 In fact the California Nurses Association had already reported repeatedly and to no avail that the hospitals were understaffed especially for critical care positions.Kaiser claimed the nurses' complaints were motivated based on Kaiser's plan to reduce their salary and benefits, while the CNA contended they had been complaining for at least 2 years before their labor disagreement came into play.Richmond Medical Center was also censured for sending patients to other hospitals via their own cars and not ambulances, even if they were alone and in labor, as a common practice.