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From the March-April 2009
issue of Union Democracy Review #178
Nurses now for sale, barter and trade By Herman Benson
By combining into a new 150,000-member
national union affiliated with the AFL-CIO, the California Nurses Association,
the United American Nurses, and the Massachusetts Nurses Association seemed
to have taken a giant step toward creating the kind of united force so
many nurse unionists are hoping for. Meanwhile, the move has triggered
a swift and dizzying realignment among the many unions that aspire to
represent registered nurses. Most notable and unexpected is the sudden
love affair between top officials of the Service Employees and the California
Nurses Association. From bitter competition over who shall represent nurses,
they have shifted to an amicable agreement over dividing up the territory.
It was not long ago that the SEIU
denounced the CNA as a union-wrecking enemy and mobilized members to disrupt
public meetings where CNA spokespersons were scheduled to speak. The CNA,
in turn, accused the SEIU of sweetheart dealings with employers and called
upon nurses to vote against it in an NLRB collective bargaining election.
But on March 18, according to The New York Times, the two unions agreed
to conduct a joint campaign to organize big hospitals and split the gains.
Some registered nurses will go to the CNA; other, ancillary, hospital
workers go to the SEIU.
In Nevada, the really big nurse-trading began, leaving
nurses on both sides feeling like bartered chips. Just a few days before,
the SEIU had been under heavy assault from the CNA. In 2007, the CNA ousted
the SEIU as representative of 500 nurses at St. Mary's Center in Reno.
Later it out-polled the SEIU among 1,100 nurses at St. Rose Dominican
Hospital in Las Vegas but failed by only 3 votes to win an NLRB majority
when 26 voted no-union. In the rerun, the SEIU pulled ahead by only 2
votes, 392-390. Meanwhile, the CNA was mounting a strong challenge at
the University Medical Center in Las Vegas where discontent with the SEIU
was rampant. But all that was patched over by the new mutual assistance
pact.
The SEIU agreed to remain neutral during a new NLRB
vote at St. Rose, and so the vote went passively by 409 to 135 for CNA.
In return in Las Vegas, CNA walked away from the 1,300 nurses at University
Medical Center, abandoning its many supporters to the SEIU, and from the
800 nurses at Sunrise Hospital, where it had just begun to campaign. Nurses
who supported the CNA only to be traded over to the SEIU were not simply
disappointed, they were outraged at what they felt was betrayal. The same
was true for SEIU nurses traded over to CNA.
The two unions will organize jointly, nurses going
to the CNA, and ancillary staff to the SEIU. In Florida, the two unions
will create a local of registered nurses that will affiliate to both the
CNA and the SEIU. (There is a precedent for that kind of joint affiliation.
In New York, the 50,000-member Public Employees Federation is jointly
affiliated to both the SEIU and the American Federation of Teachers. That
arrangement seems to have provided some minor moral support for SEIU President
Andy Stern in his takeover of UHW-W, the 150,000-member healthcare local
in California. The PEF president was among the 47 SEIU officers who provided
a PR cover for Stern's drive to trustee that local.)
For Andy Stern, the pact seems to be a realistic recognition
of the growing power of the CNA which is now entrenched in the new 150,000-member
AFL-CIO nurses union. The SEIU is said to represent some 85,000 registered
nurses. By agreeing to turn newly organized nurses over to the CNA, he
has, in effect, abandoned the SEIU imperial claim to monopoly jurisdictional
rights over all healthcare workers ---at least temporarily. For the CNA,
the agreement is public recognition of its growing power and influence
and an opportunity to add even more strength to its 80,000-membership.
One question remains. The CNA itself had just joined
with two big partners in a major new union. Where were the other two when
this pact was negotiated?
A second new union: NFN
Meanwhile, in January, nurses associations in eight
states announced that they had joined together in forming a new independent
union, the National Federation of Nurses. All had been affiliated to the
American Nurses Association as separate collective bargaining units, but
the ANA has lost interest in unionism; it has now reverted to what it
was in 1911 when it was founded - a nonunion professional association
of registered nurses, dominated by management and administrative personnel.
For decades it was hostile to unionism, but in the 1940s, under the pressure
of working hospital staff nurses, it set up separate units in the states
for collective bargaining. But recently, the ANA lost interest in collective
bargaining and completely abandoned the union business. (After a long
nurses strike in Kentucky, the ANA simply dropped the state union from
its rolls.) And so, the state nurses associations in Indiana, Missouri,
Montana, New Jersey, New York, Ohio, Oregon, and Washington found themselves
individually orphaned, abandoned, and subject to raiding by more powerful
rivals in the AFL-CIO and SEIU. In self defense, they joined forces with
the new National Federation of Nurses, that claims to represent 75,000
nurses.
