Sunday, November 29, 2020

SUMMER 2020
Across the country, essential workers are on strike for Black lives
Bryce Covert 7/20/2020

Before she got sick with Covid-19, Deatric Edie typically left her house at 5:30 in the morning every day and wouldn’t get home until 1:30 or 2 in the morning, long after her family was asleep. She has worked in fast food her whole life to support her four children and now a grandchild, and even after the pandemic hit she worked several jobs: one at McDonald’s, another at Papa John’s, and a third at Wendy’s.
© Jeffrey Greenberg/Universal Images Group 
Workers in a Miami McDonald’s before the Covid-19 pandemic.

She’s a shift leader at McDonald’s but still makes just $9 an hour, even though she says some of her peers make $11. “Working three jobs, it’s not enough to cover rent, water, and food,” she said. “I still have to find another way to make those ends meet.” Sometimes that means there’s no food in the house. “I would go without eating to make sure my kids eat,” she said.

That was before the pandemic. Now things are even more difficult. She said McDonald’s didn’t provide her with protective equipment or force customers to wear masks. Edie has diabetes and high blood pressure, putting her at higher risk of complications from the coronavirus, but she had to keep working to make sure her family had enough money to pay the rent and buy food. Then one of her co-workers recently got sick. A few days ago she felt very ill herself, struggling to breathe. She tested positive for Covid-19.

“I’m very scared right now. My lights can go off, I can’t pay rent.”


That means she’s now out of work, at home isolating from her family. She’s not getting paid leave from any of her jobs. “I’m very scared right now,” she said. “My lights can go off, I can’t pay rent.”

In response to a request for comment, a McDonald’s representative said in a statement, “McDonald’s enhanced over 50 processes in restaurants. McDonald’s and our franchisees distributed an ample supply of PPE [personal protective equipment] with no supply breaks, including gloves and over 100 million masks, in addition to installing protective barriers in restaurants. We are confident the vast majority of employees are covered with sick pay if they are impacted by COVID-19.”

Being home sick with Covid-19 won’t keep Edie from participating in the Strike for Black Lives, though, which she plans to do over FaceTime. On Monday, tens of thousands of workers from a variety of different lines of work in more than 25 cities will go on strike to demand that the corporations they work for and the government that’s supposed to work for them confront systemic racism.

Fast food workers like Edie will be joined by an enormous swath of the workforce: other low-wage workers like airport employees, rideshare drivers, nursing home caregivers, and domestic workers alongside middle-class teachers and nurses and even high-paid Google engineers. Those who can’t strike the whole day will walk off the job for eight minutes and 46 seconds, the amount of time a white police officer kept his knee on Black Minneapolis resident George Floyd’s neck before he died.

It’s a massive action that will bring together major unions as well as grassroots organizers. The Service Employees International Union, International Brotherhood of Teamsters, and American Federation of Teachers will join forces with the Fight for 15, United Farm Workers, and the National Domestic Workers Alliance. Social justice organizations, such as the Movement for Black Lives, Poor People’s Campaign, and youth climate organizers will also participate. It represents a unique partnership: Labor unions don’t always act in concert, let alone partner with grassroots and social justice groups.

But demand for putting together such an action came from the bottom: Workers who have been activated by the toll of the pandemic and the massive uprisings against racial injustice and police violence across the country. They see these things as inextricable.

“Across the country, people are gaining a new understanding that it is impossible to win economic justice without racial justice. That health care for all, fair immigration policies, and bold action on climate change all require racial justice,” said Mary Kay Henry, president of SEIU. “This is a unique and hopeful moment in our movement’s history, because in organizing this strike with our partners, we found broad acceptance and acclamation that now is the time to take large-scale action to demand that corporations and government do more to dismantle structural racism and protect Black lives. We are all clear that until Black communities can thrive, none of us can.”

Edie says on top of low pay, as a Black woman she’s also had to deal with racism. She sees her ordeal reflected in the struggles of the other workers who will go on strike. “We … are in the same boat,” Edie said. “Because we all are essential workers and we all are fighting for the same things.”

Trece Andrews works on the front lines caring for elderly nursing home residents in Detroit, Michigan. Despite her tenure spanning two decades at the same facility, Andrews makes just over $15 an hour. She notes she’s among the luckier ones at her facility; those who work in housekeeping, dietary services, or laundry make more like $10 an hour. “It’s poverty wages we make here,” she said. She makes so little, in fact, that the nursing home isn’t her only job. She’s also started a caregiving business on the side with three clients. As a single mother, she has to forego healthcare for her daughter because it would cost so much to add her. She pays out of pocket for her shots and annual physicals.

Andrews is now caring for the elderly in the middle of a pandemic that preys on the vulnerable. Nursing homes have been linked to a third of Michigan’s Covid-19 deaths. At first, she said, her facility didn’t give out the proper personal protective equipment, but only distributed it when workers specifically asked for it. Only recently did the facility hand out everything they needed, like masks, gowns, and gloves. And yet there’s a Covid-19 unit at her facility, and some of her co-workers have gotten sick.
“We all are essential workers, and we all are fighting for the same things”

“Anxiety been high for a lot of us,” she said. “People just scared to come to work.”

