Over 66,000 California residents receive dialysis treatments for kidney failure.  Dialysis removes the blood impurities the kidneys no longer can filter, and access to regular dialysis care is essential.  Missing even one appointment may create complications that can result in organ failure, even death. Most long-term treatment is done on a three-times weekly basis with the bulk of services provided through two for-profit companies. 
 
These two firms have profits five times higher than cost of service charged by an average hospital. Those with private insurance are charged as much as $150,000 per year which is a 350% charge over the actual costs.  The Affordable Care Act (ACA) once regulated the percentages that could be charged but with those federal controls now largely removed, dialysis has become a particular cost burden.  Private insurance, Medicare, Medicaid, and those without insurance at all are carrying the financial load.
 
This proposition requires dialysis charges be restricted to 115% of direct patient care costs, requires repayments to those overcharged whether private insurance providers or individuals, requires regular reporting on costs, charges, and revenues. Most important, it forbids discrimination against patients based on the source of their payment for care.
 
As we struggle with finding ways to keep health care both affordable and accessible, this proposition tackles both issues. The reimbursement level is consistent with the standards set by the ACA that worked for both providers and those paying the bills.It is a reasonable solution to a growing crisis of unaffordable health care including for essential life-saving options. 
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​Proposition 10 is another approach to California’s housing crisis.  Although the state has 12 % of the nation’s population, we have 22% of the nation’s homeless.  Rents for homes and apartments are skyrocketing by double digits in every sector of the state.  Because home sale prices have also soared by 40% over the past year, more and more families now rent since saving down payments cannot keep up with the requirements.  Sixteen percent of our population pays 50% or more for housing leaving little for other costs, nothing for savings.
 
The costs add to transportation nightmares with poorer air quality as people are living farther from their jobs to find more affordable housing.  City workers– police, fire fighters, teachers–rarely live where they work.  
 
This proposition would do two things.  It would abolish the existing Costa-Hawkins law that outlawed rent control on buildings constructed after the late 1970.  Second, it would permit cities to create rent control laws that suited their populations.  Proposition 10 in no way mandates rent control but does permit it.
 
There are and always have been negative impacts from rent control.  Poor maintenance and upkeep have too often accompanied landlords’ decisions to force people out to raise rents on new tenants. A slowdown in new construction that cannot charge the highest market rates is another.  Some of that can be regulated and enforced for the good.  
 
Other housing measures such as the propositions also on this ballot may help, but building affordable housing is slow, meets community resistance on siting. Subsidized housing doesn’t always meet the needs of middle income working families not being poor enough for subsidized housing. not wealthy enough for market rate housing.
 
Will this measure have some of the unintended consequences of poor sustainability?  Probably.  But because it is up to local jurisdictions and public policy that must have public input, we can learn from past errors how to do this better.   With these reservations in mind, communities may make wiser decision on rent control. It is clear we can no longer wait for other solutions. This is a good step for our working families. 

Proposition 11 is proposed by the corporations that own private ambulance services as a way of thwarting a lawsuit on ambulance employee meal and break time. Public sector ambulance employees are now entitled by law to meal and other breaks without having to be on call. They are not paid for that time unless emergencies pull them into service at which point they are paid overtime. 
 
The ambulance companies do not wish to pay overtime or hire enough supplementary staff to be on call while others are eating or resting. They want straight time without penalties for intruding on relief time. This is a safety issue since the high stress of emergency responder work requires breaks and meal times in peace. Obviously circumstances can intrude, but this rationalizes unsafe work practices without penalty for the employer. While the bill offers training and mental and emotional health supports, it is not enough to offset the real harm that unrelieved daily stress would impose by making every emergency ambulance driver on call for the entirety of every shift.
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In 2008 California Council of Churches IMPACT supported Proposition 2 that would improve the quality of confinement for farm animals.  Federal standards and legal findings affected most animals but not chickens.  
 
Our concern for the humane treatment of chickens rested on two issues: chickens are aggressive toward one another and will kill or maim one another when overcrowded. Highly crowded cages made attacks commonplace. This led to the egg industry’s practice of debeaking – cutting part of the beaks off – to prevent chickens from seriously harming one another.
 
Proposition 2 called for changes in cage sizes that would stop over crowding and thereby reduce the need for debeaking. Space requirements for each chicken ere based on animal behavior: be able to spread wings, turn around, lie down all without interfering with other chickens, set a decent standard of care.
 
Proposition 12 reverses that legal standard.  While it calls for “cage free” as a goal, it permits vastly reduced space per chicken and still does not outlaw debeaking and other inhumane practices. Rather than basing the standard on chicken behavior, it requires 1 foot square of space per bird, far too small a space even in “cage free” settings.  This is a setback in the humane treatment of chickens
 
As in the earlier Proposition 2, standards for other farm animals is not seriously at issue in Prop 12.  To regress on the standards for chickens and undermine what we already passed in compassion is totally unacceptable.  
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