Initiative

The looming impact of federal Medicaid cuts has reignited a long-simmering, costly battle between California’s medical industry and one of its largest health worker unions.

SEIU-United Healthcare Workers West, with about 120,000 members, has put forward two ballot initiatives to cap the pay of medical executives and require community clinics to spend the bulk of their revenues on patient care.

The California Hospital Assn. has responded with its own ballot proposal that would make it tougher for unions to spend money on political initiatives in the future. It would require approval by a union’s rank-and-file membership for any spending of $1 million or more on statewide measures, or $100,000 or more on local ones.

The competing measures, which have drawn enough verified signatures to qualify for the November ballot, come at a time when the rising cost of healthcare is emerging as a top voter concern.

The Service Employees International Union affiliate has seized upon affordability angst to resurrect a proposal for a cap on healthcare executive compensation, which it has failed to achieve multiple times before. The proposed measure garnered more than 1 million petition signatures.

“This initiative reflects the serious crisis we face and that affordability is a real thing,” said Vikas Saini, president of the Lown Institute, a Massachusetts-based healthcare think tank. “I think it also reflects grassroots anger and a desire to do something.”

Mikey Vaughn, a certified nursing assistant at Cedars-Sinai Medical Center, said the hospital often lacks supplies and staffing levels that he and his colleagues need in order to do their jobs effectively and without undue stress, despite its reputation as the go-to place for the rich and famous.

“The executive pay initiative would, I hope, be used to hire staff and to actually provide better resources for our patients,” he said. Vaughn is also a member of SEIU-UHW’s executive board and political committee.

Thomas Priselac, then-president and CEO of Cedars-Sinai Medical Center, made $8.8 million in fiscal year 2024, according to the organization’s most recent available federal tax filing. Kaiser Permanente’s CEO, Gregory Adams, made nearly $13 million in 2024. Warner Thomas, head of Sutter Health, made just under $12 million.

Cedars-Sinai spokesperson Duke Helfand said the hospital would be unable to recruit and retain physicians, nurses, and specialists if the measure passed, dramatically impairing its ability to provide healthcare.

“Such a scenario would be disastrous not only for Cedars-Sinai but for hospitals across Los Angeles and California,” Helfand said.

The union wants to cap compensation at $450,000 a year for senior hospital and medical group executives, as well as other administrative and managerial staff. However, the initiative does not stipulate how dollars diverted from payroll must be spent.

The union has dubbed the latest proposal the Health Care Executive Compensation Act of 2026. A coalition of medical industry heavyweights opposing it — hospitals, physicians, and clinics, among others — has rebranded it the Health Care Endangerment Act.

Carmela Coyle, CEO of the hospital association, called the measure a cynical political ploy.

“It’s bad policy and it’s going to have bad consequences across California,” she said.

Glenn Melnick, a healthcare economist at the University of Southern California, said even if the initiative were fully implemented and pay cuts enacted, he doubts it would reduce the cost of healthcare for patients.

SEIU-UHW does not have an estimated total amount the initiative would claw back from pay packages that exceed the limit.

Opponents of the initiative note that it doesn’t just target executive pay; it would affect medical practitioners who are also managers. That could include chief medical officers and chief nursing officers, as well as heads of surgery, emergency rooms, oncology, obstetrics, cardiology and other specialties, they say.

It would be up to each hospital, health system and physician group to report which staff members exceed the cap and by how much.

Ultimately, who is subject to the pay cap “probably will have to be battled out in court,” Coyle said . “That’s why we are throwing everything we can at it.”

The second SEIU-UHW ballot initiative, on community clinics, is already in court. The California Primary Care Assn., which represents clinics, filed a federal lawsuit in April seeking to invalidate it before it reaches the November ballot.

The proposed measure would require federally designated community clinics to spend at least 90% of their revenues on activities directly related to their mission of providing care for low-income populations. If it were to pass, more than 90% of those clinic organizations would be on the hook for penalties totaling $1.7 billion in the first year alone and “would face similarly crippling penalties every year,” according to a report commissioned by the primary care association and conducted by the Berkeley Research Group, an international consulting company.

Louise McCarthy, president and CEO of the Community Clinic Assn. of Los Angeles County, said many pivotal services the clinics provide — such as translation and transportation — would likely not be counted toward the spending requirement.

“They are targeting a group of what they see as employers and we see as the safety net,” she said.

The lawsuit cites the harm to clinics and claims the proposed spending requirement would interfere with federal authority.

Renée Saldaña, a spokesperson for SEIU-UHW, characterized the lawsuit against the initiative as “a really desperate attempt by the clinic industry to try and avoid accountability.”

