In anticipation of the Trump administration's major cuts to Medicaid, the Alameda Health System, which runs public hospitals and clinics throughout the East Bay, is planning to lay off nearly 300 people in January. "I think they're bowing to pressures before those pressures have actually come into play," Reilly Gardine, a clinical dietitian at Wilma Chan Highland Hospital Campus in Oakland, told KQED on Monday. "And I think they're not being creative enough in figuring out alternative ways for funding."