreasecouldreducejobturnover amonghealthcareworkers, especiallyamonglowerpaidworkerslikePatientCareTechniciansandCertified NursingAssistants, wholeavetheirpositionsat higherratesthananyotheroccupationsin hospitalsettings.iiThis turnoveriscostlyfor businessesandmayimpactthequalityof carethat canbeprovidedat facilitieswhere turnoverfor suchpositionsishigh. Asaresult, coveredhealthcarefacilitiesandpatientsstandto benefitfrom reducedturnoverif theproposedminimumwageisimplemented.
Inaddition, thehealthcareindustryisnot experiencingfull employmentsincethereisnot asufficientsupplyin thelabormarketof thepositionsthat areshort-staffed, especiallyamonglower-wageworkers.iii Increasing wagesmaySTIMULATEsupplyamongworkersapplyingfor thesepositions, therebyaddressingtheunderstaffing crisisaffectingmanyhealthcarefacilities.
TheproposedminimumwagewouldserveasaTOOLto decreaseinequalityin ChulaVistabyclosingwagegaps in thehealthcareindustry. Withlower-wagehealthcarejobsbeinghighlyrepresentedbywomenandworkersof color,iv thiscouldpotentiallyreduceracialandgenderwagegapsin theprivatehealthcaresector.
Additionally, CommunityClinicsareakeycomponentof California’shealthcaredeliverysafetynetandtherewill be17clinicsimpactedin ChulaVista. Communityclinicsarecurrentlysufferinglargevacanciesandhighstaff turnoverasemployersstruggleto competein theemployermarketto retainkeyclassifications. A2022industry surveyidentifiedunparalleledstaffturnover: turnoverin 2022wasover30% Statewideandover35% in theSan Diego/Imperial/InlandEmpireregion, 3timeshigherthanwhatit hadbeenin2020.
ECONOMICIMPACTOFTHEPROPOSEDHEALTHCAREMINIMUMWAGE: STATEWIDE (SB525) WhileSB525, thestatewidehealthcareworkerminimumwagelegislationthat ispendingbeforetheCalifornia Legislature, differsin scopefromtheordinanceunderconsiderationbytheCityCouncil, recentanalysis conductedbytheUCBerkeleyLaborCenterof theimpactof SB525ishelpfulin understandingtheneedfor and likelyimpactof theproposedChulaVistaordinance.
TheUCLaborCenterproducedtwo reportsanalyzingtheimpactof raisingwagesto $25for healthcareworkers statewide.v Someof themostrelevantfindingsare:
Theproposedwageincreasewouldresultin substantialbenefitsto healthcareworkersandtheir families, in particularlow-wagehealthcareworkers.”
Womenandworkersof coloraredisproportionatelyimpactedrelativeto theiraveragerepresentationin theindustry: workersof coloraccountfor morethanthreequarters (76.0%) of affectedworkers.
Mostaffectedworkers (70.5%) haveeducationattainmentbeyondhighschool, reflectingthetraining requirementsin theindustry.
WrittenCommunications
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September2023
3 Affectedworkersaretwiceaslikelyashealthcareworkersonaverageto bein familieswith incomes below200% of thefederalpovertylevel (25.7% v. 12.3%)
Affectedworkersarelesslikelyto haveaccessto employer-providedhealthinsurance: 30.1% donot haveemployer-providedhealthinsurance, morethanoneandahalftimesthesharefor allhealthcare workers (18.8%).
Almosthalf (48.8%) of familieswith ahealthcareworkeraffectedbytheproposedminimumwage increaseareenrolledin publicsafetynetprogramsandraisingthehealthcareminimumwagewould helpreducetheseworkingfamilies’ needto relyonpublicsafetynetprograms.
Theestimatedpercentagechangein operatingcostsfor hospitalsdueto increasedpayrollisjust1.1%, whichdoesnot includetheadditionalsavingsfromincreasedproductivityor reductionsin hospitalizationsdueto improvementsincarequality.
Numberof WorkersImpactedandCosts
AttheCityof ChulaVista, wewouldnothaveanyUHWmembersimpactedbythehigherminimumwage.
