john avalos with the national union of health care workers, nuhw. nuhw, we represent health care workers at richmond area municipally services, otherwise known as r.a.m.s. all of our departments in san francisco have mission-driven budgets. overall, these budgets are supposed to serve the public with critical and culturally appropriate health services. however, despite receiving funding to provide these services, nonprofits like r.a.m.s. and nonprofits that seiu 1021 works alongside struggle to attract and retain a stable, qualified, and experienced workforce. because pay and benefits lag behind their counterparts in the county for county workers and workers in the provide sector, turnover remains high. nearly half of our workers have been hired within the prior two years, and one fifth were hired in the prior year alone. when we bargained our contract with r.a.m.s. clinicians and r.a.m.s. back in 2019, our entire bargaining committee has actually moved onto work for the city and county of san francisco. this has greatly undermined the ability of r.

john avalos with the national union of health care workers, nuhw. nuhw, we represent health care workers at richmond area municipally services, otherwise known as r.a.m.s. all of our departments in san francisco have mission-driven budgets. overall, these budgets are supposed to serve the public with critical and culturally appropriate health services. however, despite receiving funding to provide these services, nonprofits like r.a.m.s. and nonprofits that seiu 1021 works alongside struggle to attract and retain a stable, qualified, and experienced workforce. because pay and benefits lag behind their counterparts in the county for county workers and workers in the provide sector, turnover remains high. nearly half of our workers have been hired within the prior two years, and one fifth were hired in the prior year alone. when we bargained our contract with r.a.m.s. clinicians and r.a.m.s. back in 2019, our entire bargaining committee has actually moved onto work for the city and county of san francisco. this has greatly undermined the ability of r.