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Coronavirus

WALKOUTS AND STRIKES HIT HOSPITALS IN PANDEMIC HOT SPOTS

There have been at least 30 strikes of health care workers so far this year,
according to a tracker from Cornell University’s School of Industrial and Labor
Relations.

Nurses march during a strike protest over safe staffing issues at Montefiore
Hospital in New Rochelle, N.Y. on Dec. 1, 2020. | Mark Lennihan/AP Photo

By DARIUS TAHIR, VICTORIA COLLIVER and ALICE MIRANDA OLLSTEIN

10/20/2021 04:30 AM EDT

Updated: 10/21/2021 01:10 PM EDT

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Hospitals taxed by the pandemic over the last 20 months have a new problem:
Labor strife and a wave of resignations have people waiting longer for care.

Months of marathon shifts, an onslaught of verbal and even physical abuse from
patients and the public, and perennial complaints over low pay and staffing
shortages are stirring unrest at a particularly critical moment in the pandemic.

There have been at least 30 strikes of health care workers so far this year,
according to a tracker from Cornell University’s School of Industrial and Labor
Relations. More than a half million health care workers quit in August, the last
month for which data is available. That’s the most in a single month in more
than 20 years.

The resignations and strikes hit as hospitals are dealing with the Delta
variant, an influx of chronically ill patients who postponed care last year and,
in many states, bracing for the colder months when Covid cases are expected to
rise and flu season grips the nation.

The labor issues also come amid a broader staffing crunch that has forced health
systems in regions hit hard by the Delta variant to rely evermore on expensive
traveling nurses, the National Guard or state officials loosening licensing
requirements to expand the pool of possible staff.

The frustration is translating into organized walkouts across the country.
Thousands of workers are striking in some of the nation’s largest health
systems, from Kaiser Permanente on the west coast to Catholic Health in Buffalo,
N.Y. On Monday, 250 nurses in Chicago’s Community First Medical Center voted to
go on strike.

Multiple employees contacted by POLITICO said health care workers feel like
they’ve gone from “heroes to zeroes” in the eyes of the public, making it harder
to tolerate the underlying stresses of the job.

“It got to the point where seeing signs outside the hospitals — “Heroes Work
Here” — appeared a little hollow,” Denise Duncan, president of United Nurses of
California/Union of Health Care Professionals, told POLITICO. “It’s almost like
it’s been forgotten.”

Health care workers who spoke with POLITICO say they had hoped to capitalize on
the public goodwill they banked at the outset of the health crisis and seize
this moment while demand for their services has never been higher. While they
acknowledge they may incur public scorn for walking off the job in the middle of
the pandemic, they say they have no choice but to exert what leverage they have.

Emergency room nurses speak to each other at the Houston Methodist The Woodlands
Hospital on Aug. 18 in Houston, Texas. | Brandon Bell/Getty Images

Even when they were feted with flyovers and salutes in the depths of the
pandemic, they said they never got the protective equipment they needed. Now, on
top of being burned out from nearly two years of fighting Covid, they’re being
targeted threatened with physical violence.

“We’re drowning here,” said Mike Pineda, a senior transport technician at Sutter
Delta Medical Center in Antioch, Calif., and a steward for the hospital’s
SEIU-UHW union, which recently went on strike, accusing management of
understaffing and fostering a difficult work environment.

“The wear and tear on everyone got to the point where people became frustrated,”
Pineda said. “People would take leaves of absence because [their] body is just
burnt out.”

Many staff members in Antioch — and across the country — say worker shortages
mean it takes longer to admit people from the emergency room, and an increased
risk of infections and accidents as fewer nurses care for more patients.

In the unfolding pandemic, economic crisis and reckoning on race, governors and
mayors are shaping our shared future. Who are the power players, and how are
they driving politics and influencing Washington?

Full coverage »

In a statement, Sutter Health said labor issues were largely avoided across its
system, but acknowledged “longstanding staffing issues.”

The United Nurses of California/Union of Health Care Professionals last week
voted to authorize its 21,000 members to strike at Kaiser Permanente in Southern
California over what they say is low pay and benefits particularly for new
employees

Another 3,400 Kaiser workers in Oregon, members of the Oregon Federation of
Nurses and Healthcare Professionals, also voted to strike over similar concerns.
Negotiations with management are ongoing.

Whether it’s because of low staffing, inadequate pay or workplace conditions,
health care employees, more than ever, are looking to wring concessions from
management.

“From our members, I’ve never heard the word ‘strike’ uttered so many times,
whether they’re covered by a contract or not. Whether they’re in negotiations or
not,” said Jamie Lucas, the Executive Director of the Wisconsin Federation of
Nurses and Health Professionals. “They’re fed up. The reasons have always been
there, but there’s a new realization that they have the upper hand.”

While the vaccine mandates hospitals recently imposed have triggered some
isolated walkouts and strike threats, leaders in the industry say the unrest is
mainly fueled by the way the pandemic has exacerbated unacceptable working
conditions.

“It’s not fair to blame staff shortages on the vaccination requirements,” said
President Randi Weingarten with the American Federation of Teachers, which
represents tens of thousands of health workers around the country. “The lion’s
share of people willingly got their shots. This unrest preceded and predated
Covid and it has to do with terrible pay and working conditions.”

Are vaccine and mask mandates legal?

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Hospital executives acknowledge that staffing issues have been a longstanding
problem that was made exponentially worse by Covid-19, which exposed the
fragility of the health care system. The Biden administration’s promised surge
of federal personnel was far short of what was needed. States that didn't get
staffing help received supplemental funding but couldn't find enough doctors and
health workers to fill gaps at hospitals.

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“We are seeing a record number of resignations in some areas,” said Shereef
Elnahal, the CEO of University Hospital in Newark, N.J., with burnout from
“unprecedented” patient loads and higher wages offered by staffing firms as
factors.

Elnahal said emergency department staffing was particularly hard-hit during the
pandemic and he suspects staffing shortages nationwide are behind the recent
spikes in hospital-acquired infections.

The demand for employees has created what amounts to a bidding war among
hospitals over traveling nurses, with the hospitals paying up to $10,000 a week
to staffing agencies for temporary nurses to fill shifts. That can create the
uncomfortable scenario of employees working side-by-side with temporary workers
who are commanding a higher wage. It can also lead to some permanent staff
leaving their hospital position to become traveling nurses, aggravating the
staffing crisis.

Health care workers and those who represent them say that for most of last year,
they operated in emergency mode, with a just-get-through-it mentality. Covid has
dragged on so long, that those working on the front lines say they can’t take it
any longer.

“You can do anything for a week, but not when it looks like there’s no light at
the end of the tunnel,” said Mark Wietecha, CEO of the Children’s Hospital
Association. “No one thought we’d still be in this place in October of 2021.”

CORRECTION: An earlier version of this report misstated when a union voted to
authorize a strike. The vote took place last week.

* Filed Under:
* Hospitals,
* Health,
* Unions,
* Labor,
* Strikes,
* Coronavirus,
* Pandemic

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