SEIU-UHWalsodoesnot haveaccessto datashowingthetotal numberof workersmakinglessthan
25.00/hourin allfacilitiescoveredbytheproposedordinance. However, theunioncanprovidesome examplesbelowof averagehourlyratespaidto workersin certainrelevantemployeeclassifications:
Theaveragehourlyratefor aidesandorderliesreportedbySharpChulaVistaMedicalCenteris
22.16in 2022.vi
Source: CAEmploymentDevelopmentDepartment, OccupationalEmploymentandWageStatistics (OEWS), 20231st Quarter, SanDiego-CarlsbadMetropolitanDistrict.
Costof Living
Thecostof livingfor workersin ChulaVistafaroutpacesminimumwagegrowth. Raisingwageswill helpworkers affordchildcare, gas, rent, andgroceriesandsomanyotherexpenses. Accordingto theMITLivingWage Calculator, thelivingwagein SanDiegoCountyhouseholdwith two workingadultsandtwo childrenis $30.80an hourfor eachadult.vii Housingcostsareoftenoutof reachfor minimumwageworkers:
AverageCostof 1-BedroomApartmentin ChulaVista: $2,492viii AverageCostof Housein ChulaVista: $727Kix
Forworkerswhocurrentlyearn $22.16perhour, theirsalarybeforetaxesequatesto roughly $46,092.80ayear, assumingfull timeemployment. Theannualcostof aone-bedroomapartmentin ChulaVistaequatesto 29,904, or 65% of theirannualsalarybeforetaxes.
COUNTERINGTHEINDUSTRY’SANTICIPATEDARGUMENTSOPPOSINGA $25MINIMUMWAGEFOR HEALTHCAREWORKERS – (SHOWDOCUMENT2)
1) AnticipatedClaim: HealthcareIndustryCan’t AffordaMinimumWage WrittenCommunications
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4 Asmentionedabove, theestimatedcostof a $25wageto thehospitalindustryisjust1.1% of operatingcosts, whichdoesn’t evenassumeanyothercosttrade-offsthat couldnetout someof thepotentialincreasee.g. improvementsin qualityof care.
Whileasmallnumberof hospitalshaveseenlossesduringthepandemic, thecombinednetincomeof all hospitalsoperatinginCaliforniawasstillover $20billionfor 2020and2021combinedandtheindustryasa wholehasrakedinover $63billionin profitsfrom2017-2021.x TheaverageCaliforniahospitalhasanetworthof 339million. Intotal, thehospitalindustryholdsroughly $120billioninnetassets.xi Ontop of theindustry’salreadysubstantialwealth, theCaliforniaGovernorhasrecentlyapprovedabudgetdeal to renewthemanagedcareorganization (“MCO”) taxwhichexpiredin 2022. TherenewedMCOtaxis anticipatedto generateover $32billionin stateandfederaldollarsoverthenext4 xii Approximately $2.7 billionxiiihealthandworkforceinvestments.
Californiahospitalsaredueto receive $750MannuallyfromtheMCOtaxstartingin 2025. Inaddition, there areone-timefundsto supportdistressedhospitalstotaling $350million, whichhospitalscanapplyto drawn downstartingin 2023-24.xiv
2) AnticipatedClaim: ProposedMinimumWageWillIncreaseHealthcareCostsandResultin ReducedServices
Californiahasahealthcareworkershortagethat predatestheCOVID-19pandemic, andthestatemademuch neededinvestmentsto addressthisin thepreviousyear’sbudgetcycle: $1.3 billionin hospitalandnursing homeworkerretentionbonusesandanadditional $70millionin clinicworkforcestabilizationpayments.
