Posts Tagged ‘Richmond’

Opening a Prepaid Health Plan to the Public 65 Years Ago this Month, Kaiser Permanente Begins Its Post-World War II Life

posted on July 22, 2010

By Tom Debley
Director of Heritage Resources

This Oakland Tribune clipping is one of many news stories when Kaiser Permanente began opening its doors to the public.

Sixty-five years ago this month the curtain was about to fall on the dreadful years of World War II, and Dr. Sidney R. Garfield and industrialist Henry J. Kaiser were raising the curtain on their plans to expand their prepaid Permanente Foundation Health Plan—later renamed Kaiser Foundation—beyond Kaiser’s employees to the general public.

So it was, in July 1945, that they announced that the “first large extension of the family health plan” beyond Kaiser workers would be in Vallejo, California, about 30 miles northeast of San Francisco.

The idea of going to Vallejo with a Kaiser Foundation Health Plan and Hospital resulted from a grassroots invitation from citizens there—a sort of populist request for prepaid medical care. That should come as no surprise. The new medical care program—nicknamed “a Mayo Clinic for the common man” by one writer of the era—had been a hit with workers in the wartime Kaiser Shipyards in nearby Richmond and was getting nationwide media notice.

“I don’t see why this can’t be done everywhere, for everyone,” said one shipyard worker. “This should be for everybody,” added another. “We must organize and demand this not only for us workers but for all their families. It should be for everybody in America.”

Against that backdrop, Kaiser Permanente was invited to town by a tenants’ council of the Vallejo Housing Authority to provide care for residents of eight large wartime public housing dormitories. A doctor was assigned to each dormitory and a clinic was set up within an existing public health service infirmary.

Meanwhile, with the cooperation of local physicians, a citizen’s committee had unraveled wartime bureaucracies to get the government-sponsored Vallejo Community Hospital opened in 1944. It was needed because the Mare Island Naval Shipyard at Vallejo and the nearby Benicia Arsenal ordnance facility had drawn thousands of wartime civilian workers. The city’s few doctors had been swamped by a flood of new patients.

However, with the war ending, the government was no longer willing to support a community hospital. The military-style facility—long, low buildings spread over 30 acres—closed after the war ended in August, leaving thousands of civilian families without medical care.

Before long, the not-for-profit Kaiser Foundation Health Plan needed a full service hospital in Vallejo. So, on April 1, 1947, Kaiser Permanente re-opened the 250-bed Vallejo Community Hospital as its own, having first leased it as surplus property from the Federal Works Agency. Later, it bought the hospital at the site where Kaiser Permanente’s Vallejo Medical Center remains to this day.

“This…marks the beginning of efforts now underway by the Kaiser organization to offer Permanente Foundation facilities to all groups interested in complete prepaid medicine,” the July 1945 announcement read. The existing facilities were those on the Home Front of World War II serving Henry Kaiser’s shipyards and steel mill. They were in Richmond, Oakland, and Fontana in California and in Vancouver in Washington state.

Kaiser Permanente's Oakland Medical Center started with rebuilding of the burned out shell of a former hospital, seen here in 1942 with Dr. Sidney R. Garfield, at right, and Ned Dobbs, liaison between physicians and the architects.

A few days later, Clyde F. Diddle, administrator of the Oakland Medical Center, told the San Francisco Chronicle that the Oakland hospital was being opened to the public under four principles: prepayment, group medical practice, adequate facilities, and “a new medical economy.”

“This ‘new economy,’ strongly opposed in part by some factions favoring the traditional family physician-patient relationship, follows the old Chinese practice of paying the physician while you are well,” the Chronicle said.

Added Diddle, “We offer medical service from nasal spray to surgery—and all under one roof. The important thing is that there are no barriers to early treatment. …Patients are encouraged to come in early…”

The Chronicle article also reported that Henry Kaiser was preparing a proposal for Congress to establish a nationwide system of voluntary prepaid medical care.  This would be the first of many continuing efforts to support Sidney Garfield’s dream of health care for all Americans that have continued to the present day.

These historic events are honored today by the Rosie the Riveter/World War II Home Front National Historical Park in Richmond, which includes historic sites of the wartime medical care program. Notes National Park Service interpretative materials: “Today, prepaid medical care is central to American culture—it is a legacy of the WWII Home Front.”

Forecasts in 1945 projected eventually serving about 25,000 people in Vallejo. Today, the Vallejo Medical Centers serves about 10 times that number in California’s Napa and Solano counties alone. The entire Kaiser Permanente multi-state program serves 8.6 million members.

