California 🐠 - trying to understand the ramifications of prop 23 (re dialysis clinics). My knee jerk reaction is to be skeptical of the “vote no” campaign because DaVita is funding it, but the “vote yes” doesn’t seem to have much to stand on either. What am I missing?

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Whichever side Uber, Lyft, Doordash, Avalon Bay Apartments, Equity Residential or Davita is on, I'm voting the opposite. These corporations all develop "poor mouth" when they might have legislation that cuts into their not so razor thin margins to which I call bullshit.

likesmart

Agree 100 percent

Vote NO on Prop 23. It would severely harm dialysis patients and nephrology (kidney doctor things) if passed, including forced shutdown of various dialysis community clinics, and the nonpartisan incremental estimate to overall state budget is in the “low tens of millions of dollars” annually.

Tl;dr same cheap tactic tried two years ago, please vote NO, especially as someone whose family has an understandably vested interest in keeping our local dialysis clinics open

helpfullike

Prop 23 is a scare tactic from SEIU in turn. Nephrologist provision sounds great, except there’s a known shortage of nephrologists across California, plus other provisions in the prop can increase likelihood of clinics closing (the “require approval to close” provision sounds great, but it’s a minor stall tactic thrown in at best, you can’t actually keep a clinic operational and serving patients by mandate alone). Source: Family has also been in (and/or needed) nephrology and dialysis for 30 years.

The infection reporting and certification of following procedures would be a good thing, but they don't really need a physician onsite at all times to monitor that program and certify compliance like a CPA. Also, it would slow closure of low income dialysis locations without a review.

Most of it is the SEIU and Davita fighting about unionization like two+ years ago.

smart

Yeah. The requirement to have a physician onsite is the thing giving me pause about “yes” ...

I'm undecided on this prop. I've tried to frame it as: is there a reason or demonstrated need for the added regs/oversight?

If yes - safety/hygiene has been an issue. Then, seems reasonable to not reduce safety for sake of affordability- even if it gives an advantage to bigger clinic chains.

If no - there are not demonstrated safety concerns, then there is no need to pass the prop and it looks more like a play on aafety/fear being lobbied by the big chain clinics to take on market share.

I haven't looked too hard, but haven't been able to answer the question yet.

smart

That's helpful info... but it only hopes for a correlation of under-paid = health/safety risk. It doesnt really answer the question of safety.

I think in another reply on here, someone brought up the desire to see infection or complaint reports.

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Always vote no by default. It is better not to change a law when you do not understand the intended changes and have some concept of the potential unintended consequences.

And VOTE NO ON PROP 16! DO NOT ALLOW California to delete the following words from the State Constitution:

“The government and public institutions cannot discriminate against or grant preferential treatment to persons on the basis of race, sex, color, ethnicity, or national origin in public employment, public education, and public contracting.”

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I’ll just leave this here

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uplifting

Likely voting yes as well. The heavy support by DaVita for a no vote is questionable.

We had this exact convo at dinner on Sunday with friends - davies funding it is sketchy - they will likely lose margin but i am for what is being proposed - we will be voting yes I think

Vote No!!! It is backed by people who know what they’re talking about (ie American Nurses association)

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