Sumber: Jaringan Berita Sejarah
Perusahaan nirlaba belum tentu merupakan bos yang lebih baik dibandingkan perusahaan yang menghasilkan keuntungan.
Kenyataan menyedihkan tersebut diperkuat oleh pengalaman sekitar 2,200 perawat di Albany Medical Center, yang telah berjuang untuk mendapatkan kontrak sejak April 2018, ketika mereka memilih perwakilan serikat pekerja.
Even that union recognition struggle proved exceptionally difficult. The management at Albany Med―a vast, sprawling enterprise with roughly $2 billion in revenue and 9,500 workers, menjadikannya distrik ibu kota New York pemberi kerja swasta terbesar―fought vigorously to prevent unionization. As a result, tiga kampanye pengorganisasian serikat pekerja conducted between 2000 and 2003 were defeated by very narrow margins.
But worker discontent grew over subsequent years. In April 2009, Albany Med memberi tahu para pekerja that it was eliminating scheduled raises, freezing hiring, cutting vacant positions, and reducing employee time off. This announcement followed a year in which James Barba, the hospital’s president and CEO, received $4.4 million in total compensation. In 2011, Albany Med―hit with a gugatan class action federal charging that its officials had conspired with their counterparts at other area hospitals to keep down the pay of registered nurses―grudgingly agreed to settle its share by providing the aggrieved nurses with $4.5 million. Moreover, perawat mengeluh kekurangan staf, tugas-tugas yang terkomputerisasi sehingga mereka memiliki lebih sedikit waktu untuk merawat pasien, dan gaji yang rendah.
Against this backdrop, the New York State Nurses Association (NYSNA) began waging another union organizing drive in 2015. As the campaign gathered momentum and a union representation election loomed, resistensi manajemen grew ever fiercer. Nurses reported receiving daily emails from administrators discouraging them from voting union, managers pulled nurses aside for on-on-one meetings to question them about how they would vote, pro-union flyers were torn from bulletin boards, and Filipino nurses on work visas were warned that unionizing could jeopardize their immigration status. The situation became such a scandal that, in March 2018, Governor Andrew Cuomo ordered the state Labor Department to investigate complaints of intimidation, threats, and coercion by the Albany Med administration.
Terakhir, pada bulan April 2018, dengan 1,743 perawat memberikan suara dalam pemilihan perwakilan yang diawasi pemerintah, kekuatan pro-serikat pekerja muncul sebagai pemenang dengan perbandingan dua banding satu.
Nevertheless, rather than accept defeat and engage in good-faith collective bargaining, the Albany Med management has adopted a well-established corporate tactic for undermining a fledgling union: denying it a first contract. Thus, more than a year-and-a-half since contract talks began, they appear stalled. NYSNA has not been able to resolve the major issues of concern to the nurses at Albany Med and, as a result, has been unable to deliver on its promises. Seizing the opportunity, anti-union employees, reportedly with the assistance of management at Albany Med, have begun a kampanye petisi untuk mencabut sertifikasi Persatuan.
Meanwhile, NYSNA―anxious to expose Albany Med’s stalling tactics, bring public pressure to bear on management, and maintain union morale―has begun running television ads and staging lively, colorful informational picketing outside Albany Med’s New Scotland Avenue hospital. Hundreds of nurses and supporters from other unions have joined the picket lines.
Masalah utama bagi perawat masih tetap ada staf yang memadai. According to Albany Med’s management, the hospital is short almost 200 nurses, a vacancy rate of about 10 percent. From the standpoint of the nursing staff, this is appalling, both because they are being overworked and because their patients are receiving inadequate care. “You’re afraid to end your shift and go home because there’s just not enough nurses to go around,” declared Kathryn Dupuis, a nurse employed there for 24 years. As a result, she often works overtime. “Bottom line is it’s my conscience. I got into this to help people.”
Other issues are important to the nurses, as well. According to union activists, nursing salaries at Albany Med are lower than at other upstate New York hospitals, while the health insurance plans available to hospital employees are very expensive. Naturally, these conditions interact with the problem of maintaining adequate staffing at Albany Med. “It’s a really great place to work,” salah satu RN berkomentar at a public forum. “But when you have a family and you have to pay a lot for health insurance or your wages barely cover your mortgage, it’s just easier to go someplace else with competitive wages and benefits.”
Yet another issue involves Albany Med’s use of Filipino nurses for what the union charges is “forced labor.” This October, NYSNA filed a gugatan federal alleging that the hospital was violating the labor provisions of the Trafficking Victims Protection Act. The lawsuit focused on an Albany Med program, begun in 2002, that recruited nearly 600 nurses from the Philippines. These nurses, the lawsuit noted, were required to sign a contract including clauses providing for a penalty of up to $20,000 if the recruited nurse resigned before a three year period ended. The lawsuit contends that the contract included a threat that, if a nurse breached the contract, the hospital “would report the nurse to federal immigration authority, which could result in deportation proceedings.”
Albany Med can also bring considerable pressure to bear on the City of Albany. As a nonprofit enterprise, Albany Med bebas pajak, as are other major nonprofit institutions in the city. This means that only 36 percent of the value of Albany real estate is taxable, a situation limiting the revenue available to fund the city’s operations and resulting in considerably higher taxes for the city’s homeowners. As the nonprofits, with their thousands of employees, are major users of city services, the city administration pressed them to make voluntary payments in lieu of taxes. Albany Med initially agreed to pony up $500,000 per year―a pittance for this enormous enterprise, but badly-needed revenue for the city. Even so, Albany Med failed to make this payment in 2017, and skipped it again in 2018. The inconsistent nature of these payments has left the City of Albany a pemohon abadi to the giant medical complex. It might also explain why, just this year, the city administration named jalan di pusat kota setelah James Barba, CEO dan presiden Albany Med.
Albany Med is quite capable of providing safe staffing, decent wages, affordable health insurance, a less punitive approach to immigrant labor, and regular payments to the City of Albany. After all, it is a very wealthy enterprise―in its own words, “organisasi yang luas” that, in addition to its extensive New Scotland Avenue hospital complex, has more than 100 locations throughout the region, including affiliations with other hospitals as well as a network of urgent care and multi-specialty centers. In recent years, Albany Med has spent ratusan juta dolar pada program pembangunan dan perluasan yang sangat besar dan, akibatnya, sekarang memiliki sebagian besar pusat kota Albany.
Akibatnya, meskipun Albany Med tampaknya bertekad untuk melanjutkan kebijakan tradisional anti serikat pekerja, NYSNA akan melancarkan kampanye yang lebih besar untuk mendapatkan kontrak serikat pekerja pertama bagi perawat pusat medis yang dirugikan.
Lawrence Wittner (https://www.lawrenceswittner.com/adalah Profesor Sejarah Emeritus di SUNY / Albany dan penulis Menghadapi Bom(Stanford University Press).
ZNetwork didanai semata-mata melalui kemurahan hati para pembacanya.
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