Healthcare workers are now serving official notice to Kaiser Permanente that they will strike a second time if there isn’t significant progress in ten days. The Union and Kaiser have been trying to reach a contract agreement for months. The sticking points remain understaffing, overcrowding, pay, and protection from outsourcing. The union says a strike is possible November 1st to November 8th. The Kaiser workers are united within the Coalition of Kaiser Permanente Unions, which is eleven different unions that cover California, Colorado, Washington, Oregon, Virginia, and D.C. Negotiation sessions are scheduled for the end of the week.