How Iowa City Nurses Fight Our Fight

Whenever I spend time with people in unions, I get a very different picture of what this country looks like.  The political establishment spends a fair amount of time theorizing about messaging and how to effectively market to what appears to be a center right country focused on bread and circus.  And certainly that is one way to look at America, one you can justify with polls and media buys.  But there's another massive country out there, one that is very left-wing and is simply missing the trust to be involved in our politics.  This is a very smart country, with citizens who really know what is going on.  By and large, our voters just don't believe they can make a difference, and so they don't vote.  Unions change that equation quite radically.  It's not just that they raise wages, though they do.  It's that they allow people to find dignity in work, a spiritual connection in cooperating with their coworkers.  Like blogs, actually, unions provide a space for people in a community to come together and organize for the common good.

This is Cathy Glasson, President of SEIU Local 199, talking about how the union in her hospital created that shared space to allow workers to identify common concerns.

Now first of all, Cathy's awesome.  Though you don't get to spend the day with her like I did, you can get a sense of who she is through these video clips.  It's important to get just who are our allies in the progressive movement, and people like Cathy are the key bedrock community leaders that make our politics work.  Here's Cathy introducing herself and her position in the union.

There have historically been two models of unionizing, roughly speaking.  One is trade unionism, which is loosely based on a guild model, and the other is industrial or service unionism, which is roughly based on a class model.  The former maintains an aristocracy of skills, the latter works through scale and collective bargaining strategies.  SEIU falls squarely into the latter camp, and bases its strategies on organizing as many workers as possible.  What unions do, though, is not so much improve workers' wages as convince workers that they themselves can band together and gain dignity as individuals.

Cathy's a great example.  A former conservative Republican, she is an amazing woman and a clear political leader in Iowa City for the union movement.  She is grounded by her work as a nurse and her connections to the community, and she is empowered by her organizing work and the work of those around her.  This is a snippet of our interview in which she talks about her transition into leader willing to tackle power imbalances in her workplace.  
Cathy knew nothing about unions prior to joining one in 1999.  Since she's joined, her attitude about empowerment and worker rights has changed dramatically.  

Local 199 represents health care workers at the public sector academic hospital in Iowa City.  It's called University of Iowa Hospitals and Clinics, and it's one of the largest research hospitals in the country.  The local was chartered in 1999, and the election creating the local happened in 1998.  Every two years, the union elects a bargaining committee which negotiates a contract.  It's a stressful multi-month process that begins with a survey of members and moves to what can be stressful negotiations with the hospital management.  Even after multiple negotiations, the hospital management is still very hostile to union.  I interviewed Cathy today, and she spoke at length about how the union helped her realize her own sense of strength and ability to improve the operation of the hospital.

What Cathy wants, and what most union members want, is to do a good job, to do quality work.  The nurses I spent time with were incredibly frustrated with the budget situation, and their inability to provide excellent care to their patients.  And they saw a union as a way to make change and help hospital management improve care and efficiency.  Cathy was actually activated by a desire to fight for her patients.

Hospital management, even in this public sector unit, didn't see it that way.  The dynamic reminded me of the hostility that a lot of journalists feel towards bloggers, seeing us as competitors rather than as a resource that can improve their work.  The objectives of these nurses was not to hurt management, but to help them do a better job.  And like the smart reporters, smart management will realize that their employees are their greatest resource, and can begin to work collaboratively with them.

This trip with Andy Stern has been eye-opening.  I'm heading to New Hampshire tomorrow, but I expect to find the same thing I'm finding around here.  Unions are engaged not just in a related fight with the same people we are working against, but the same fight.  The reason we came to the blogs - community, dignity, and a shared sense of truth - is the reason that unions work.  

