Why Group Health care providers need a union

South Central Federation of Labor President Kevin Gundlach addresses a rally in support of Group Health workers seeking union representation on Monday, Oct. 13. (Photo by Erik Gunn/Wisconsin Examiner)
On Oct. 13, Group Health Cooperative held what appeared to be its largest membership meeting in at least a decade. Scores of GHC patients filed into the Alliant Energy Center’s Exhibition Hall, packing the meeting room until there were no seats left. They voted unanimously to direct their cooperative to change course and voluntarily recognize GHC workers’ chosen union.
This win was a long time coming for GHC workers like me. We are unionizing for many reasons. Personally, I started working as a family medicine physician at GHC 22 years ago, and was excited about working for a primary care-based, member-owned cooperative that valued clinical staff voices. But GHC has changed. Through my union involvement I’ve come to see that many of my coworkers also face struggles with high turnover and understaffing, unfair pay and discipline and racial inequities. These struggles collectively hurt our ability to provide excellent patient care.
By supporting each other and working together through a union, we can better advocate for ourselves and improve our ability to provide the best patient care. Our input as employees is not only useful, but critical, to making GHC the best it can be.
But since we announced our intention to unionize in December, GHC has waged a relentless union-busting campaign. Following the legal counsel of antiunion law firm Husch Blackwell, administrators have engaged in surveillance and other intimidation tactics, and even used union activity as a factor in discipline. Their actions are under investigation by the National Labor Relations Board. GHC has also consistently parroted legal arguments straight from the Trump administration’s attacks on workers’ rights.
GHC’s most fundamental attack, however, has been on our ability to choose for ourselves what our union looks like. We are creating a union of providers and nursing staff in primary and urgent care and closely related units – basically, the generalists you first see when you get care – since we all share issues in common and would benefit from bargaining together.
But GHC administrators are seeking to forcibly add on workers in specialty care units like optometry and radiology who haven’t even sought collective bargaining. Why? They hope to dilute our Yes votes and make it impossible for us to win a union election. They like to claim that the National Labor Relations Board sides with them, and that these specialty care workers must join with us – but don’t believe it. While the NLRB has said that the employer’s version of our union was feasible, they also said they weren’t offering an opinion on the appropriateness of a primary and urgent care union. GHC is still free to recognize the union we chose.
GHC has also been confused, or is misleading, about what it is we’re asking for. Speaking with Wisconsin Examiner’s Erik Gunn, GHC representative Marty Anderson said “voluntary recognition” wasn’t likely, because they’d want “an NLRB sanctioned and overseen vote.” But voluntary recognition is an NLRB-sanctioned process: all GHC needs to do is tell the NLRB that they recognize our chosen union, either with or without an NLRB-sanctioned card check or secret-ballot demonstration of majority support. That’s voluntary recognition. It would save everyone further time and expense, not to mention cultivate a positive relationship between both parties going forward. We look forward to a collaborative relationship with GHC as we move forward as a union.
Attending the meeting on Oct. 13 and seeing the support from our patients and community was truly heartwarming. It reinforced my decision to become active in our union movement – both for ourselves and for the care that we provide to our dedicated patients. Excellent patient care is at the heart of our union movement.
And GHC patients have made it clear, with a unanimous vote, that they stand shoulder to shoulder with their caregivers. As a cooperative where members stand “at the top of the leadership chart,” GHC’s Board should respect membership’s vote by voluntarily recognizing our union, effective immediately. To do anything else is unthinkable in any cooperative that claims to be democratically run.
To show your support, please send an email to the GHC Board telling them to respect the will of the membership and recognize our union: https://act.seiu.org/a/ghc-board-1.
Nisha Rajagopalan, MD is a family medicine physician at GHC’s Hatchery Hill Clinic.