Sacramento – The Sacramento Bee, Modesto Bee, Fresno Bee, San Luis Obispo Tribune, Merced Sun Star, along with the Palm Springs Desert Sun and the San Mateo Daily Journal join every major daily newspaper in opposition to Proposition 23.

Sacramento Bee, Modesto Bee, Merced Sun Star, Palm Springs Desert Sun and the San Mateo Daily Journal join other daily newspapers opposing Prop 23 including the Fresno Bee, San Diego Union-Tribune, San Luis Obispo Tribune,Los Angeles Times, San Francisco Chronicle, Santa Rosa Press-Democrat, San Jose Mercury News East Bay Times, Lake County Record-Bee, Bay Area Reporter, Bakersfield Californian, Orange County Register, Los Angeles Daily News, Santa Barbara News Press Riverside Press-Enterprise, Long Beach Press-Telegram, Torrance Daily Breeze, Pasadena Star-News, San Gabriel Valley Tribune, Whittier Daily News, San Bernardino Sun, Inland Valley Daily Bulletin, andRedlands Daily Facts.

From the Sacramento Bee and other McClatchy papers:

  • “Dialysis centers operate well and provide life-sustaining treatments for their patients. Prop. 23 would put that in jeopardy.” 
  • “… the requirement would increase health care costs by $320 million, according to an estimate by the Berkeley Research Group.”
  • “… could pressure the private companies that operate the clinics to cut back on facilities to save money, thus limiting where dialysis patients can go.”

From the Palm Springs Desert Sun:

  • “Prop 23 a strongarm measure ostensibly about better dialysis care. Don’t fall for it.”
  • “…a cynical play for voter support for what seemingly will be a series of expensively fought nuisance ballot measures as a cudgel for the union’s effort to organize staff at these facilities.
  • “The extra expense would be especially harmful to clinics operating close to the margins (think those in rural, lower-income communities, which are numerous across the state) and threaten many with closure.”
  • “This measure’s added, redundant reporting requirement seems aimed — when combined with the expense of a full-time doctor on site — at bleeding clinics of resources rather than boosting patient care and outcomes”
  • “State voters are not equipped to effectively regulate what is indeed a life-saving procedure for some 80,000 of their fellow Californians. Those responsibilities must be left to lawmakers and state and federal regulators. If reforms are needed in this industry, then they must flow from those best able to vet them rather than from the ballot box.”
  • “This type of nuisance initiative only serves to increase skepticism about California’s initiative process.”

From the San Mateo Daily Journal:

  • “This is a labor dispute and should not be on the ballot. NO.”


More than 100 groups oppose Prop 23, including the California Medical Association, American Nurses Association\California, and many others because it would jeopardize the lives of dialysis patients by forcing hundreds of dialysis clinics to cut back services or shut down completely – making it more difficult for dialysis patients to access their life-saving treatments. 

Furthermore, this dangerous and costly dialysis measure would make the state’s current doctor shortage and emergency room overcrowding even worse, while unnecessarily increasing health care costs for taxpayers and consumers by hundreds of millions of dollars every year. All of this, in the midst of a global pandemic, threatens to put a strain on necessary health care resources across California.

There are approximately 80,000 dialysis patients in California with failed kidneys who need machines to clean their blood and remove toxins from their bodies. Patients must receive dialysis treatment three times a week for four hours at a time to stay alive. Access to consistent dialysis treatments is so important that just one missed treatment increases patients’ risk of death by 30%. 

Prop 23 is sponsored by the United Healthcare Workers West (UHW) union – the same organization that abused California’s initiative process two years ago by bankrolling Proposition 8 on the 2018 ballot. Prop 8 would have also caused dialysis clinics throughout California to cut back services or shut down, dangerously threatening dialysis patients’ lives.

While unions have the right to try to unionize workers, it’s not right to abuse the initiative system and use vulnerable patients as political pawns – especially now in the face of a public health crisis.

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