The “official” date for Kaiser Permanente’s opening to the public became Oct. 1, 1945, but the work got under way in earnest starting in July.

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Rosie park in Richmond not just for Rosies

posted on May 19, 2010

By Ginny McPartland   

World War II changed everything. Women dared to strike out for the first time into a man’s world of work. America’s harbors sprouted hyperactive shipyards, and a burgeoning U.S. heavy industry turned out the steady stream of weapons and vehicles needed to outlast our enemies. “We won the war because we out-produced everyone else,” observed Lucille “Penny” Price, a Richmond, California, shipyard electrician during the war. 

Diverse shipyard workers in class

A grateful American society has been thanking the stereotypical “Rosie the Riveter” for her role in war production ever since the war ended 65 years ago. About 25 percent of the hundreds of thousands of West Coast shipyard workers were women, but the park is really dedicated to all home front workers – welders, electricians, pipe fitters, cleaners, helpers – everyone. 

Telling the “Rosie” stories, as well as chronicling the dramatic societal changes the war spawned, is the mission of the Rosie the Riveter/World War II National Historical Park in Richmond. The park sits on the Richmond waterfront where the wartime Kaiser shipyards were situated. 

Celebrating World War II’s home front legacy 

As the nation marks the 65th anniversary of the war’s end this year, the Rosie park celebrates its 10 years as an institution dedicated to keeping the lessons of World War II from being forgotten. Kaiser Permanente, whose medical care program started in the Kaiser West Coast shipyards in 1945, also celebrates its decade-long association with the park to keep the war’s legacy alive. 

The health plan’s contributions to the park’s mission will be formally recognized on Monday, May 24, when the city of Richmond and the National Park Service present Kaiser Permanente Heritage Resources Director Tom Debley with the 2010 Home Front Award. Debley is being honored for “initiatives to create and support the Rosie the Riveter/World War II Home Front National Historical Park.” 

Ambulances at the ready in Richmond

The powerful synergy of the national park-Kaiser Permanente partnership was highlighted at a recent party to raise funds for the Rosie the Riveter National Park Trust. Debley was guest speaker and gave his talk about the history of health care reform. 

About 150 people attended the annual event in the old cafeteria on the former site of Kaiser Shipyard No.3, raising $38,000 for various trust community projects. These projects include Rosie’s Girls, a summer camp for adolescent girls; restoration of Atchison Village wartime housing, which is on the National Register of Historic Places thanks to work by the Rosie trust. You can find out more about trust projects at http://www.rosietheriveter.org 

The cafeteria, an ugly duckling the day before, was transformed into a lovely swan by Saturday night. NPS Ranger Elizabeth Tucker, along with Rosie Trust dinner co-chairperson Jane Bartke and others, dressed up the place with a couple hundred posters, photos and other war era artifacts. Rosemary Blaylock, a friend of Bartke, collected products and household items that recalled a simpler time before the war. She made up see-through packets that contained wartime candies M&Ms, malt balls, and bite-size York’s Peppermint patties. 

Among the guests at dinner was a sunny Kaiser Permanente President and CEO George Halvorson and his photographer wife Lorie Halvorson; pioneering Permanente physicians Morris Collen and Ed Schoen, who treated shipyard workers; Diane Hedler, director of Quality for the Permanente Federation and Rosie trust board member; Alide Chase, senior vice president of Quality and Safety; Robert Erickson, retired chief counsel for Kaiser Foundation Health Plan and Hospitals; Glen Hentges, chief financial officer for the Permanente Federation; Clair Lisker, retired hospital nursing administrator and educator, her family including her son Wes Lisker a physician at Hayward Medical Center; John August, executive director of the Coalition of Kaiser Permanente Unions; Dianne Dunlap, August’s deputy and member of the Rosie trust board; Holly Potter, vice president, public relations and stakeholder management, Brand Strategy, Communications and Public Relations; Bill Graber, Kaiser Foundation Health Plan and Hospitals Board of Directors member; Richard Reed, senior project manager, Health Plan Process Administration; and Mark Aquino, Patient Care Services. 

Of course, the national park service was well represented by Ranger Betty Soskin Reid, our most celebrated local Rosie who worked in the shipyards and is the oldest ranger in the park system; park Superintendent Martha Lee; Ric Borjes, Chief of Cultural Resources for four Bay area park sites; and Elizabeth Tucker, park ranger and all-around get-things-done person. Other special guests of the night were Bernice Grimes, of Walnut Creek, who was a scaler at the Kaiser shipyards,  Mary Gillum, of Portland, Ore., who was a machinist in an Oregon Kaiser shipyard, and Marian Sousa, a draftswoman in Shipyard #3. 

