Like many other contributors to St. Joseph Hospital, I received a letter recently from the president of St. Joseph Hospital, Dr. David O’Brien. The letter is purportedly a response to very specific claims that my union, the California Nurses Association (CNA), has made against St. Joseph Health in general and St. Joseph Hospital in particular. The letter Dr. O’Brien sent is disappointing and filled with generalizations, omissions and unnecessarily accusatory language directed at CNA.