The biggest impediment to freedom is not the government, or even the Bush administration.  It's ourselves.  When we let our government wiretap us, or when we let our employers read our email, we are making it easier for the politically empowered to manipulate us and take away our freedom and that of our children and grandchildren.  And those who want to take our property and our dignity also want to rob our children and grandchildren.  Unions, and blogs, are about standing up for ourselves and saying no to abuse.  They are about moving beyond cynicism to empowerment.  There's a kindred spiritualism here, a real common movement.  Now we just have to figure out how to work together.



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That's **good** news (3.00 / 0)

What a breath of fresh air.  I've gotten so used to the pervasive disrespect unions receive, even on the left, that I almost began to take a reflex opposition to organized labor for granted.

From what little I know, SEIU is a breath of fresh air in an American trade union movement (I use the word deliberately, in your sense) that in many ways had been vitiated by the response to McCarthyism and a narrowed focus on wages and only wages.

I've worked for unions and seen their downside (see, I have cred!) and supported them and seen the promise, and continue to hope for their continued revival.


by Heraclitus on Tue Jan 30, 2007 at 06:31:04 AM EST

What an awesome lady (3.00 / 1)

I like the way she articulates the need for unions.  "We're here to help" should be the union motto.  


by lisadawn82 on Tue Jan 30, 2007 at 07:33:44 AM EST

Solidarity Forever (none / 0)

Don't get me wrong, I'm very supportive of unions and they are definitely allies.  I want more, much more of the workforce unionized.  But your description of the Local 199 seems a little naive, even though everything in your post is true.

I was a Teamster back in the early seventies, working at a soda bottling plant in Milwaukee.  I loaded and unloaded trucks.  The union had been at the plant forever.  The workers' attitude was, "they take 12 bucks a month out of my paycheck and negotiate sweetheart contracts with the management.  But what can you do?"  

The higher-ups in the union definitely had more in common with the company bosses and politicians than with us.  Their kids all went to the same schools, for example, and they all seemed to to play golf and vacation in Florida.

Democracy in the union was a joke.  The last thing the leaders of the local wanted was an invigorated, active membership.

At election time we, of course, all voted for Democrats, since we all knew that Republicans hated workers and wanted to help the company screw us even worse.  But this was just the Milwaukee working class tradition.  Our local did nothing to mobilize or educate us.  It didn't even remind us to vote.

It just kept taking that 12 bucks a month and was happy with that.  In a lot of ways our union reminded me of the D.C. establishment and the consultantocracy Jerome and Markos wrote about in Crashing the Gate.


by kaleidescope on Tue Jan 30, 2007 at 09:47:44 AM EST

Re: Solidarity Forever (3.00 / 1)

I don't think the Teamsters under Hoffa in the early 1970s is the best brush with which to paint all unions toady.

Actually, Iowa has some pretty radical unions. The UE represents a lot of government workers in Iowa (although not the nurses in Iowa city Matt spoke about obviously) and practice rank-and-file unionism. They have a long-standing rule that the head of the union cannot make more than the most highly paid unionized member (currently something like $55,000 a year).

There's bad things in unions, but I think they've hit the low point and realize the old way (meaning 30 years ago!) of doing things are over and it's time for some hardcore organizing again.


by adamterando on Tue Jan 30, 2007 at 10:10:51 AM EST
[ Parent ]

Re: Solidarity Forever (none / 0)

I would never paint all unions with the brush of Hoffa's teamsters.  When I lived in New York, I was very fond of Local 1199 and its radical organizing among health care workers.  Many of the most effective non-celebrity members of the "Sixties Left" quietly made their way into unions and worked at organizing.  They helped bring color and diversity to what had been mostly white male privilege.  Covering some of these stories for Pacifica's WBAI, I remember fondly interviewing a young asian woman working for the ILGWU.  Her job was to bring women and people of color into the union.  In all my years of "progressive" activism I've never met a more honest, effective, devoted and impressive organizer anywhere.  