Rosie Marian Wynn, a wartime pipe welder, Marjorie Hill, a Red Oak Victory volunteer, Amanita Cornejo, a Contra Costa College volunteer, and Marian Sousa helped with set-up and clean-up for the dinner. 

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Climb the gangplank to learn about World War II’s social legacy

posted on March 13, 2010

Photo courtesy of Red Oak Victory

By Ginny McPartland
If you grew up in the Bay Area, or anywhere in America for that matter, you’re missing the boat if you haven’t been out to experience the Red Oak Victory ship docked on the Richmond waterfront. Granted it’s difficult to find, and in fact, you may never have heard of it. Not to worry, most people haven’t yet visited the Rosie the Riveter National Park where the ship is found.

The Red Oak Victory, built in the Kaiser Richmond shipyards in 1944, is a huge hulk of seaworthy steel that embodies a million stories pertinent to our society’s past. The ammunition ship, saved from scrap in 1998 by the Richmond Museum of History, serves as the chief artifact of the home front city’s museum collection. Volunteers have renovated much of the ship, which carried essential cargo for battles in World War II, Korea, and Vietnam. www.ssredoakvictory.com

Richmond, and other Bay Area shipyards, figured fantastically in WWII home front America. The Bay Area was radically changed forever by the phenomenal influx of 200,000 shipyard workers and their families from around the nation. Every type of individual was represented in the newly configured social structure of California.

The legacy of World War II’s sociological impact is fully explored and documented in books and other items in the Red Oak’s museum gift shop. Notable examples are: “To Place Our Deeds” by Shirley Ann Wilson Moore; and “World War II Shipyards by the Bay” by Nicholas A. Veronico.

Red Oak mast

Just a few changes nudged by the war: Women working with men in industrial settings for equal pay; blacks and minorities working with whites for comparable pay; the emergence of professional child care centers; employment for the disabled; and affordable prepaid preventive health care provided by employers.
The medical care program started in the wartime shipyards lives on as Kaiser Permanente and is well documented in Tom Debley’s book “Dr. Sidney R. Garfield: The Visionary Who Turned Sick Care into Health Care,” published in 2009 by Permanente Press.

Changes in the status of women and minorities largely reverted after the war, but the seeds were deeply planted for the civil rights and women’s liberation movements of the 1960s.

Now for my confession: I grew up in Richmond, and I had never seen the shipyards or the Red Oak Victory until recently. My first visit to the floating museum was only a few weeks ago. Bay Area Historian Steve Gilford, a director on the museum board, gave me two tours of Shipyard 3 and the Red Oak. My eyes were opened to the treasure that is preserved in the depths of this honey-combed hunk of war grey welded and riveted steel.

The ship experience starts with a climb up the gangplank, a portable, suspended aluminum staircase to the main deck. From there, you step over the raised rims of the hatchways and navigate steel ladders to the various compartments of the midship house and the deckhouse. Down from the main deck you’ll find the museum, gift shop, and meeting room in a cleaned-up cargo hold.

Industrial mixer for batter

Ship's galley griddle ready for pancakes

One cheery way to introduce yourself to the historic waterfront is to partake of the $6 pancake breakfast offered on the Red Oak Victory once a month from April to October. The first one for 2010 is April 11.

To get to the Red Oak Victory, take I80 to 580 West. Stay on the freeway past the Rosie the Riveter park exit and take Canal Boulevard instead. Follow Canal all the way to the bay and wind your way through the industrial area to Berth 6A.

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Tom Debley to speak about Garfield biography on Red Oak Victory

posted on October 2, 2009
SS Red Oak Victory

SS Red Oak Victory

Heritage Resources Director Tom Debley will speak about his biography of Kaiser Permanente pioneering physician Sidney R. Garfield as part of the Richmond Home Front Festival this Saturday, Oct. 3, at the Rosie the Riveter/World War II Home Front National Historic Park.

Debley, author of Dr. Sidney R. Garfield: the Visionary Who Turned Sick Care into Health Care, begins his talk at noon on the main deck of the SS Red Oak Victory docked at Historic Shipyard No. 3. Debley will focus on the largest civilian medical care program on the World War II Home Front, which was created in the West Coast Kaiser Shipyards.

