This week on the Friday Flyover, Steve Scalise and Jim Jordan battle for Speaker of the U.S. House | UAW President Shawn Fain announces 8,700 Ford Kentucky Truck plant workers are joining the strike | Nurses are striking around the nation | Wisconsin Supreme Court judge Janet Protasiewicz stands her ground against GOP goofballs
Oct. 11 – Today, Ford came to the table with the same offer they submitted to us two weeks ago. It was an unacceptable move that triggered a strong and immediate response.
UAW President Shawn Fain and Vice President Chuck Browning called on our 8,700 members at Ford’s extremely profitable Kentucky Truck Plant to Stand Up and strike. Our Local 862 members answered the call and walked out today at 6:30 p.m.
Our Stand Up strategy has won important victories at the table, but we must go further. We will keep increasing the pressure on Ford and all of the Big Three until we’ve won our fair share of the record profits we’ve made at Kentucky Truck and every Big Three plant.
Tune in to Facebook Live this Friday, Oct. 13 at 10 a.m. for more announcements on the status of bargaining at Ford, General Motors and Stellantis.
General Motors last week agreed to include workers at its electric vehicle battery plant in the company’s national contract with the union, which Fain called a “transformative win.”
Fain said the union expects Chrysler parent Stellantis and Ford to follow suit, including battery plant workers in eventual contract agreements.
The UAW has been gradually increasing the strikes since the work stoppages began after the sides failed to reach tentative agreements by Sept 14.
The additional workers brings UAW’s total to about 34,000 U.S. workers, or roughly 23% of UAW members covered by the expired contracts with the Detroit automakers, who are currently on strike.
Fain will give bargaining updates and potentially announce further strikes at 10 a.m. Friday online, the union said Wednesday night.
https://capitolnewsillinois.com/NEWS/nurses-unions-push-for-mandatory-staff-to-patient-ratios
Safe Patients Limit Act would cap the number of patients per registered nurse
By PETER HANCOCK
Capitol News Illinois
SPRINGFIELD – Unions representing nurses in Illinois are pushing for legislation that would impose mandatory staff-to-patient ratios in hospitals, nursing homes and other health care facilities.
But lobby groups representing hospitals and nursing homes say they are steadfastly opposed to the legislation, arguing that a nationwide nursing shortage makes it impossible to comply with such a mandate.
The proposed Safe Patient Limits Act, by Sen. Celina Villanueva and Rep. Theresa Mah, both Chicago Democrats, was introduced in February and was the subject of a joint hearing last week in Chicago by two House committees. It’s an issue that has been discussed in the General Assembly since 2019 but has thus far failed to gain the necessary traction for passage. The latest hearing came just three weeks before lawmakers return to the Capitol for their fall veto session, which begins Oct. 24.
“Short staffing isn't a mere inconvenience. It's a dire issue,” said Shaba Andrich, vice president of nursing homes for the SEIU Healthcare employee union. “It's predominantly a Black and brown issue. In historically marginalized communities of Chicago, these issues are magnified. These communities that already face systemic underinvestment are further deprived of adequate nursing care due to chronic short staffing.”
The bill calls for setting a maximum number of patients that could be assigned to a registered nurse in specified situations. For example, in units with critical care or intensive care patients, the maximum number of patients per nurse would be just one. In units with pediatric patients, the bill would allow three patients per nurse, and in units with psychiatric patients, the bill would allow four patients per nurse.
It also provides some legal protection for nurses, stating that they are to provide their services exclusively in the interest of patients, “unencumbered by the commercial or revenue-generating priorities” of a facility that employs registered professional nurses.
Andrich, testifying before the committee last week, disputed the notion that there is a nursing shortage in Illinois. He said there is only “a shortage of caregivers who are refusing to be overworked and undervalued and underpaid,” and that the result of understaffing has direct consequences for patients.
“Such understaffing isn't merely an operational concern. It translates into real world consequences,” he said. “Seniors enduring falls, malnutrition, missed medication, avoidable hospitalization, and, tragically, avoidable deaths.”
Some of those who testified in favor of the bill accused hospitals and nursing homes of being more concerned about labor costs and profit margins than the best interests of patients.
“We need this legislation because hospitals are incentivized to reduce labor costs. This means less staff,” said Jeanine Johnson, a critical care nurse at Ascension St. Joseph Medical Center in Joliet. “Hospital executives see budgets and labor costs. Nurses see patients and their lives.”
A.J. Wilhelmi, president & CEO of the Illinois Health and Hospital Association, a hospital trade group, said it’s true that health care providers face significant financial pressures, largely because Medicare and Medicaid reimbursement rates have not kept pace with the rising cost of health care. But he said contrary to what the unions claimed, there is a significant and growing nursing shortage in Illinois, and the proposed Safe Patient Limits Act would put even more of a financial burden on providers.
