On Maui, about 250 workers with the United Nurses Associations of California/Union of Health Care Professionals, also known as UNAC/UHCP, are on strike. They include pharmacists, certified registered nurse anesthetists and rehab therapists such as physical and occupational therapists and speech language pathologists.

Last week, people in Washington who get their Medicare Advantage coverage through Kaiser Permanente received a seemingly worrisome letter in the mail. More than 130,000 people across 15 counties in Washington get Medicare Advantage coverage through Kaiser,

Kaiser has counter-offered a much smaller one-time market adjustment for the Oregon and Washington nurses. Kaiser’s market adjustment offer, combined with the across-the-board wage increases being bargained at the national level, would amount to a 27% total increase in wages over the four years, Karman said.