Also on the main deck of the Red Oak Victory, Bay Area Historian Steve Gilford will discuss why the ship was named after Red Oak, Iowa. Gilford‘s talk begins at 2 p.m. The ship boarding fee is $5 general, $4 seniors and children.

The Red Oak Victory, a World War II vessel, is the only ship built in the Kaiser Shipyards to be restored and maintained as a museum. The SS Red Oak Victory was launched on November 9, 1944, and commissioned as the USS Red Oak Victory in December 1944. The ship saw service in World War II, Korea, and Vietnam and has the distinction of being the only ship operated by both military and civilian personnel during its career.

USO Dance Friday Night

Another special feature of the Home Front festival is a USO dance Friday, Oct. 2, with The Junius Courtney Big Band.  They’ll be playing 1940s music on the Craneway Pavilion stage in the old Ford Assembly building at the end of Harbour Way South in the Richmond park. Tickets are $25 general, $20 for seniors at the door.  Big fun in Richmond from 7 to 10 p.m. for young and old swing dancers.  You can get in free if you come in period attire, wear a military uniform, or show a military ID.

Free shuttles will run at 30-minute intervals around the Rosie park throughout the day-long festival. For more information on the Home Front festival, go to: homefrontfestival.com

–Ginny McPartland

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Richmond Shipyard Workers Suffered Their Own Casualties of War

posted on September 4, 2009

In 1942, eighteen year-old Lucille “Penny” Price joined the shipyard workforce with little idea what lay ahead for her. Read on to hear a poignant account of what those days were like and the daunting challenges Penny faced.

Building warships was a dangerous enterprise. Workers in the Richmond shipyards during World War II learned the hard way how easy it was to be injured when working at a furious speed to fulfill orders for sorely needed war vessels.

Richmond shipyard workers 1943

Richmond shipyard workers 1943

The odd mix of people who converged at the Kaiser shipyards added to the complexity and worry associated with the safety of workers of all levels of skill and socialization. The majority of them had little or no experience building ships.

There were black and white men and women from the agrarian southern states and other parts of the country. There were native San Francisco Bay Area women and men. There were men who had medical conditions that totally disqualified them from serving in uniform (Class 4F). There were handicapped workers.

Risky Business
Injuries minor and major were common. In fact, working in a shipyard was one of the most dangerous jobs in the wartime industries, more risky than the manufacture of tanks, aircraft, and explosives. The shipyards of America reported an average of 33 disabling injuries per million hours worked in 1943. (This compared favorably to the iron and steel foundries whose average accident rate was 40 injuries per million hours worked.) About 700 shipyard workers were killed during 1943 and 1944 in accidents in the nation’s shipyards.*

Some injuries were purely accidental, some were from carelessness, and others were simply vicious.

“It Wasn’t All Beer and Skittles…”
An eighteen-year-old Oakland girl, Lucille “Penny” Price, joined the shipyard workforce in October 1942. She made good money as an electrician and considered the wartime work a great opportunity. She sums up the experience in this casual understatement: “It wasn’t all beer and skittles.”**

Price, an electrician in Yard 3, was almost scared away from the shipyards when she witnessed a fatal accident on her first night of work. A guide was taking a group of new employees, including Price, on an orientation tour when they heard “beep, beep, beep,” the sound of a crane in motion. “The guide was telling us that when you hear that sound you get the heck out of the way and stay away,” Price recalled. But some other workers didn’t heed the warning sound, and as the crane lifted a heavy sheet of steel aboard a ship, one of the cables broke and the load slipped and killed several of them.

“I tell you I was ready to run, and so were the other people in our group of electricians,” she said.

Price was quickly reassigned to the relative safety of the electrical shop to give her time to get over the shock. She stuck it out and by Christmas was wiring C-4 transporters and LSTs (landing ship, tanks) and continued to work in the yards until early 1945. During her tenure there, she would experience many injuries herself.

Threatened by Male Counterparts
Now 84 years old and living in Windsor, Calif., Price recalls the time a “chauvinist” kicked a ladder out from underneath her and caused her to fall over a stack of pipes. The man who made her fall was fined and fired, never to work again in the shipyards. Penny was taken to the shipyard Field Hospital where she was treated for two cracked ribs.

Price also recalls that men also liked to sneak up on her while she was working from a plank stretched across the open deck with six floors below. “They’d make the board vibrate and that scared the hell out of me.”

Male shipyard workers’ poor treatment of their female counterparts was not uncommon. “When women managed to enter jobs that seemed still to be the prerogatives of men, they were sometimes mistreated; “harassed” is the word we would use nowadays,” said Columbia University professor http://www.columbia.edu/cu/history/fac-bios/Kessler-Harris/faculty.html Alice Kessler-Harris in an interview on PBS.

