Labor analysts say doctors have jumped to the front of the line of healthcare workers forming unions while others in the medical field continue to show interest, including nurses at a hospital in the North Dakota region.

Nurses at the CHI St. Francis Health Breckenridge hospital along the border with Minnesota now have a collective bargaining unit.

Connie Okeson, a registered nurse at the hospital, said she hopes voting to form a union allows her team to illustrate staffing issues. She emphasized they have to fight to make health facilities in smaller towns and cities desirable places to work.

"A lot of new nurses, they're not interested in working in small towns because we don't have all the things they want to do in a hospital," Okeson pointed out. "It's more low-key. But I'm hoping by doing this that we can bring those ancillary services back. And then, maybe more nurses will want to work at St. Francis."

CHI leaders could not be reached for comment. Since coming out of the pandemic, labor organizing in health care has gained a bigger following. Nurses were among those leading the charge, but the Journal of the American Medical Association said the movement has caught on with physicians. Doctors led nearly 30 union drives the past two years, well above yearly averages the past two decades.

St. Francis Breckenridge is a 25-bed critical access hospital serving a handful of communities. Corporate consolidation remains a force within health care and Okeson noted nurses want to be part of the wave giving workers at not-so-big facilities a bigger voice.

"I'm hoping it opens it up for (workers at) other small hospitals to do the same," Okeson stressed.

She added having more input can improve patient care, aiding the reputation of small-town hospitals and making sure they stay on as a key employer for these communities. Negotiations involving her colleagues are expected to begin within the next six to eight weeks.

The United Auto Workers union is negotiating its first union contract with Volkswagen at its Chattanooga plant, covering more than 4,000 members.

The union said its key demands include higher wages, affordable health benefits and retirement protections.

Steve Cochran, co chair of the bargaining committee, said the workers should have the same pay structure as the other automotive groups recognized in contracts with the United Auto Workers.

"Right now, at the end of the Big Three's contract, compared to what we have now is 24% higher," Cochran pointed out. "We're asking for right at about a 24% pay raise over the length of our contract, just to get us equal with the Big Three."

Cochran noted Volkswagen has offered a 16.5% raise over four years, leaving them several percentage points behind the current rates of the Big Three automakers. He added the cost-of-living raises are capped, unlike theirs. The Big Three -- Ford, General Motors and Chrysler -- were the first Southern autoworkers to unionize.

Cochran noted affordable health insurance is a key demand. His family plan costs around $400 a month, totaling $11,000 a year with deductibles and out-of-pocket expenses, an amount he said is unaffordable for many workers. He added some UAW autoworkers have secured fully paid family coverage with low co-pays.

"Some of us have to make a decision based on, 'Am I going to pay for this doctor visit and get this treatment, or am I going to pay my mortgage?'" Cochran observed. "We've had several members take 401(k) loans out, for example, or they may even remortgage your house. We've had several had to file bankruptcy."

Cochran emphasized the company recently eliminated its attendance bonus, which offered 8% of quarterly wages for perfect attendance. However, the strict policy meant even missing a single minute would forfeit the entire bonus.


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A bipartisan nonprofit group in Michigan is opposing pending legislation which would reverse a Michigan Supreme Court ruling, stripping paid sick leave and minimum wage protections, slated to take effect this month.

In 2018, Michigan voters approved initiatives to raise the minimum wage and provide paid sick leave but the GOP-led Legislature amended them in the same session, which the court ruled was unconstitutional.

Michigan's minimum wage is currently slated to rise to $12.48 on Feb. 21 and reach $14.97 by 2028.

Monique Stanton, president and CEO of the Michigan League for Public Policy, stressed how the proposed laws would affect Michiganders, especially low-income residents.

"If you get sick, your child breaks their leg, and you need to take a day or two off from work, you're not able to do so," Stanton pointed out. "That means you're making a choice between taking care of your child or being able to pay your utility bills, or being able to make your rent."

The new proposed legislation sets the minimum wage at $12 an hour this year, with tipped wages at 38% of the regular wage. If it becomes law, some Michigan workers' yearly pay will be reduced by $1,000 to $2,400 in the coming years.

Stanton noted polling data revealed keeping the paid sick leave and minimum wage increase has support from both Republicans and Democrats. She added her group is engaging with Michigan residents, businesses and other organizations to raise awareness and gain support.

"This is an issue that really will help people make ends meet, especially as we're worried about the economy and the costs of prices going up," Stanton stressed. "Both the boost to the minimum wage as well that protection for earned sick time are really essential."

The new bills have passed in the House and are now headed to the Senate. If they become law, the change will take effect on Feb 21.

Pennsylvania lawmakers return to Harrisburg on Monday, facing renewed pressure to address long-standing issues, including improving the economy and education.

Advocates said it is a crucial opportunity to make meaningful progress on many policies.

Gillian Kratzer, deputy director of the advocacy group Better Pennsylvania, said one key priority Democrats are focused on is improving school funding.

"Making sure that we are equipping schools to do the best that they can for every child in every school district," Kratzer emphasized. "Obviously last year, we had the court case that laid out, finally, that Pennsylvania does not have fair funding for schools, which is part of our state constitution."

Kratzer noted her group anticipates Gov. Josh Shapiro's third budget address on Feb. 4. In the last budget, Shapiro made the largest investment in Commonwealth history for K-12 public education, at just over $1 billion.

Medical marijuana is legal in Pennsylvania but not for recreational use. In the face of a budget shortfall, Kratzer acknowledged it will take bipartisan support, especially from the Republican-controlled state Senate, to secure new revenue sources, which could include legalizing recreational marijuana use.

"Something that we will hopefully see get done this year is doing something on recreational marijuana," Kratzer observed. "As a state, we have to find new sources of revenue, because we are either going to have to dip into our rainy day fund or raise taxes."

She added the state minimum wage remains stagnant at $7.25 an hour. A bill to raise it will be reintroduced. And she stressed the need for lawmakers to consider paid family leave, as the U.S. falls behind globally on the family-friendly policy.