During his testimony, Wilhelmi cited a state survey into the registered nurse workforce that was conducted by the Illinois Nursing Workforce Center – which is a state agency that works to promote the nursing profession. Of the respondents to that survey, 27 percent indicated an intent to retire within the next five years. The IHA interpreted that and other data in the survey to suggest the state could see a shortage of 14,400 registered nurses by 2025.
“I'm deeply concerned that many hospitals in the state, particularly safety net hospitals, critical access hospitals, will be unable to absorb the huge cost that ratios would impose,” he said. “And given the enormous financial pressures that Illinois hospitals already face, if this bill becomes law, they're going to have to make some tough decisions like cutting back services, closing hundreds of beds, and eliminating jobs. And frankly, some of our hospitals might be forced to close.”
Andy Allison, deputy director of the Illinois Department of Healthcare and Family Services, the agency that administers the state’s Medicaid program, suggested that the key to solving the staffing issues in hospitals and nursing homes is to raise wages to make the jobs more attractive.
He noted that last year, lawmakers passed a significant overhaul of the way the state reimburses nursing homes through Medicaid, adding roughly $700 million in the form of incentives to increase wages and hire more staff.
Before those reforms were adopted, he said, Illinois was home to 46 of the 100 worst-staffed nursing homes in the country. As of March 31, he said, that number had dropped to 14.
“We hope that it becomes zero. We have a ways to go,” he said. “But in the last five quarters – that is, through March 31 of this year – in that five-quarter period, total nurse staffing hours statewide are up 15 percent.”
Denise Stiger, an organizer for Teamsters Local 743, which represents health care workers in many Chicago-area facilities, said that money has not solved the problem, and that in some nursing homes, one CNA still could have as many as 20 patients to tend to during their shift.
“We have to deal with the owners because they’re slum lords. That's what they are,” she said. “And I understand that they get cited, and it's public. But these owners are not looking at that. These owners are looking at these patients as money.”
Health care workers at hundreds of Kaiser Permanente hospitals and medical facilities across the U.S. walked off the job on Wednesday morning, in an effort to ramp up pressure on their employer to fix a staffing shortage that has intensified since the start of the COVID-19 pandemic.
Over 75,000 workers — including nurses, emergency department technicians, pharmacists and hundreds of others — went on strike in California, Colorado, Washington, Oregon, Virginia and Washington, D.C.
It is the biggest health care strike in U.S. history, according to the unions.
Kaiser, headquartered in Oakland, California, is one of the largest nonprofit health care providers in the United States, serving nearly 13 million patients. Most Kaiser workers who have walked off the job will be on strike for three days, until Saturday morning — except those in Virginia and Washington D.C., who will be on strike for 24 hours.
Roughly 1,500 essential workers at four hospitals in Los Angeles County kicked off a five-day strike Monday morning to protest what they claim are dangerous working conditions and unfair labor practices by hospital management.
Employees at St. Francis Medical Center in Lynwood walked off the job and picketed outside while nonunion nurses and staff were brought in to keep the hospital open, according to union organizers.
Nurses and other staff at Centinela Hospital Medical Center in Inglewood, Garden Grove Hospital and Medical Center, and Encino Hospital Medical Center are also participating in the strike through Friday.
ST. LOUIS — Nurses at SSM Health St. Louis University Hospital walked off their jobs for a 24-hour strike on Monday, a measure they said was necessary after the hospital failed to address their concerns about short staffing.
Registered nurses union stages 24-hour strike at SSM Health St. Louis University Hospital
Maddi O’Leary, a registered nurse who works in the bone marrow transplant unit, joins other SSM Health St. Louis University Hospital nurses represented by the National Nurses United union in staging a 24-hour strike Monday Sept. 25, 2023, outside the hospital.
Christine Tannous, Post-Dispatch
“We don’t want to be out here,” said Maddi O’Leary, a nurse in the bone marrow transplant unit, who has worked at the hospital for eight years. “We want to be inside taking care of our patients. But we have not been given the resources to do so safely.”
In a statement, SSM said the health system was “deeply disappointed” in the union’s decision to organize a strike. The hospital said workers from nurse staffing agencies would help fill in where needed.
Dozens rallied outside the hospital along South Grand Boulevard Monday, carrying signs and chanting. Nurses described feeling frustrated when they couldn’t provide patients the quality of care they wanted to give because their units are understaffed.