Whiletheseeffortsarewelcome, raisingtheminimumwagefor healthcareworkersisnecessaryto address workforceshortagesin thelongertermandwill alsohelpleveltheplayingfieldin termsof competitionfrom bothwithinthehealthcaresectorandoutsideof it. Thehighcostof livinginCaliforniaisacentralreasonfor thecurrentworkforceshortageandhealthcareworkersneedsto bepaidalivingwagefor theindustryto standachanceof retainingskilledworkers.xv
Turnovercostsareasourceof wasteandinefficiencyin thehealthcareindustry, andonethatcanbereduced byraisingtheminimumwagefor healthcareworkers. Arecentsurveyfoundthathealthcareworkerpay satisfactionwasthelowestacross27industriesandsome38% of healthcareworkersareat riskof burnoutand 39% areconsideringleavingtheirorganization.
xviii
xvi Industryexpertsestimatetheaveragecostof turnoveracross alloccupationsinthehealthcareindustrycanrangeupto 150% of amid-levelemployee’ssalary.xviiFor example, theaveragecostof turnoverfor abedsideRNisestimatedat $46,100. Giventhedramaticrisein turnoverin 2021, theaveragehospitallostmorethan $7million. Thedatatellsusthat decreasingturnover ratesshouldbetop of mindfor healthcarefacilitiesin orderto protecttheirprofitsaswellastheir reputation.xix
Thehighcostandinefficiencyof contractlaborisanothercauseof highhealthcarecosts. Laborcostshave risenduringthepandemicinlargepartdueto increaserelianceoncontractlabor, whichresultedin a37% increasein laborexpensesperpatient.xxHospitalCEOshavereportedpaying $200or moreanhourfor travel nurses.xxiContractnurses’ medianhourlywagesmorethandoubledfrom2019to 2022, from $64anhourto 132anhour, whileemployednursewagesincreased11% overthat period, from $35anhourto $39an WrittenCommunications
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5 hour, accordingto aKaufmanHallreport.
xxiii
xxiiAnotherreportsuggeststhat theincreasedrelianceoncontract workerswasmadepossiblein partbyfederalfundsandnowthat thisfundingisendinghospitalsneedto addressemployeeretentionthroughadditionalpayandbenefitstrategies. ( Healthcareprovidersin CA havebenefittedfromalmost $13Bin federalrelieffundsto date.)xxiv Outof controladministrativecostsareanotherareaof inefficiencyandwaste. Whiletheindustryciteslow Medi-Calreimbursements, increasedlaborcosts, aswellasworkforceshortagesfor theirperceivedfinancial woes, theirindustryexecutivesarebenefittingfromverygeneroussalaryandbenefitpackages. Previous nationalresearchhasfoundthat “hospitalCEOcompensationescalatedby93% from2005to 2015, even fasterthanhospitalpriceinflation.xxvInCalifornia, morethan170hospitalexecutivesarepaidmorethan $1 millionayear.xxvi
However, it shouldbenotedthatfrontlineclinicalworkershavenotfaredaswellashospitalexecutives. On average, familymedicinephysicians’ wagesrose22.7% from2010to 2019, whileregisterednurses’ wages roseonly14.8%, from $57,870in 2010to $66,440in 2019acrossthenation.xxvii xxviii
Othernon-patientcare
administrativespendinginthehospitalindustryisalsohigh. Hospitalsspentanestimated $250billionon administrationin 2019, withoutevenincludingspendingonexecutives.
Healthcareemployerscanmeettheminimumwagerequirementsof theproposedordinancewithout reducingservicesor increasingcostsfor consumersbyeliminatingoperationalwasteandinefficienciesof thesekinds.
3) AnticipatedClaim: A $25MinimumWageWill Resultin FewerJobs Researchhasconsistentlyshownthatminimumwagefloorsdonot resultin fewerjobs. Inevaluating minimumwageincreases, it’simportantto rememberthat workersarealsocustomers. Increasingthe minimumwageincreasesconsumerspending. Indeed, with increasedwages, businessesseeloweremployee turnover, whichreduceshiringandtrainingcosts (aspreviouslydescribedinthepriorsection); decreased employeefinancialstressandincreasedmorale; increasedproductivity; lowererrorandaccidentrates; less productwaste; andbettercustomerservice.