But I also covered the AFL-CIO's unveiling of their "Union Yes!" campaign and got to interview the higher-ups in the New York AFL-CIO.  They were not bad or scarry men.  They were good Democrats and they obviously had "progressive" positions on many issues near and dear to the working class.  But they were all white, in their mid to late sixties, and didn't seem to have a clue about how to organize the changed workforce.  They had power and they were clinging to it.  Their answer to the decline of union membership -- a snappy Madison Avenue campaign with jingles in English and Spanish and bumper stickers.  To them, the new wave of union activists and organizers were something to resist, or, at best, to put up with.

I may have had this wrong, but my impression was that many of the old guard would rather have the union movement whither than give way to a new generation of leadership that was more reflective of the workforce.  This view was perhaps influenced by my experience in Wisconsin, when the AFL-CIO sat out the 1972 presidential election, refusing to endorse McGovern, and sending the Wisconsin AFL-CIO head to Minnesota to put the Minnesota AFL-CIO into receivership when it looked like the Minnesota AFL-CIO was about to endorse the Democratic candidate for president.  Those old union guys treated anyone advocating a new approach to organizing like they were, well, dirty fucking hippies.

I hope we've come out the other side of that one, and perhaps we have.  But the same process of entrenchment by those in power is still something to watch out for.  How to blunt it or prevent it is something we should be thinking about now, even as we gather for new positive work, as we celebrate new organizing victories, and as we implement new strategies. Bob Shrum, afterall, was once a young, innovative, idealistic political consultant and speechwriter.


by kaleidescope on Tue Jan 30, 2007 at 02:17:51 PM EST
[ Parent ]

Re: How Iowa City Nurses Fight Our Fight (none / 0)

Nurses battle in CA and the example of the Iowa nurses is the health care problem in a nutshell.

The "health care industry" insurance, drug and hospital corporations vs. doctors, nurses and other health care providers.

The "health care industry" is setup to provide as little service as possible and get the most money for doing it.

The doctors and nurses are set up to provide the best medical care possible for the least money.

Best political action for doctors and nurses is legislation setting up doctor/patient ratios and nurse patient/ratios as CA did.  This gets to the heart of a the union negotiation between hospitals and nursing staff.

More and more, I think the best answer for the US is everyone goes on Medicare as a way to provide universal health care.  Trying to create some new system or trying to modify the current system is only going to create some kind of Frankenhealth system.  I hope that's a lesson Hillary Clinton learned in 1993.


by BrionLutz on Tue Jan 30, 2007 at 09:54:39 AM EST

Medicare for all = Kucinich plan (3.00 / 1)

This is what he's been saying for years. I tend to agree that it's the best approach because we've already got tens of millions of citizens who know how Medicare works. They know that they do get to choose their doctors and all the rest. The scare tactics about socialized medicine will not stick as much if it's framed as Medicare for all.


John McCain: 100 years in Iraq "would be fine with me."
by desmoinesdem on Tue Jan 30, 2007 at 10:22:09 AM EST
[ Parent ]

the key: getting more people in unions (3.00 / 1)

You wrote: "Cathy knew nothing about unions prior to joining one in 1999.  Since she's joined, her attitude about empowerment and worker rights has changed dramatically."

This says it all, and it's why progressives should put a very high priority on getting more private-sector employees in labor unions. Once people are in a union they have a different working experience and, crucially, a separate channel of information about labor issues than what the mainstream media provides.

This is the single biggest reason that I decided to support John Edwards for president this time around (I was for Kerry during the last set of primaries). Edwards has been putting his time and energy behind the fight to make it easier for service-industry workers to join unions. We simply must do better on this front.


John McCain: 100 years in Iraq "would be fine with me."
by desmoinesdem on Tue Jan 30, 2007 at 10:21:02 AM EST

Re: How Iowa City Nurses Fight Our Fight (3.00 / 0)

Matt Stoller has seen the light.

I am joking here, but only a little bit.  I went through the same revelation in 2004.  I was a eastern liberal arts college grad, who went directly to DC to work after graduation.  Then I got sick of talking about doing something around the 2004 presidential election. So, I decided to hop on a plane and go back to Pittsburgh to do whatever was needed.  I ended up being hired by the PA SEIU State Council did canvassing along side local janitors, nurses from 1199P and dealt with all of the data they were collecting.  The program was called Heros and that they were.  That was my first introduction to labor and much of my work since has been for union members.

