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Physicians, unions, and antitrust.

The increasing consolidation of our healthcare delivery systems and the concomitant push for perceived efficiencies, speed, and profits has laid the foundation for a renewed interest in unionization by many physicians. This Article analyzes the barriers to such unionization that are posed by the antitrust laws, and provides an analysis of how to proceed with unionization without violating those laws. The Article also analyzes the current status of physician ability to unionize, and surveys the present status of physician unions.

Antitrust Laws↗

Case study: unionization of a newly acquired satellite practice.

In March 1997, a 24-physician primary care medical group in upstate New York acquired an occupational medicine practice. Shortly after the merger, motivated primarily by job security concerns, the employees of the occupational medicine group voted to unionize for the purpose of collective bargaining. The author--the practice manager for the merged medical group--describes the events that ensued as practice management and union employees struggled toward an agreement.

Decision Making, Organizational↗

The NLRB: its many faces can be deceiving.

Unions are gearing up for a hospital-organizing blitz, say three attorneys. Consequently, hospitals will have to learn to deal with the National Labor Relations Board and its "multiple personalities." The NLRB acts as investigator, grand jury, prosecutor, judge, and executioner, the attorneys warn. In the world of the NLRB, you stand charged without knowing the charges.

Labor Unions↗

"The absence of rigor and the failure of implementation": occupational health and safety in China.

Despite government concern with occupational health and safety (OHS) in China and the promulgation of new laws and regulations in 2002, a lack of rigor and lax implementation are major impediments to improvements in workplace safety. The article highlights important elements from the new Work Safety Law and the Law on the Prevention and Cure of Occupational Diseases, then analyzes key issues arising from bureaucratic excesses, the impact of government restructuring, continuing confusions and contradictions in government responsibility for OHS, and ongoing questions about the official duties and responsibilities of employing units, workers, and the trade union.

Accidents, Occupational↗

Unions rev up health reform engines.

Union leaders have some difficult choices to make. There are a number of proposals for the reform of health care and unions must decide which position they will support.

Health Benefit Plans, Employee↗