Inimportantrecentresearch, Are $15MinimumWagesTooHigh? UCBerkeleyEconomistsanalyzed California’sexperienceraisingtheminimumwagefrom $8 in 2014to $15in 2022. “Inthesameperiod, 38 Californialocalitiesraisedandindexedtheirminimumwagesabovethestatelevel. Theseincreasesare considerablylargerthanthosepreviouslystudied. … Wefindsubstantialandongoingpayincreases throughoutthetreatmentperiodandfindnosignificantdisemploymenteffects, evenin relativelylow-wage counties.”xxix
4) AnticipatedClaim: MinimumWagefor HealthcareWorkersTreatsEmployeesInequitably Theproposedordinance, if adopted, wouldraisethebarfor theworkforceasawhole. Intheeconomic literaturethiseffecthasbeencalledtheLighthouseEffect, wherebyraisingwagesin oneareaof the economycanhavetheeffectof establishinganewstandardfor otherworkersto referencein theirown wagenegotiations.xxx
WrittenCommunications
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September2023
6 SHOWDOCUMENT:
In2022, SEIU-UHWlaunchedeffortsin LosAngelesCountycitiesto raisetheminimumwage. Thesameyear, CityCouncilsinLosAngeles, Downey, andLongBeachpassed $25minimumwageordinancesfor healthworkers, andvotersin Inglewoodpassedavoterinitiativein Novemberestablishinga $25perhourminimumwagefor workersincoveredhealthcarefacilities. Thisyear, theCityof Lynwoodpasseda $25minimumwageordinance for healthcareworkers. However, apartfromInglewoodwherethiswaspassedandtherewerenoclosures directlyrelatedto theminimumwageincrease, workershavenot reapedthebenefitsof theirlocalordinances becausethesamehospitalsthat criedbroke, spentmillionsof dollarsreferendizingourefforts.
CLOSING:
I haveheardmanyheartbreakingstoriesfromworkersaboutthetraumatheyenduredduringthe pandemicto thisday. Theywereonthefrontlineswhilewestayedhome. TheywereneglectedPPE andsafeworkingconditions. Theycontinuedto showupeachandeverydayto aworkplacethey could’veleft to makemoremoneyat. I encourageyouto listencloselyto their stories. Listenclosely andthinkof yourlovedonesin theirhands. Listencloselyastheyarethe backboneof keepingour communitiessafe. I thankyoufor yourtimeandurgethecityto moveforwardwith noamendmentsto ourordinancelanguage.
i Ibid. SeealsoCahuc, P. andZylberberg, A. 2004. LaborEconomics. Cambridge: TheMITPress. ii 2023NSINationalHealthCareRetention & RNStaffingReport. NSINursingSolutions, Inc. https://www.nsinursingsolutions.com/Documents/Library/NSI_National_Health_Care_Retention_Report.pdf (seepage9) iii Mercer, U.S. HealthcareLaborMarketReport. 2021. https://www.mercer.us/content/dam/mercer/assets/content- images/north-america/united-states/us-healthcare-news/us-2021-healthcare-labor-market-whitepaper.pdf iv Sex, Race, andEthnicDiversityof U.S. HealthOccupations (2011-2015) (hrsa.gov); HRSAAreaHealthResourcesFiles https://data.hrsa.gov/topics/health-workforce/ahrf)
v https://laborcenter.berkeley.edu/wp-content/uploads/2023/04/Proposed-health-care-minimum-wage-increase- FINAL.pdf, https://laborcenter.berkeley.edu/wp-content/uploads/2023/06/health-care-minimum-wage-effect-on-state- budget.pdf
vi HCAI2022IndividualAnnualFinancialDisclosureReports – SummaryUnaudited (CaliforniaDepartmentof Healthcare AccessandInformation).