“Men often played tricks on women by sending them for tools that did not exist. Men also sexually harassed women by whistling and cat-calling to them as they worked. Most of the resistance and hostility towards women workers disappeared as the novelty of women workers wore off, the labor shortage got worse, and women proved themselves, according to Susan M. Hartmann, http://history.osu.edu/people/person.cfm?ID=695 author of The Home Front and Beyond: American Women in the 1940s.

Victim of Double Pneumonia—Before the Days of Penicillin
Penny Price was also a victim of double pneumonia that developed after she was caught in a dark corner on the same level as a dozen hostile workmen during an air raid warning drill. Price had been doing some wiring by herself above the shaft alley when the “whoop, whoop” of the siren came and the lights went out. She huddled in a space near a boiler for two hours, shaking with fear as the burly workers made comments like: “Wait ‘til I get my hands on that little chick over there.”

Lucille "Penny" Price 1943

Lucille "Penny" Price 1943

When the drill was over, her leaderman, Charlie Ryder, swooped her up from the spooky pit. She couldn’t stop shivering, so her coworkers gave her coffee to warm her up. “To this day, I can’t stand the smell of coffee with cream in a paper cup.” She “upchucked” the coffee that night at home and returned to work the next day thinking she was fine. But the shaking returned, and she was taken to the field hospital where they took a chest X-ray and diagnosed double pneumonia.

This was in March 1943 before penicillin was available to civilians. At the Oakland hospital where our doctors were perfecting the treatment of pneumonia, she was given a “horrendous” clear liquid (probably horse or rabbit serum) every few hours. That liquid along with oxygen therapy cured her of the mysterious pneumonia.

Penny Price today

Penny Price today

During the war, Permanente physician Morris Collen experimented with the treatment of pneumonia as he managed a large number of shipyard cases. By the end of the war, Collen had published his findings and earned a national reputation as a pneumonia guru. His prestige was such that he was able to get some of the first civilian penicillin in 1944 to save the lives of the 7-year-old daughter of a shipyard worker in Vancouver, Wash., and a young man in a Richmond yard.

Hospital Visits—Much Too Frequent
Throughout her time at the shipyards, Penny Price was injured numerous times and was a frequent visitor to the First Aid Station and the Field Hospital. “I was in and out of the Field Hospital like a yoyo,” she said. She frequently cut herself using a linoleum knife to cut electrical cable. She vividly recalls the inside-out eyelid treatment administered when she got bits of steel mesh from the cable in her eyes. She also recalls that when working around fiberglass she sometimes got particles down her neck that irritated like a thousand flea bites.

Her most serious injury was caused by an accidental explosion that knocked her down from the ship’s superstructure onto the deck below where workers were using acetylene torches to shrink the deck. As a result of the fall, she suffered burns and an injury to her knee when it struck a bolt on the deck. She was burned so badly that she had to return for treatment for nine months before her leg was healed. “I still have scars on my leg to this day,” she said. She returned to work after a short hospital stay wearing a splint on her knee wound.

Price remembers an inspector coming around to urge the workers to follow the Maritime Commission safety rules to avoid injuries. “He’d show us a glass eye and say ‘do you want one of these?’” We’d shudder, and he would say: ‘then, wear your goggles!”

Safety Program Launched in 1943
In 1943, the U.S. Maritime Commission launched a safety program that ultimately reduced the injuries per million hours worked in the shipyards to 23.2 in 1944. “The work of the (commission) was of value in two ways – by allaying fears that working in a shipyard was more dangerous to life and limb than working somewhere else, and by making this true through insistence on a high standard of protection and precaution,” wrote Frederic Lane in his 1951 book Ships for Victory.

*Of the 655 reported private shipyard fatalities in the nation during 1943 and 1944, vehicles or loads striking workers was the second most common type of accident (25 percent) after falls (39 percent). Half of the “strike by” accidents involved cranes.

**’Beer and skittles’ is shorthand for a life of indulgence spent in the pub. Skittles, also known as Ninepins, which was the pre-cursor to ten-pin bowling, has been a popular English pub game since the 17th century. This definition is according to the Phrase Finder, a United Kingdom Web site: www.phrases.org.uk/meanings/230200.html.

– Ginny McPartland

You can watch a lecture about Dr. Sidney R. Garfield’s long quest for health care reform by Tom Debley to the Commonwealth Club of California.

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