Nurses at Champlain Valley Physicians Hospital in Plattsburgh have been working without a contract for two years, and urged hospital administration to come to the table to negotiate.

Members of the New York State Nurses Association at the facility include not only registered nurses, but also pharmacists, physician assistants, nurse practitioners, nutritionists and laboratory staff, among others.

Liz Craigmyle, a registered nurse who works in the emergency room at the hospital, said in the last decade, the nurses' pension, morale among workers, and standards of care at the hospital have been slowly disintegrating.

"We're trying to negotiate a contract that includes safe staffing, fair pay, and the benefits that we currently have continuing," Craigmyle explained. "It's never a good idea to stretch nursing at the bedside so thin. Safe standards exist for a reason."

She pointed out the union fought for high-quality health insurance in its last contract negotiation, but the University of Vermont Health Network, which runs the hospital, is aiming to pull it back. Union members picketed last week to try to put pressure on the administration to start new negotiations.

Craigmyle added the network has imposed restructuring which created issues with nurse-patient ratios, and are filling positions with expensive travel nurses instead of working on recruitment and retention.

"We've been experiencing a brain drain of qualified say three- to five-year intermediate-level nurses," Craigmyle asserted. "And most of that has come from the fact that the administration here continues to fail to entice them to stay by denying them a fair and legal contract and attempting to take away their health care."

Research shows having lower nurse-to-patient ratios makes a big difference for the patients, nurses and hospital. Hospitals with one nurse for every eight patients experience on average five additional deaths per 1,000 patients than hospitals who have one nurse for every four patients.

And the research showed safe staffing reduces turnover, which saves the hospital money. It costs about $82,000 to $88,000 to replace a registered nurse.

Support for programs providing direct cash would benefit families in need in Washington state, a new report showed.

About one in four Washingtonians struggle to meet their basic needs because of low income. The Washington State Budget and Policy Center analyzed two programs currently implemented in the state: the Working Families Tax Credit and Temporary Assistance for Needy Families, and guaranteed basic income, which is being piloted in some parts of the state.

Leila Reynolds, campaign communications manager for the Washington State Budget and Policy Center and the report's co-author, laid out principles to ensure the programs benefit the most people possible.

"Those principles include making sure that cash programs are targeted to people who most need it; that cash is recurring so that people can depend on it," Reynolds outlined. "Usually monthly; that it's unrestricted so that families can use it in whatever way they need."

The Working Families Tax Credit provides rebates up to $1,255 to low and middle income families. The Temporary Assistance for Needy Families program is a federal benefit administered by the state. The Growing Resilience in Tacoma program is one example of a guaranteed basic income program in the state. It received nearly $2 million from the state legislature in 2023.

Reynolds argued restrictions are holding the programs back, such as the 60 month limit for TANF and age restrictions on the Working Families Tax Credit, which keep young adults without children from benefiting. She noted the public benefits system addresses secondary needs like housing and food assistance but doesn't target the core issue of poverty, which is a lack of cash recipients could be used as needed.

"Research has shown that overwhelmingly recipients of cash transfer programs use that money for essential needs, like food, financial emergencies," Reynolds stressed. "We know that these programs work and we just want to make sure that they're expanded."

Reynolds also notes direct cash programs have ripple effects benefiting society.

"You see health impacts," Reynolds observed. "There's been research that's shown increase in brain activity in babies, improved maternal health outcomes, improved educational outcomes, reducing recidivism, improving employment outcomes."


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State officials in Maine said they are working to expand the number of registered apprenticeship programs to help counter a persistent worker shortage.

The state hopes to add 75,000 workers to the economy over the next five years by growing career pathways in clean energy, health care, and construction.

Joan Dolan, director of apprenticeship and strategic partnerships for the Maine Department of Labor, said the number of available programs has doubled over the past few years and all are currently full.

"There is huge interest and huge need," Dolan observed. "We've been working hard for years to expand our programming and it's really started to take hold and take off."

Dolan said 90% of apprentices who complete their programs are still working for their employer a year after graduation. Studies show they'll earn at least $300,000 more over their lifetimes compared to their peers.

The majority of apprentices in Maine are in the construction industry as federal dollars continue to boost the clean energy sector. The state has worked to recruit more women into the trade along with a growing number of new Mainers. Dolan pointed out even high schoolers are taking advantage, including in the town of Skowhegan, where a group of students is earning income and skills through electrical apprenticeships after class.

"We also have developed bank teller apprenticeship programs," Dolan explained. "There's banks right in the school, so the kids are getting high school graduation credit as well as earning a paycheck and learning a job skill."

Dolan stressed apprenticeships offer lucrative career pathways for students not interested in attending college or for the many rural students who simply cannot afford it. She added anyone can become an apprentice as long as they're at least 16 years old and are committed to furthering their education both in the classroom and on the job.


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Ohio is among the many states where a majority of workers lack access to paid family leave. A new report by Groundwork Ohio finds three in four Ohioans are employed in jobs without the possibility of paid family leave. This means many parents of young children face difficult choices between work and family. Even other conservative states, like Florida and Texas, have developed voluntary systems allowing private market benefits.

Lynanne Gutierrez, president and CEO of Groundwork Ohio, said the need for policies that support families and their workforce participation has never been clearer.

"There is currently a mismatch in policy, and the desires of both policymakers and the people of Ohio, when it comes to both the needs of their young children and families and the workforce," she explained.

The report was supported by grant funding from the Annie E. Casey Foundation. While some people may take advantage of accrued vacation or short-term disability benefits, access to these options remains uneven. Nationwide, only about half of full-time employees have short-term disability benefits, and only one in five part-time employees.

The report also highlights the economic and developmental stakes for young children in families without paid leave. Research shows that nearly 23% of new mothers in the U.S. return to work within 10 days of giving birth, driven by financial need and limited options that support newborn care. Gutierrez stresses the impact on childhood development when families lack adequate support.

"We know that one in four children under the age of five across the state of Ohio live in poverty; they're among our most vulnerable. And so, the more support we can get to children and families in that unique period of time really sets a foundation for their lifelong success," she continued.

Ohio is one of 29 states without a state-administered paid family leave law, but public support for a national policy is high. The report says 94% of Democrats, 83% of Independents, and 74% of Republicans favor a federal paid family leave policy.


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