vii https://livingwage.mit.edu/counties/06073
viii https://www.rent.com/california/chula-vista-apartments/rent-trends. Accessed05/05/23. ix https://www.redfin.com/city/3494/CA/Chula-Vista/housing-market. Accessed05/05/23. x ExcludesStateandPHFfacilities. EstimatederivedfromHCAIdataandKaiserannualfinancialaudits. Thesumtotalof net incomefor CAhospitalsexcludingKaiseracrossFYs2017-2021isprovidedin HCAIHospitalAnnualFinancialData, retrieved WrittenCommunications
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September2023
7 from: https://data.chhs.ca.gov/dataset/hospital-annual-financial-data-selected-data-pivot-tables. ToincludeKaiser, the sumtotalof netincomefromKaiserHospitalsfor 2017-2021wastaken; asstatedin eachyear’saudits, approximately73- 74% of thesystem’smembershipisin California; thus74% of Kaiser’ssystemwidenetincomewasaddedto theHCAInet incometotal.
xi FromHCAIpivotdatafor 2021 (excludesKaiserandstatehospitals): Netassets/hospital: $ 80,272,980,293/320 = 250,853,063. Addingthe31CAKaiserhospitals, from2021audits: 74% membershipCA * $52,780,000,000networth = 39,057,200,000. Estimateof totalnetassets/hospitalin CA (excludingstatehospitals):
80,272,980,293+$39,057,200,000)/351 = $339,972,024
xii Includesnon-CAprofits
xiii https://lao.ca.gov/handouts/health/2023/MCO-Tax-053023.pdf xiv https://www.manatt.com/insights/newsletters/client-alert/2023-24-california-state-budget-finalized-health- c?utm_source=mondaq&utm_medium=syndication&utm_term=Food-Drugs-Healthcare-Life- Sciences&utm_content=articleoriginal&utm_campaign=article; https://www.dhcs.ca.gov/Budget/Documents/DHCS- MCO-Term-Sheet.pdf
xv https://www.beckershospitalreview.com/workforce/why-california-hospitals-spend-the-most-on-contract-labor.html xvi https://www.healthcaredive.com/news/healthcare-worker-pay-satisfaction-lowest-all-industries-Qualtrics/640859/ xvii https://www.arborstaffing.com/2021/06/23/how-much-does-employee-turnover-in-health-care-cost-your-business/ xviiihttps://www.nsinursingsolutions.com/Documents/Library/NSI_National_Health_Care_Retention_Report.pdf xixhttps://www.dailypay.com/resource-center/blog/employee-turnover-rates-in-the-healthcare-industry/ xxhttps://www.hfma.org/finance-and-business-strategy/healthcare-business-trends/not-for-profit-hospital-outlook/; https://www.kaufmanhall.com/sites/default/files/2023-02/KH-NHFR_2023-02.pdf xxihttps://calmatters.org/health/2023/01/hospital-closure/ xxiihttps://www.kaufmanhall.com/news/reliance-contract-labor-during-pandemic-means-higher-hospital-expensesxxiiihttps://www.healthleadersmedia.com/finance/how-hospitals-and-health-systems-can-keep-contract-labor-costs-down xxivThisincludesnon-hospitalproviderstoo. SEIU-UHWanalysis. xxvDu, J.Y., A.S. Rascoe, R.E. Marcus. “TheGrowingExecutive-PhysicianWageGapin MajorUSNonprofitHospitalsand Burdenof NonclinicalWorkersontheUSHealthcareSystem.” ClinicalOrthopedicsandRelatedResearch476(10): 1910- 1919. 2018.
xxviAnalysisof fiscal2021990sfor allnonprofithealthsystemsin CAascategorizedin HCAI, butalsoincluding StanfordHealthandCommunityMedicalCenters (Fresno), whicharenotcategorizedassuch https://projects.propublica.org/nonprofits/HCA, TenetandUHSSECproxystatementfilingsDEF14Aavailablehere:
https://www.sec.gov/edgar/searchedgar/companysearch; Universityof Californiamedicalcenterexecutives sourcedhere: https://transparentcalifornia.com/salaries/search/?q=Ceo+Med+Ctr&y=2021. xxviiUnitedStateBureauof LaborStatistics. "OccupationalEmploymentandWages, May2019: 29-1215Family MedicinePhysicians." OccupationalEmploymentandWages. Accessed2023. 35UnitedStateBureauof Labor Statistics. "OccupationalEmploymentandWages — May2010." UnitedStatesDepartmentof Labor. May17, 2011. xxviiiNikhilSahni, PrakritiMishra, BrandonCarrus, DavidCutler. “Administrativesimplification: Howto saveaquarter-trillion dollarsin UShealthcare.” McKinsey. October20, 2021.