And when patients have to wait longer for care, health care workers receive backlash from them and their family members, they said. Several emergency department nurses said that they’ve noticed an increase in patients after South City Hospital, about 4 miles south, closed in early August following financial troubles.
O’Leary said that while nursing shifts in her unit ideally are staffed by four nurses, lately there have been shifts with only two. That means she can’t take a break because she can’t leave the unit staffed by only one nurse.
“Enough was enough,” she said.
The strike was scheduled to begin at 7 a.m. Monday and end at 6:59 a.m. Tuesday. The nurses gave the hospital 10 days’ notice.
The union, National Nurses United, has represented nurses at the hospital since 2012. Though the nurses have held several protests to pressure SSM to increase staffing levels there, they had never before gone on strike.
The nurses’ labor agreement expired June 15. They have been in negotiations for a new contract since May and claim there has been little movement in bargaining. With the exception of the VA St. Louis Healthcare System, SLU Hospital is the only hospital in the region where nurses are unionized.
SSM accused the California-based nurses union of holding strikes that are “intended to create tension and division within hospitals,” and said the moves are counterproductive to SSM’s efforts to recruit and hire nurses.
After months of threatening that they would consider impeaching liberal Supreme Court Justice Janet Protasiewicz if she weighed in on a lawsuit over the state’s legislative maps, Wisconsin Republican lawmakers have pulled back from the idea.
Republicans began raising impeachment before Protasiewicz was even elected in April, with then-Rep. Dan Knodl (R-Germantown) saying during his special election campaign for an open Senate seat that he would consider impeaching her. In August, Assembly Speaker Robin Vos (R-Rochester) said he would consider impeaching Protasiewicz if she weighed in on the redistricting lawsuit — stating in a radio interview that he believed she had “pre-judged” the case and that could constitute a violation of her oath of office.
Late last week, Protasiewicz ruled against Republican motions requesting that she recuse herself, writing in an opinion that the standard for recusal Republicans were arguing for would be “unworkable.” On the same day, Protasiewicz joined the Court’s three other liberals in voting to accept one of two lawsuits filed against the maps.
As Republicans floated the impeachment possibility, and state Democrats launched a campaign to raise public opinion against it, Vos said he convened a panel of three former Supreme Court justices to weigh in on the idea.
One of those former justices, conservative David Prosser, wrote in an email to Vos on Friday before the court’s decision was released that nothing Protasiewicz had done rose to the level of corrupt conduct in office, which along with criminal acts is the standard for impeachment in the state Constitution.
“In my view, ‘corrupt conduct’ is not a term that is open to a mere political grievance,” Prosser wrote. “If that were the case, legislative bodies could be trading questionable impeachments with considerable frequency.”
“To sum up my views, there should be no effort to impeach Justice Protasiewicz on anything we know now,” he continued. “Impeachment is so serious, severe, and rare that it should not be considered unless the subject has committed a crime, or the subject has committed indisputable ‘corrupt conduct’ while ‘in office.’”
After the Court’s decision was released last week, Vos said in a statement that he believes the U.S. Supreme Court will ultimately weigh in on the issue.
“Justice Protasiewicz should have recused herself. We think the United States Supreme Court precedent compels her recusal, and the United States Supreme Court will have the last word here,” Vos said.
Wisconsin’s impeachment process requires a simple majority vote of the Assembly to impeach and a two-thirds vote of the Senate to convict and remove an official. In addition to Vos’ retreat from the threat, multiple Senate Republicans have stated they don’t support impeachment, meaning there wouldn’t be enough votes in the Senate to remove Protasiewicz.
In an audio recording obtained by the Examiner, a staff member for Sen. Rachel Cabral-Guevara (R-Appleton) told a member of the public that “she does not support impeachment.” Sen. Duey Stroebel (R-Saukville) also told CBS58 he doesn’t support impeachment.
Prior to the Court’s acceptance of the case, concerns had been raised that under Wisconsin’s impeachment statutes, a judge is unable to hear any cases while the Senate is considering conviction — meaning that if the Assembly voted to impeach, the Senate could hold off on a vote in order to delay the case.
With the lack of supermajority support for impeachment in the Senate, state Democrats have called for Vos to drop the threats.
“While it’s long been clear the law wasn’t on the Republicans’ side, they now lack the votes to pursue conviction in the Senate — underscoring how any impeachment in the Assembly would represent an unprecedented abuse of the Wisconsin Constitution,” Democratic Party of Wisconsin spokesperson Joe Oslund said in a statement. “Broken clocks are right twice a day, and now that David Prosser and Duey Stroebel have somehow emerged as voices of reason here, Robin Vos should have no excuse for not knowing what time it is: time to drop his unconstitutional impeachment threats.”
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