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About Us

Membership

Current Officers

Members of the Governing Board

Brief History of TPMG

History of the RPA

 

Membership

The Retired Physicians' Association is open to physician and podiatrist retirees from The Permanente Medical Group of Northern California, plus honorary members. The RPA began in 1978 and currently has about 1000 members. Members receive the quarterly newsletter, pay a discounted price at the quarterly luncheons, and have full access to this website. The RPA makes a charitable donation to KP's Division of Research in the name of recently deceased members. Membership is free in the first year of retirement, and annual dues are modest thereafter. The RPA is not officially a part of TPMG.

Our aims are:

  •  To remind us of our TPMG heritage

  •  To keep us up to date with happenings within the group and the KP program

  •  To help us keep in touch with each other

  •  To cover issues particularly relevant to retired physicians

Current officers of the RPA: 

The governing board of the RPA includes:

 

Brief History of TPMG

The Permanente Medical Group, consisting of the Northern California physicians and podiatrists who are part of the Kaiser Permanente family, began in 1948 under the leadership of Dr. Sidney Garfield and other founding fathers. The roots of KP go back to Dr. Garfield's collaboration with Henry J. Kaiser to provide pre-paid health care to thousands of workers and their families who came to remote areas of the West to build dams and aqueducts in the 1930s. The concept continued when Mr. Kaiser operated great shipyards along the West Coast during World War II, employing hundreds of thousands. After the war, many of those workers stayed nearby and were glad to participate in a similar health care program. 

Henry J Kaiser at Oak dedication 1942.jpg

At its start, pre-paid managed health care faced bitter opposition from the existing fee-for-service establishment, including the AMA. Those early Permanente physicians often were regarded as socialists, and sometimes were refused admission to medical societies. Things have changed a lot over the years! As of 2014, Kaiser Permanente had almost 18,000 physicians nationwide, of whom about 9,000 are part of TPMG. Permanente physicians have held leadership positions in many medical societies, and have contributed to important discussions at all levels regarding the future of American medical care. 

Learn more at http://www.kaiserpermanentehistory.org/ or see Dr. John Smillie's history of TPMG, “Can Physicians Manage the Quality and Costs of Health Care? The Story of The Permanente Medical Group”. (©2000 The Permanente Federation, LLC / McGraw-Hill Companies)


History of the RPA

By KEN BERNIKER

The following relies largely on an account given in 1990 by Sedgwick Mead, then chairman of the RPA:

The RPA began with a group of pioneers who had joined the struggling PMG enterprise in the late 1940s and early 1950s and were about to dissolve the comradeships of those stirring years as they retired. They thought it unfortunate to go their separate ways and perhaps never see each other again. The person deserving the title of "Founder" is Dr. Irving Lomhoff, formerly radiologist at Oakland and Hayward. In 1977 Irv consulted Executive Director Bruce Sams for permission to send a questionnaire to the new retirees asking if they were interested in a retirement association. Dr. Sams assented and directed his office staff to aid the project in every way.

The following excerpt is from the minutes of the meeting of the Executive Committee of TPMG, dated November 23, 1977: 

  1. The Executive Director has received a request from Dr. Irving Lomhoff, a PMG partner who plans retirement in the near future, for secretarial assistance from the Executive Director's office for purposes of establishing an association of retired PMG physicians. Following discussion, it was moved, seconded and carried to support Dr. Lomhoff in this endeavor. 

  2. It was moved, seconded and carried to extend an invitation to all retired PMG partners to the last general partnership meeting of each fiscal year, as the guests of TPMG."

This may be considered the "enabling" legislation that put us in business. Receiving a positive response from the questionnaire, an organizing committee was established: Drs. Cecil Cutting, Wally Neighbor, Harris Holmboe, and George Stein. Dr. Joseph Sender, then PIC of Oakland and chairman of the TPMG Executive Committee, suggested that retired partners be included with the general partnership at one of the annual meetings.

Dr. Cutting drew up a proposed series of by-laws and, after several organizing meetings, the first meeting of the retired partners was held — prior to the annual meeting of TPMG on June 5, 1978. The retired partners of the RPA were the invited guests to the annual dinner meeting of TPMG for the first time. The practice of inviting retirees to a general partnership meeting annually continued for some years and was considered a very valued means of renewal of friendships between retired and active partners. 

 

Dr. Lomhoff served as chairman until 1984, and thereafter became secretary. In 1980 he sent a letter of appreciation to the PMG Executive Committee, noting RPA’s progress to that date:

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The RPA by-laws stated: "The objectives of the association shall be -

  1. To support the PMG;

  2. To provide a medium through which the retired partners of TPMG may continue to contribute to the strength and success of the entire Kaiser/Permanente Medical Care Program;

  3. To work toward the achieving of benefits of the association members." 

By 1980 RPA membership had increased to seventy-one. There had been three general dinner meetings each year with excellent guest speakers. The practice of inviting spouses and/or guests made for very pleasant social renewal of old friendships and had been one of the aspects of the organization that had been quite successful. 