xxixCarlMcPherson, MichaelReichandJustinC. Wiltshire, Are $15MinimumWagesTooHigh?, Institutefor Researchon LaborandEmployment, September11, 2022.
xxxhttp://www.ilo.org/global/docs/WCMS_462300/lang--en/index.htm WrittenCommunications
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Title Source Publication
Year
Summary
HigherWagesfor Low-
IncomeWorkersLeadto
HigherProductivity”
Peterson
Institutefor
International
Economics
2015 Fordecades, manyeconomistshavearguedthatraisingthewagesof low-incomeworkersleadsto higherproductivity. This2015articlesummarizeseconomicliteratureontherelationshipbetween increasedwagesandimprovedproductivity, findingthat higherwagesmotivateemployeesto work harder, attractmorecapableandproductiveworkers, andreduceturnover, amongotherbenefits.
RaisingtheMinimum
WageWouldBoostan
EconomicRecovery –
andReduceTaxpayer
Subsidizationof Low-
WageWork”
Centerfor
American
Progress
2021 This2021articlesummarizesresearchontheimpactof raisingtheminimumwageandarguesthat higherwagesstimulatetheeconomy, reducetaxpayersubsidizationof socialbenefitssuchasSNAP, andreduceeconomicinequality. Morespecifically, minimumwageincreasescanleadto increased consumerspending, jobgrowth, reducedenrollmentintaxpayer-fundedsocialprograms, andreduced economicinequalityalongracialandgenderlines.
Whata $15Minimum
WageMeansfor
WomenandWorkersof
Color”
National
Employment
LawProject
2016 Thispolicybrieffindsthata $15minimumwagecoulddecreasegenderandracialwealthgapsand improveeducationalandhealthoutcomesfor children.
A $15minimumwage
wouldcostjobs, right?
Probablynot,
economistssay”
Berkeley
News
2021 ResearchledbyUCBerkeleyeconomistshasfoundthat significantincreasesin theminimumwage haveminimalimpactonemployerhiringdecisions. Inadditionto reducinggovernmentspendingon safety-netprograms, ahigherminimumwagecouldleadto increasedeconomicdevelopmentin low- wageareas, areductionin theracialpaygap, reductionsin crime, andimprovedhealthin children.
MinimumWagesand
Employment: ACase
Studyof theFast-Food
Industryin NewJersey
andPennsylvania”
UCBerkeley 1993 This1993studyof fast-foodworkersinNewJerseyandPennsylvaniafindsthat increasingthe minimumwagedoesnotresultin areductioninemployment.
Businessescanthrive
with ahigherminimum
wage”
