Why Hospital Workers Need Unions

T. Lewis, H. Berliner
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Abstract

As we struggle to lower health care costs in the U.S., it seems that our focus is often misplaced. Much as we try to make health care a technological enterprise, we know at heart it is a human endeavour. While robots might prove to be more adept than surgeons (though in the end they probably won’t), it is people that provide us with hope and compassion and help us get through trying times. In our efforts to make health care less expensive, we neglect the outrageous salaries given to hospital and health care CEO’s and their growing administrative minions but cut the hours of hospital environmental workers who keep us safe from infections; we spend hundreds of millions of dollars on unproven technologies like proton beam scanners while refusing to hire enough nurses to adequately provide care to patients; and we watch safety-net hospitals close and be converted to condo’s while paying millions to bankruptcy lawyers and consultants. While the ACA has been a great mechanism for insuring many more Americans, its intent was not to address the health workforce in any direct manner. It should be noted that while the ACA required that a Commission on Health Workforce be established, to date it has not happened.
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为什么医院工作人员需要工会
当我们努力降低美国的医疗成本时,我们的关注点似乎经常错位。尽管我们努力使医疗保健成为一项技术事业,但我们知道,从本质上讲,这是一项人类的努力。虽然机器人可能被证明比外科医生更熟练(尽管最终它们可能不会),但正是人类给我们带来了希望和同情,帮助我们度过了艰难时期。在我们努力降低医疗保健费用的过程中,我们忽视了给医院和医疗保健首席执行官以及他们越来越多的行政下属的高工资,却减少了保护我们免受感染的医院环境工作者的工作时间;我们在质子束扫描仪等未经证实的技术上花费了数亿美元,却拒绝雇佣足够的护士为病人提供充分的护理;我们看着安全网医院倒闭,被改造成公寓,同时向破产律师和顾问支付数百万美元。虽然ACA是一个为更多美国人提供保险的伟大机制,但它的目的并不是以任何直接的方式解决卫生工作者的问题。应当指出的是,虽然《ACA》要求设立一个卫生人力委员会,但迄今为止还没有这样做。
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