I would list the accomplishments of the first two years as follows: 

  1. Achievement of the organization of a Retired Partners' Association of TPMG, with its own purpose, objectives and by-laws, and which has been placed on a firm financial basis due to an adequate dues structure. 

  2. Establishment of excellent communications with the Executive Committee of TPMG by means of appointment, by TPMG, of a liaison partner, Dr. Harper Gaston, physician-in-chief at Hayward, and distribution of Executive Committee minutes to the Governing Board of [RPA]. 

  3. Invitations to active RPA members to attend, yearly, the last annual meeting of TPMG. 

  4. Amendments to the by-laws offering honorary membership to nominated lay members of the Kaiser/Permanente organization who have made outstanding contributions over the years. 

  5. Establishment of an excellent rapport with the Comptroller's Office, allowing for the answers to many questions on the part of retired partners. Dr. William Knigge, chairman of the Benefits Committee, has been invaluable in his achievement of our rapport with the Comptroller's Office. 

  6. Issuance of a periodic newsletter, compiled by Dr. Harris Holmboe, and distributed to all members, acquainting them with recent TPMG Executive Committee actions, and other current information about TPMG. 

  7. The establishment of regional representatives to the Governing Board from the various localities, at Dr. Holmboe's suggestion. This was an attempt to expand the activities of RPA throughout our area. 

  8. The wise choice of our secretary-treasurer, Dr. Sedgwick Mead, who has done a monumental job and to whom we are ever grateful. 

It should be stated again that this organization owes a tremendous debt of gratitude to Dr. Bruce Sams, Dr. Joseph Sender, Dr. Harper Gaston and to Miss Laura Wold [executive secretary to Dr. Sams] for their cooperation and encouragement during our first two years, and to KFHP for the improvements in retirement benefits voted in 1979 and for their recent decision to review the question of retirement benefits in 1982, and every three years thereafter. Thus there will be a continuing program of review and potential improvement in the retirement benefits. 

It is my opinion that we have made an excellent start and will continue to grow and be productive and of value to our retired partners and, hopefully, to our entire Kaiser/Permanente Medical Care Program. 

Respectfully submitted, 

Irving I. Lomhoff, M.D.

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In 1986, Dr. Lomhoff wrote to Dr. Sender, “The R.P.A. remains indebted to you for your original invitation to us to meet annually with the TPMG members at your annual meeting. I think it’s one of the best things that have come out of the RPA and it's due to you.” [In 2020 the RPA tried unsuccessfully to determine when and why the invitations to the shareholder meetings stopped. Perhaps the numbers of shareholders + retirees became prohibitive.]



In 1990 at the general shareholder meeting at Hs Lordships restaurant in Berkeley, Dr. Mead was the guest speaker. He stated that the RPA membership was 244, honorary 107. Seventy retired physicians attended. In the 1990s, 80 to 90 usually came to the RPA luncheons. The executive director was a yearly speaker.


The RPA chairmen (later presidents) have been Lomhoff, Mead, Ed and Katy Ferguson, Sender, Fred Barnes, and now Joe Enloe. Newsletter editors have been Holmboe, Katy Ferguson, Tom Snyder, Art Levit, and now Ken Berniker and Ed Martin. Treasurers have been Mead, Don Nesbit, John Igo, and now Kris Steensma. Secretaries have included Mead, Lomhoff, Barnes, Levit, and currently Ed Martin. Ron Bachman has organized the quarterly luncheons since the time when dinosaurs roamed the Earth.  

 
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John Igo recalls, “I joined the board in 1993. A couple [Drs. Ed and Katherine Ferguson] were the president, and were truly running things. She wrote the quarterly newsletter. When there wasn’t enough news about the group, she would reprint pages from a journal she liked about horses. Half or so of the newsletter was equine. Joe Sender, Fred Barnes, Norm Haugen, Al Kahane and Cecil Cutting were the adults and regular attendees. We also had two retired nurse anesthetists on the board from the Oakland OR whom I had known well when I worked at Oakland. Kay Friedman, the widow of a physician, regularly attended. She wrote letters of sympathy to new widows and widowers. And there was Don Nesbit who was a hospital administrator in Oakland, San Francisco, and Martinez. He was the treasurer when I joined but soon managed to dump the job on me. He did it all by hand while I had a computer! The main debate at the meetings was about the other speakers, but some work was done on getting dental coverage for some left-out doctors, federal taxes and insurance for the group. It was a friendly, casual group - fun to be with.”  

Joseph Sender photo from “Health Subcommittee,” Loyola University Chicago Digital Special Collections, accessed March 13, 2020, <http://specialcollections.luc.edu/items/show/499>.

Other photos from KP Historic Archives.

Dr. Mead’s account from “MINUTES OF THE MEETING OF THE GENERAL SHAREHOLDERS MONDAY, JUNE 4, 1990” from KP Historic Archives.

Special thanks to Drs. Joseph Sender and John Igo for their contributions.