Economic
Policy
Institute
2021 Firmsthatpayhigherwagesmaybenefitfromincreasesin productivityandinnovation.
ThePayoffsof Higher
Pay”
Harvard
University
2020 AworkingpaperbyHarvardUniversityresearchersfoundthat higherwageshelpto retainworkers, attractnewworkers, andimproveproductivity. Productivityincreased, andturnoverdecreasedwhen wageswentupfor warehouseandcallcenterworkers – a $1 increasefor warehouseworkersreduced thequitrateby19%. Thewageincreasesturnedout to beanetbenefitfor theemployer.xxxvi WrittenCommunications
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2020-2022SystemProfitsviii
ScrippsHealth: $380.4 million
SharpHealthcare: $654million
FreseniusMedicalCare: $2.9 billionix
DaVita: $2.3 billionx
ExecutivePay
System Executive Compensation
ScrippsHealth ChristopherVanGorder
Presidentand
CEO/Trustee, Scrips
Health)
2,140,192 (2020)xii
SharpHealthcare DanielL. Gross (EVP
HospitalOPSat Sharp
Healthcare)
ChristopherA. Howard
PresidentandCEO)
2,028,142 (2020)xiii
1,665,592 (2020)xiv
Fresenius
MedicalCare
RicePowell (CEOand
Chairmanof the
ManagementBoard)
5.9 millionxv (2021)xvi
DaVita, Inc. JavierRodriguez (CEO) $ 73.4 million (2020)xvii WrittenCommunications
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ReferendumCampaigns
CampaignCommittee Amount
LACityReferendum (LOSANGELESHEALTHCAREWORKERSANDPROVIDERS AGAINSTTHEUNEQUALPAYINITIATIVE) $ 3,907,294.95
NOONMEASUREHC - INGLEWOODHEALTHCAREWORKERSANDPROVIDERS
AGAINSTTHEUNEQUALPAYINITIATIVE, SPONSOREDBYTHECAHHS $ 2,704,039.18 LongBeachReferendum (LONGBEACHHEALTHCAREWORKERSAND
PROVIDERSAGAINSTTHEUNEQUALPAYINITIATIVE, SPONSOREDBYTHE CAHHS)
1,748,399.23
NOONMEASUREJ - DUARTEHEALTHCAREWORKERSANDPROVIDERS
AGAINSTTHEUNEQUALPAYINITIATIVE, SPONSOREDBYTHECALIFORNIAAS $ 1,135,462.90 DowneyReferendum (DOWNEYHEALTHCAREWORKERSANDPROVIDERS
AGAINSTTHEUNEQUALPAYINITIATIVE, SPONSOREDBYTHECAHHS) $ 411,513.04 MontereyParkReferendum (MONTEREYPARKHEALTHCARE
WORKERSANDPROVIDERSAGAINSTTHEUNEQUALPAYINITIATIVE,
SPONSOREDBYTHECAHHS)
51,013.28
LynwoodReferendum (LYNWOODHEALTHCAREWORKERSAND
PROVIDERSAGAINSTTHEUNEQUALPAYORDINANCE, SPONSOREDBY
CALIFORNIAASSOCIATIONOFHOSPITALS) $ 101,300.00
Total $ 10,059,022.58
WrittenCommunications
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From: Rebecca Chivatakarn
Sent: Tuesday, September 12, 2023 9: 16 PM
To: CityClerk < CityClerk@chulavistaca. gov>
Subject: $ 25 minimum wage
WARNING - This email originated from outside the City of Chula Vista. Do not click any links and do not open attachments unless you can confirm the sender.
PLEASE REPORT SUSPICIOUS EMAILS BY USING THE PHISH ALERT REPORT BUTTON or to reportphishing@chulavistaca. gov
Financial equity is human equity, give our healthcare workers a $25 minimum pay wage.
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From: T. Kal Lomu <
Sent: Tuesday, September 12, 2023 6: 38 PM
To: CityClerk < CityClerk@chulavistaca. gov>
Subject: Ecomment 9/ 12/ 23
WARNING - This email originated from outside the City of Chula Vista. Do not click any links and do not open attachments unless you can confirm the sender.
PLEASE REPORT SUSPICIOUS EMAILS BY USING THE PHISH ALERT REPORT BUTTON or to reportphishing@chulavistaca. gov
I am a healthcare worker in Chula Vista.
I’m from the South Bay so serving the community I come from makes me immensely proud. Especially being able to work at sharp. I’ve been treated there, friends and family have been treated there, I’ve said goodbye to family members there, and i was born there. I’m not a nurse but I’m slowly working on it, I can’t afford to go part time at work even though that would help me do school quicker. But I’m also not sure I can afford to keep working here. I’m the last two months I’ve been not sure if I could pay rent or put food on the table because of how low my income is. I interview new employee, I train new employees, I train new nurses and transition in practice nurses, and I’m gonna start teaching a class for nurses who want to step up their level of care… and I’m barely making ends meat. My car didn’ t start for my shift and I didn’ t have enough money to fix it, I had to learn how to fix it myself through YouTube.
Raising healthcare workers minimum to $ 25 an hour will help people like me be able to keep helping people like you and your families.
Thank you
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