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Workers at Hospice East Bay in Pleasant Hill, California, held a one-day strike on July 29 to demand progress on their first union contract, nearly two years after organizing. Caregivers say they are facing understaffing, increased caseloads, and resistance to basic proposals like preserving existing benefits and ensuring safe staffing ratios. The nonprofit, which serves Alameda, Contra Costa, and parts of Solano counties, is also facing financial pressure tied to reduced Medicare and Medicaid reimbursements. Employees fear a planned affiliation with a Florida-based hospice chain could further erode care quality. Management says it remains committed to bargaining and continuing services during the dispute.