The new union faces the bewildering world of evolving
nurse unionism. The eight unions in the new NFN had all been affiliated
with the United American Nurses, but in December 2007, they seceded and
thereby lost their AFL-CIO connections. Why the split off? At the time,
they seem to have resented the UAN organizational setup and objected to
its cooperative relations with the SEIU. Only 15 months ago, they were
motivated by a dislike of both the UAN and the SEIU; and they left the
AFL-CIO.
Now, in announcing their own new NFN union, they still
refer defensively to the "Threat of SEIU affiliation," but they
want to "become part of the house of labor" and secure "raid
protection" by AFL-CIO affiliation. Their problem is that John Sweeney,
AFL-CIO president, is cold to their application.
The formation of the big new AFL-CIO nurses union
has complicated the plans and hopes of the NFN. The Oregon Nurses Association,
one of the eight NFN founders, writes that "ONA is paying careful
attention to development" and adds very tentatively that "It
is possible that ONA and other state nursing associations will find common
ground with the new organization." That organization, we recall,
includes the United American Nurses, which the Oregon Nurses left in disgust
those few months ago.
The New York State Nurses Association, a prime founder
of the NFN, may face serious disappointment. According to some reports,
officers of NYSNA had been privately working toward rapprochement with
the California Nurses. On the popular theory that an enemy of my enemy
is my friend, such an alliance could offer a protective buffer against
the SEIU. But that hope is being dashed as the California Nurses unites
with the UAN and cultivates close cooperation with the SEIU.
Such is life among nurses unions today. Out of these
puzzling crisscrossing murky events, some things do stand out clearly:
Three big unions have agreed to unite in one powerful nurses union; the
destructive feud between CNA and SEIU has been resolved by a truce, at
least for the moment; eight nurses associations, with a combined membership
of tens of thousands, do see the need for joint action in the house of
labor. In all this, nurses see progress toward the long cherished ideal
of one united union speaking powerfully on behalf of working bedside nurses.
But many nurse unionists have been striving for more
than united unionism; they hope for united democratic unionism. From that
standpoint, these events leave many questions open. Whatever has been
achieved has come suddenly and without warning because everything has
been decided by private deals among top official participants. No one
knows the precise future shape of these new organizations. Only those
who were there at the maneuvering and bargaining can know the reservations
and full motivation of the participants and what they have in mind, if
anything, for preserving the right of nurses to control their own organizations.
Spokespersons for the eight-union new National Federation of Nurses write
that they have been concerned with preserving the autonomous rights of
the affiliates of any new union. I f they are serious in their concern,
it could be a welcome counterbalance to the drive by Andy Stern and others
toward authoritarian centralization in the rising new labor movement.
Recent events in the New York State Nurses Association may give us a hint
of problems ahead.
In NYSNA
The New York State Nurses Association [NYSNA], which
represents some 32,000 staff nurses in the state, was a prime mover in
initiating the new eight-union National Federation of Nurses. Barbara
Crane stepped down as president of its collective bargaining unit to take
over as president of the new union. In assuming her new post, she wrote
that the NFN "will be committed to the autonomy and self-governance
of each of its member nurses' labor organization." The trouble is
that this forthright assertion of autonomous rights for state affiliates
loses some of its glow when compared with the uncertain state of membership
democratic rights within NYSNA itself. An independent caucus within NYSNA,
New York Nurses for Unity, insists that defense of the autonomy of the
state affiliates should be coupled with a clear assertion and practice
of democratic rights for the nurse members within those affiliates.
In December 2007, the NYSNA Board of Directors took
the union out of the United American Nurses, even though in an advisory
referendum its members had voted earlier against disaffiliation. Disciplinary
charges were filed against twenty-three nurses who had campaigned vigorously
to remain in the UAN; the administration denounced them in letters to
the entire membership. But the NYSNA leadership was forced to back down
when three of the designated victims filed suit in federal court. In February
this year, Federal Judge Loretta Preska announced that a settlement had
been reached. Even before the case got to the judge, the disciplinary
charges had been dismissed within the union. But the victims sought recourse
against the continuing campaign of vilification, and that's what they
finally won in court. The critics won the right to express their view
and distribute handbills at the union's 2009 convention. Their caucus
will prepare a 400-word statement of their views to be published in the
NYSNA magazine and on its website. Two of the caucus supporters will participate
on a four-person panel discussion at the convention. NYSNA will reprint
the U.S. Labor Department poster "Union Members Know Your Rights."
Their lawyer will receive a $25,000 fee reimbursement. A clear victory
for democracy, but it required an extended suit in federal court.
At this point, the goal of democratic nurses' unionism
is most explicitly expressed by the New York Nurses United, the independent
caucus within NYSNA. Commenting on the formation of the National Federation
of Nurses, the group's website wrote, "The new union's constitution
has been written and its officers have been appointed without the knowledge
or consent of the membership. Yet our leadership claims this new union
to value democracy, inclusiveness, and transparency as its guiding principle!"
In an appeal for support, they said, "We believe that our organization
must be member driven and function in a democratic transparent manner .Only
then will we be able to fully realize the collective power of our membership."
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