This article is reprinted from the Speak Out Now healthcare newsletter at Highland Hospital in Oakland, CA.

On Monday, October 27th, Alameda Health System CEO James Jackson and CFO Kim Miranda gave a presentation on the upcoming budget to the county Board of Supervisors’ Health Committee. They described how AHS is anticipating cuts of $100 million/year in federal funding due to the impact of Trump’s Big Bill. While not going into detail in how they expect to save money for this shortfall, CFO Miranda did say that labor was the greatest “strain” on the budget, and CEO Jackson stated that we are going to have to make changes to our “labor structure.”

The workers who make up Alameda Health System are the people caring for patients all day and night. We are not a “strain” on the budget of this healthcare system, we ARE this healthcare system and resent being identified as a problem to be solved by upper management.

Instead of attacking the livelihoods of those actually taking care of patients, what if we looked into the cost of paying managers and administrators to sit in offices and go to meetings all day? James Jackson failed to mention in his budget presentation the pay raise he will be enjoying after a recent vote from the Board of Trustees. At a time when he is bemoaning the need for budget cuts, he will be taking home even more money – a mind-boggling $852,000 annual salary! Let’s look into cutting these administrator’s skyrocketing salaries before raiding the pockets of the people actually doing the work.

Click here to read the article printed in the 10-29-25 Healthcare Newsletter

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