SEIU-UHW, proud of its political activism, is also behind a controversial billionaire tax proposal that would impose a one-time 5% levy on California residents with fortunes over $1 billion to backfill the funding gap created by federal cuts coming down the pike under Republicans’ One Big Beautiful Bill Act. The law, passed last July and signed by President Trump, is projected to squeeze nearly $1 trillion from the Medicaid health coverage program for low-income people by 2034, including as much as $30 billion annually in California.

The hospital association, the community clinic group and the California Medical Assn., which represents physicians, are neutral on the wealth tax proposal thus far. But Saldaña said all three of the union’s ballot proposals tie into an overarching strategy to counter the widening healthcare disparities caused by the federal law.

“We believe the primary concern of healthcare providers, including executives, should be to serve the community, heal patients, and not be in healthcare just to enrich themselves,” she said on the proposed pay cap.

Over the years, the union has submitted dozens of local and statewide ballot initiatives, including ones to cap the pay of hospital executives, regulate dialysis clinics, and raise the minimum wage of healthcare workers.

The hospital association calculates that SEIU-UHW has spent nearly $125 million on local and statewide initiatives since 2012. But healthcare industry groups have spent far more opposing them. The hospital association data shows that the union spent nearly $36 million on three ballot proposals to regulate the dialysis industry, but dialysis companies poured in $302 million to defeat them, according to state campaign finance records.

The union’s ongoing political efforts “threaten patient access to quality health care,” according to the hospital association’s ballot initiative, which could limit how much unions spend on future ballot measures.

Saldaña hinted at a possible lawsuit should that measure pass, saying “we don’t see the legal viability” of it. The proposal, she said, is an attempt “to silence the front-line healthcare workers.”

Ultimately, a ballot initiative won’t cure the ills that plague healthcare in the United States, said the Lown Institute’s Saini. What’s needed, he said, is “an evaluation and reimagination of healthcare.”

Wolfson writes for KFF Health News, a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF — an independent source of health policy research, polling, and journalism.

TUCSON — Tucson migrant advocates have designed a new tool to help track immigration-related enforcement in and around the city as arrests surge under President Trump’s mass deportation initiative.

Tucson Migra Map allows people to document and visualize enforcement activities by Immigration and Customs Enforcement and other federal agencies. While revealing patterns, the tool also raises questions about safety, transparency and the limits of public tracking tools.

“It indicates the level of chaos and how disruptive it is to our community,” activist Lucia Vindiola said in a statement. Vindiola launched the mutual aid group La Bodega to provide groceries and other help to people affected by increased enforcement.

“We are seeing firsthand the impact on families, limiting them from shopping for groceries and supplies,” Vindiola said.

Since Trump took office, immigration-related detentions have more than tripled in fiscal year 2025 — surging from fewer than 200 in late 2024 to more than 800 by June 2025. The response in communities nationwide has been swift, with groups such as the Tucson Rapid Response network organizing to monitor and track federal immigration action on the street.

Geographer Dugan Meyer, one of the map’s creators, is a PhD student at the University of Arizona who volunteers with Tucson Rapid Response and related organizations.

“This project came out of the documentation work that Rapid Response is doing, but also around the city,” Meyer said. “It is a community research project, community mapping project.”

The data are pulled from spreadsheets maintained since January 2025 that tracks and documents federal enforcement actions in greater Tucson such as raids, vehicle stops and aerial surveillance.

Included is the December raid at one of several targeted Taco Giro locations where Democratic U.S. House Rep. Adelita Grijalva was pepper-sprayed by federal agents.

Incidents on the map are vetted and classified as “confirmed” or “credible but unconfirmed” based on the level of evidence.

“If we have photographs of, say, an agent wearing a tactical vest that says ‘ICE,’ that’s confirmed,” Meyer said. “Credible unconfirmed, we’re very confident something happened.”

Meyer said a trained Rapid Response observer witnessing an event, even if they had not photographed it, would be an example of a credible unconfirmed event.

“Their testimony about that would be enough for us,” he said.

Hundreds of people, including noncitizens, have contributed their eyewitness accounts of immigration enforcement to the map and the database it draws from, according to the Tucson Migrant Map website. Information from the local news is included, along with reports collected by Rapid Response and other neighborhood networks such as Migra Watch, and information shared on social media and in WhatsApp groups.

Rapid Response member Steven Davis has documented five incidents, including one in which he was pepper-sprayed by law enforcement. He says having these incidents recorded and published furthers his efforts to better show people what ICE is doing in their community.

“The value of the observation is that we take this out of the shadows and get it out into the public,” Davis said. “The Migra Map is a public-facing map that makes visible this activity that is mostly behind the scenes.”

Davis said knowing the data he collects will be used for Migra Map makes it more important for him to document diligently.

“There’s the saying, garbage in, garbage out. I want to make sure that the information that I’m providing is the most accurate information that I can possibly provide,” Davis said.

