Subject: State of Healthcare, The Myth of "Big Union Wins": LRI INK

May 15, 2025

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When (Healthcare) Unions Promise Far More Than They Deliver

by Kimberly Ricci

Like the rest of the healthcare industry, Kaiser Permanente has been plagued with staffing shortages and budget shortfalls through and beyond the pandemic. This upheaval led to several high-profile strikes against the healthcare consortium, including in 2022, when the longest U.S. strike by mental health staffers ran for 10 weeks in California. That chapter ended with no meaningful results for workers and settled no core grievances, but that didn’t stop a Hawaii-based Kaiser strike from going longer at 172 days.


You would have been correct if you had guessed that the Coalition of Kaiser Permanente Unions would not let that remain the “longest” record for long.


The latest Kaiser strike ends: Last week, Kaiser Permanente and the National Union of Healthcare Workers struck a deal to end a 196-day strike by mental health workers in Southern California. The new contract provides increased time for therapists to handle administrative work between patients, and the workers will receive 20% wage increases over four years.


Was this truly a win? Well, sort of. Reportedly, the union demanded 40% wage increases, which reveals a substantial difference in promises vs. results. And sure, both sides go into negotiations with the expectation of some compromise on demands, but a 20% difference cannot be overlooked. Further, the union groused over how the contract’s new defined benefit pension plan is “not as lucrative as Kaiser’s standard pension plan.” However, the new plan is one that workers will prefer over a traditional 401k.


Sadly, these less-than-stellar union results arrived at the expense of those striking Kaiser workers who picketed every day and then found themselves picking up additional jobs to make ends meet through a needlessly long strike that didn’t bring the results promised by the union.


Also, this still probably won’t be the end of the Kaiser vs. Big Labor saga. Back in 2023, multiple unions claimed to represent the interests of 85,000 frontline workers in several states by putting them on 40-facility-spanning picket lines, and in 2024, the unions waged an open-ended mental health care worker strike in Southern California. What will 2026 bring?


Meanwhile, significant strikes are brewing at other health systems:

  • 1,000 nurses at Wisconsin’s UnityPoint Health Meriter Hospital authorized a strike beginning on May 27. The hospital maintains that it’s offered a wage increase that would take full-time nurses up to an average of $108,900 salary within two years.

  • 1,000+ physician assistants, technologists, and lab workers at Washington’s PeaceHealth Medical Group clinics started a 5-day strike this week. SEIU also delivered a strike notice involving physicians with PeaceHealth declaring that they’ve already put wage increases from 15% to 36% over four years on the table.

As always, we’ll monitor the healthcare industry and how unions pressure hospital systems and threaten strikes that don’t benefit workers or their patients.


Remarkable Leadership Podcast: Wilson On The Four Keys to Unleashing Your Team's Potential

by Michael VanDervort

"If you want different results, you don’t need different tactics—you need different beliefs."


That’s just one of the standout takeaways from Phillip B. Wilson’s conversation with Kevin Eikenberry on the latest episode of the Remarkable Leadership Podcast.


Phil—CEO of LRI Consulting Services, Inc. and author of The Leader-Shift Playbook—joined Kevin to break down the four critical Leader-Shifts that help leaders navigate uncertainty, build trust, and create teams that actually want to follow them (not just comply with them).

  • This episode isn’t about theory—it’s about practical transformation: What beliefs are keeping you stuck?

  • How can you lead with clarity instead of control?

  • Why “approachability” might be your most underrated leadership tool?

Whether you manage a labor relations team or lead on the front lines, this conversation will challenge your thinking and shift how you lead.


🎧 Listen now: Phillip B. Wilson on The Remarkable Leadership Podcast

 

Check Out Our Community for Labor Relations Professionals on empowER™

by Michael VanDervort

empowER™ Labor Relations Content Survey


We want your input!


We’re building our content plan for the Labor Relations Group and would love your thoughts:


  • What topics should we tackle?

  • What tools would make your life easier?

  • What real-world issues are you facing right now?

Please take our quick survey to help shape the resources, conversations, and strategies that will help you.


Take the Survey


Join here for free.


Thanks in advance for sharing your thoughts—we’re listening!


Flatlining: Staffing Chaos, Union Pressure & the Healthcare Wake-Up Call

by Michael VanDervort

What happens when economic pressure meets patient care? Lori King gives us the pulse check.


Phil Wilson sits down with Lori King—a nurse, educator, executive, and labor relations strategist, to discuss the operational storm brewing in healthcare. From staffing ratios to legislative landmines, Lori explains how hospitals navigate a system under pressure and what it takes to keep care teams functioning while balancing budgets and burnout.


This episode explores the real labor issues facing healthcare providers in both union and non-union environments. It also previews the Big Sky Labor and Employment Conference, a space designed not for grandstanding but for practical problem-solving that bridges the labor-management divide.


Key Takeaways

  • Healthcare is a business — and pretending otherwise risks both care quality and workforce stability.

  • Staffing ratios aren’t a silver bullet — Patient needs vary wildly, and blanket rules often do more harm than good.

  • Clinicians need financial literacy — To bridge the management gap, staff must understand the economics of care.

  • Unions vs. management is too simple — The real work happens when both sides sit down and discuss outcomes.

  • Labor relations in healthcare are personal. Lori’s background as a provider gives her a rare, balanced view.

  • Big Sky Labor and Employment Conference = big ideas — The conference brings together leaders from across the aisle to build better systems, not just battle each other.


Free HR Learns Webinar: Unlock Your Leadership Potential with The Leader-Shift Playbook

by Michael VanDervort

A Must-Attend Exclusive Session!