There is so much potential for labor and the netroots to work together and I am thrilled to see so much movement in the last year.


by juls on Tue Jan 30, 2007 at 11:52:45 AM EST

In my sector union does not exist (none / 0)

I am in the tech sector, and unions that serve my sector as you state up here in the SEIU, do not exist.

Programming jobs have gone to india at an alarming rate, and those that haven't are usually filled by people who come over here.

I am Indian (calcutta) and have been able to fend them off but the idea of a union helping me out is so alien I couldn't begin to see the parallel.

What would they do? Could they convince anyone to help improve my position. What would my dues, pay for? To protect my job, they would have to find a way to firewall the internet from companies. This is as far as I can tell, an impossible task.

Also, Matt, it is annoying to have so many youtubes in a single post. I simply could not work through them all. One youtube is fine, but I am not here to watch TV. Are you?


.. and when I win the lottery, gonna donate half my money to the city so they have to name a school or a park after me - camper van beethoven
by heyAnita on Tue Jan 30, 2007 at 12:51:44 PM EST

Re: In my sector union does not exist (none / 0)

You can just scroll down and only watch the ones you want to.  Personally, I enjoyed them all.


by juls on Tue Jan 30, 2007 at 01:11:05 PM EST
[ Parent ]

Re: In my sector union does not exist (none / 0)

Your plight is partially caused by countries like China and India, who do not have free and independent unions, and their governments are not really interested in having effective labor organizations.  That makes it even more attractive to employers.


"And so in the place of the palace of privilege, we seek to build a temple out of faith and hope and charity."-FDR
by jallen on Tue Jan 30, 2007 at 01:42:44 PM EST
[ Parent ]

Re: How Iowa City Nurses Fight Our Fight (none / 0)

When you try to organize a union, the first move the management makes is to bring in an expert on intimidation, a unon-busting, high-priced lawyer who plans the battle against the workers. Think of it. The workers are planning a democratic and legal organization that votes for its representatives and holds meetings. The employers are planning to get rid of employees who want a union and defeat a union election. Democracy or Authoritarian rule.

Employees need a level playing field and it's called card check. This is how it works. Want to join?  Sign up and get a memberhsip card. When a majority of employees sign up, there's your union. There's no time or opportunity for employer intimidation and firings. With card check you don't even have to inform the employer until you have your majority.

When I helped organize our non-profit, we had to keep our meetings secret. Employees were threatened with job loss, reduced health benefits and pay, and were pressured in mandatory meetings. It was very disruptive to staff relations with workers taking sides over a long period of time before the election. People would no longer acknowledge me in public, and some wanted to end our friendship. After we won, the bitterness was still there and the non-profit employer took it's own sweet time meeting with our new union, as provided for in labor law.


by mrobinsong on Wed Jan 31, 2007 at 01:49:27 AM EST

Re: How Iowa City Nurses Fight Our Fight (none / 0)

Thank God for RNs like Cathy who have the right idea. She makes the United Steelworkers Health Care Workers Council look like a high school football team playing in the Superbowl. Keep up the good work and I will try to garner as much support as possible for your efforts. The patient must always come first and the staff who directly care for them come a close second. I never met a patient who asked who the CEO was, they always want to know who their nurse is.


ARDBEGLILY, the only thing better than a single malt is saving a life.
by ardbeglily on Thu Feb 15, 2007 at 09:55:40 PM EST

Re: How Iowa City Nurses Fight Our Fight (none / 0)


ARDBEGLILY, the only thing better than a single malt is saving a life.
by ardbeglily on Thu Feb 15, 2007 at 09:58:22 PM EST

Re: How Iowa City Nurses Fight Our Fight (none / 0)

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by jgalagger on Tue Jun 26, 2007 at 11:56:56 AM EST


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