Meyer said that as of late April, the team had reviewed around 562 incidents, with about 300 meeting the threshold to be included. The goal is to review reported incidents within a week, then add qualifying cases.

“We know that the map is an undercount by any estimation,” Meyer said.

The map also includes police facilities and immigration detention facilities, along with flight paths of various federal agencies’ surveillance flights.

The accuracy of the reporting has been confirmed as more data is gathered, said Meyer. For example, repeated vehicle reports often confirm instances of surveillance.

Meyer said he hopes that the map will ultimately become a platform for information accessible to the public.

He said he thinks the map “can show in a way that people may know intuitively already.”

“It really helps us think about directly when we can see these things in relation to each other,” he added.

Meyer said that makes it easier to identify trends and point out hotspots like El Super grocery store on Tucson’s south side, which is frequented by mostly Latino customers and has seen a high concentration of enforcement.

“It’s used as a hunting ground for that, but there are others as well,” Meyer said, such as specific apartment complexes targeted by ICE or other agencies.

The Tucson Migra Map was not the first of its kind.

Last year, an initiative called People over Papers was used nationally to track immigration enforcement before being shut down by its host site, Padlet, for violations of its content policy.

Federal officials have said such tracking puts officers at risk, and other tracking sites, including ICEBlock, were previously taken offline after the Trump administration called for their removal.

Meyer said that he hopes the Constitution’s protection of free speech will protect Migra Map from a similar fate, and that people in other places will be encouraged to launch their own initiatives.

Davis, the observer, said that unlike the earlier trackers, the Migra Map doesn’t attempt to alert people to events occurring in real time, but reports enforcement actions after the fact.

“It doesn’t tell you where ICE is active right now. It tells you where ICE has been active in the last months,” Davis said. “You could file a Freedom of Information Act for the Tucson District Office and get the exact same information that we’re providing on the map.”

Meyer also noted that he and the other developers have been public about the project.

“It’s not a crime to collect this information and share this information,” said Meyer.

Nonetheless, some contributors opt to report anonymously out of fear.

“I think that anyone paying attention is at the very least concerned” about the current administration, Meyer said. He said he feels privileged he can publicly associate with the project.

But he allowed that Migra Map is far from perfect.

“The important thing is that it doesn’t tell us a lot,” Meyer said. “While many people would like it to be a real-time alert system, this map can’t be that.”

Cuellar writes for Arizona Luminaria, where this story was originally published. It was distributed through a partnership with the Associated Press.

Published on
15/04/2026 – 11:25 GMT+2

The European Commission on Wednesday imposed anti-dumping duties on glass fibre —a key input for the EU’s renewable industry— produced by Chinese companies operating in Egypt, Bahrain and Thailand.

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The move confirms the EU’s push to curb Chinese imports entering the bloc via Belt and Road routes to sidestep tariffs on products officially labelled “made in China.”

Brussels seeks to shield its market from a surge of low-cost imports from the Asian giant, targeting goods it considers heavily subsidized or sold in the EU below production cost in China.

The tariffs on glass fibre from the three countries will range from 11% to 25.4% of the product’s value.

“The investigation confirms the existence of unfair practice, which is an important signal,” Ludovic Piraux, President of Glass Fibre Europe, said.

But he added that the measures adopted “remain insufficient to fully address the predatory strategies pursued through these investments in third countries.”

Job losses loom

China has invested $1 trillion through the Belt and Road initiative – a large-scale infrastructure programme which replaced the former silk road initiative and is aimed at strengthening connectivity, trade and communication across Eurasia, Latin America and Africa. The programme spans more than 150 countries, supporting infrastructure, transport, raw materials extraction and the relocation of industries and state-owned enterprises abroad.

As early as 2010, following an industry complaint, the Commission imposed anti-dumping duties on Chinese glass fibre imports. In the years that followed, Chinese producers established factories in Bahrain and Egypt, from which exports to the EU resumed.

By 2024, glass fibre imports from those countries, along with Thailand, accounted for 24% of the EU market. Egyptian imports alone reached 18%, with Glass Fibre Europe warning the situation could worsen.

This is not the first time the Commission has targeted Chinese products made in third countries under Belt and Road arrangements. It has previously imposed measures on aluminium foil from Thailand and glass fibre produced in Türkiye.

European glass fibre manufacturers have been pushing for action for more than a decade, alongside unions seeking to protect jobs in the sector.

The complaint which lead to Wednesday’s anti-dumping duties was first reported by Euronews in January 2025.

The industry directly employs more than 4,500 workers in the EU and says it supports hundreds of thousands of indirect jobs along the value chain.

Judith Kirton-Darling, General secretary of industriAll Europe, warned that “in the longer term”, the situation could worsen if the EU does not take “a stronger” stance on Chinese dumping.

“It is more than likely that we will face plant closures in Europe which will fundamentally undermine our industry,” she said.