We are excited to highlight an incredible opportunity for leaders, HR professionals, and change-makers looking to transform their approach to leadership. Join Phil Wilson, author of The Leader-Shift Playbook, as he discusses the 4 Simple Changes to Score Big and Unleash Your Team’s Potential, an exclusive HRLearns™ Complimentary Session that promises to deliver practical, game-changing insights you can apply immediately.


Event Details:  May 28, 2025, 1:00 PM – 2:00 PM EDT
Location: Virtual Event
Cost: FREE – Limited Spots Available!


Register Here: HRLearns Event Page


Why You Don't Want to Miss This Event

Leadership isn't about titles or grandstanding; it's about impact, self-belief, trust in others, and the strength of your relationships. This dynamic presentation, rooted in four powerful mindset shifts, will equip you with the tools to foster a culture of growth, collaboration, and success within your team.


Expect insightful storytelling—including lessons from Phil’s personal journey of leadership transformation—and actionable strategies that have been proven to drive real results in today’s evolving workplace.


🔑 Key Takeaways:


Learn to believe in your impact – Understand how your leadership directly shapes success.
Embrace self-confidence – Overcome self-doubt and lead with assurance.
Trust and empower your team – Cultivate an environment of collaboration and support.
Strengthen relationships for long-term success – Build connections that fuel a thriving workplace culture.


Secure Your Spot Today

This complimentary session is part of HRLearns™ Exclusive Complimentary Series, designed to give back to the professional community with high-impact, no-cost development experiences that truly matter. Whether you're an experienced executive or an emerging leader, this event is packed with meaningful insights that will help you elevate your leadership approach and drive positive change.


Registration is completely FREE, but space is limited. Don’t miss out on this unique opportunity to unlock your leadership potential. Reserve your spot now!


Register Here: HRLearns Event Page


Get ready to shift your leadership mindset and build a winning culture—see you there!

Dispelling The Myth Of "Big Wins At The Bargaining Table"

by Kimberly Ricci

Overall, are union “big wins” really wins? Not so much, as illustrated by the Mercatus think tank’s recent working paper by Liya Palagashvili and Revana Sharfuddin.


Together, the authors asked, “Do More Powerful Unions Generate Better Pro-Worker Outcomes?” The answer was a resounding “no,” based upon data they drew from 147 studies on how unions’ pursuit of short-term “collective gains” frequently translates to “slower employment growth, reduced investment, and fewer opportunities for both present and future workers.” As the working paper further clarifies, the deterioration of the Rust Belt is a prime example of how union tactics devastated the manufacturing industry over decades. 


As discussed below, several other industries have recently felt similar pain, frequently from unions “winning” short-term gains, including massive wage boosts that hurt workers in the longer term.


Higher Education: The United Auto Workers’ 2023 University of California strikes forced the school to cut graduate admissions programs and eliminate student-worker positions to make ends meet. Meanwhile, at Philly’s Temple University, increased labor costs meant the university could no longer afford to provide striking grad students with free tuition of at least $20,000 annually.


UPS workers: The last Teamsters contract struggle boosted many drivers’ total compensation and benefits packages up to $170,000 annually, which sounded unsustainable at best. Sure enough, 12,000 jobs disappeared, and more layoffs are now on the way due to tariffs reducing volume. Union chief Sean O’Brien is still insisting that UPS is “in for a hell of a fight” if they don’t conjure up 30,000 new Teamsters jobs.


Food service workers: The SEIU’s California lobbying caused the minimum wage to top $20 for fast-food workers in early 2024. This legislation immediately led to thousands of layoffs, hiring freezes, cutting hours, and eliminating positions as companies leaned into automation to help absorb higher labor costs. This says nothing of the waves of franchise locations that closed their doors, contributing to 10,000+ job losses within six months of the FAST legislation.


Auto workers: UAW President Shawn Fain was happy to crow about “record” wage boosts from 2023’s Big Three contract renewals, which led to "record layoffs" at Stellantis due to higher labor costs. How did Fain react? By acting like he has no idea why companies can’t “double every autoworker’s pay” and still make billions. Those Stellantis layoffs show no sign of slowing, thanks partly to Fain cheerleading for tariffs while continuing to insist, “They’ve got the money.”


Machinists: After a nearly two-month Boeing strike by 30,000+ workers represented by the International Association of Machinists and Aerospace Workers, a new contract included 38% raises. Several months later, the airplane maker had no choice but to cut 10% of its workforce.


That isn’t all. The Mercatus working paper provides further food for thought on the subject of unions pursuing short-term “big” gains at the expense of their members’ job security and the very industries these unions infiltrate.


Stories You May Have Missed


How AI and Intelligent Data Transformed a Major Labor Union

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Employee Rights in Non-Unionized Workplaces: What's the Tea in L&E?

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Albertsons Teamsters drivers authorize strike over self-driving trucks (union site)

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Industry Group Tests Trump Agency Order in Labor Law Revamp Bid

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UFCW President Steps Down, Successor Appointed

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About Labor Relations INK

Labor Relations INK is published weekly and is edited by LRI Consulting Services, Inc. Feel free to pass this newsletter on to anyone you think might enjoy it. New subscribers can sign up by visiting here.


If you use content from this newsletter, please attribute it to Labor Relations Institute and include our website: http://www.LRIonline.com 


Contributing editors for this issue: Greg Kittinger, Michael VanDervort, and Kimberly Ricci.


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About Labor Relations Institute

LRI exists to help our clients thrive and become extraordinary workplaces. We improve the lives of working people by strengthening relationships with their leaders and each other. For over 41 years, LRI has led the labor and employee relations industry, driven by our core values and our proven process, the LRI Way.

 

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