Registered nurses, X-ray technicians, phone operators, janitors and others employed by Kaiser Permanente in California, Oregon, Washington, Colorado, Virginia and Washington, D.C., are voting on whether or not to strike, the Los Angeles Daily News reports.

Kaiser workers have been without a contract since Sept. 30, according to the Service Employees International Union, one of the unions representing Kaiser workers. Talks have been at an impasse since July 12.

Union reps have said the Oakland, California-based healthcare giant does not provide sufficient resources to either its patients or its workers, while its executives are paid exorbitant salaries

If a strike is approved, Kaiser facilities nationwide could be impacted, according to the SEIU. About 80,000 are eligible to cast ballots in a vote that will last through August. If the workers vote to go on strike, a work stoppage would begin in early October.

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