Her family is also vulnerable. She cares for her father, who has cancer. Her doctor advised her not to go to work, so she took about a month off. But she doesn’t get paid leave, so she eventually went back. “I came on back because you got to have something, money, to survive,” she said. “I just try to distance myself and wear my mask … and protect myself the best I can. But it’s still scary.”

Andrews and her co-workers will be walking off the job on Monday to push for change. “We just want to let people know that we are essential workers, too,” she said. “We been put on the backburner.” They’re demanding better pay, benefits, staffing levels, and safety guidelines.

She sees their fight connected to the larger movement for racial justice. “A lot of my co-workers are Black and brown people,” she said. She herself is Black. “That’s why to us, we relate it to racism. Because we are the ones doing this hard work, but we’re not getting recognized properly.”

Jerome Gage is also a Black worker on the front lines. He’s been a full-time driver for Lyft in Los Angeles for two years. At first he thought he would be able to earn a basic, steady income while fitting in work as he went back to school. And in the beginning he was paid a proportion of his fares. But then the rideshare companies changed their systems, and he now gets paid a flat rate per mile. He found himself having to work at specific times to take advantage of peak hours; if he didn’t, there would be times when he made less than minimum wage. “It’s an incredibly depressing experience sitting at 3, 4 am because I have a bill due Monday I have to pay, hoping to make a couple more bucks in the middle of the night,” he said.

That’s why he got involved in the fight in his state of California not just to pass AB5, a law passed in September that classifies many gig workers as employees, but to continue to fight to protect it as tech companies have lobbied against it. Uber, Lyft, and DoorDash have bankrolled a November ballot measure that would exempt them from the law.

The pandemic has made things more urgent. Demand for rides all but halted as the pandemic hit, which meant Gage went weeks without work. And yet he still hasn’t gotten unemployment benefits despite applying for the benefits Congress extended to nontraditional workers like him.
“We are the ones doing this hard work, but we’re not getting recognized properly”

Then there’s safety. Lyft was “incredibly slow to react to the need for PPE for drivers,” he said. “It was an incredibly scary situation.” In July, he said, he got his first packet from Lyft in the mail with protective equipment in it. “They’ve really been negligent in their effort to make a safe, sanitized driving environment.” And yet, he noted, people who are wary of taking public transportation are turning to Uber and Lyft. The services, he said, “are key to help flatten the curve.”

On Monday, he plans to cover his car in signs and join a caravan that will begin at a McDonald’s and then travel to the Los Angeles Unified School District and the University of Southern California to demand they both stop using police on campus. He noted that a lot of his fellow gig workers are people of color. “These two things are totally related,” he said. He won’t take any rides while he’s out protesting, and he hopes other drivers, even if they don’t join the caravan, will also turn off the app in solidarity. “I think that will send a significant signal to Lyft and Uber,” he said, “that we have the ability to organize.”

Striking workers are making a series of demands: first, that corporations make “an unequivocal” declaration that Black Lives Matter, but also that they raise wages, allow workers to form unions, offer childcare support, and provide healthcare and sick leave. They also want politicians at every level to “use their executive, legislative, and regulatory powers to begin to rewrite the rules and reimagine our economy and democracy so that communities of every race can thrive.”

The movement already has some wins under its belt. When I spoke several days ago to Patricia Parks-Lee, an employee at Loretto Hospital in Illinois, she and her co-workers were planning to time a strike over unfair labor practices with Monday’s action.

They had accused management of failing to bargain in good faith over a new contract since December. Parks-Lee makes $19.50 an hour, and many others among the predominantly Black workforce make less than $15. To get by, Parks-Lee usually works at least one other job at a different hospital as a certified nursing assistant, sometimes three. She said she and her co-workers weren’t just striking for better pay, but for “dignity and respect.”

“If you respect who I am and respect my job, why would you limit my ability to do it?”


But on July 17, before they had to walk off the job, Loretto reached an agreement with workers. Their union, SEIU, said it included “life-changing” wins, such as bringing all workers to at least $15 an hour and raises for others, improved staffing, greater scheduling stability, and immigration protections.

The hospital was short-staffed and under-resourced long before the pandemic. Employees bring clothes in from home for the patients who come in without undergarments or wearing soiled clothing. Then, Parks-Lee said, the hospital rationed personal protective equipment like hand sanitizer and gloves. “If you respect who I am and respect my job, why would you limit my ability to do it by counting out the number of gloves?” she said.

In response to a request for comment, Mark A. Walker, director of community relations at Loretto, called the allegation that workers were not given proper PPE “blatantly not true and unfounded.”

Parks-Lee, who is Black, is a crisis worker in the emergency room at Loretto. That means she is often helping community members most in distress — women fleeing domestic violence, people going without food or shelter. “Whatever the crisis situation presents itself, we try to assist,” she said. Racial injustice impacts not just her and her co-workers, but her patients, too. They are “Black, brown,” lacking in “financial stability,” she said. And yet other hospitals often refuse to accept them and send them on to Loretto instead. “Nobody wants them. But we welcome them,” she said.

That’s the throughline bringing all of these varied workers together: outrage over racial injustice, which impacts pay, benefits, and how Black and brown Americans are treated both inside and outside of work. “It’s not surprising that we’re in this together,” Gage said. “We may have different careers, but we’re all going through the same issues.”

Andrews says seeing so many different workers come together is “awesome.”

“That’s going to show unity,” she said. “It’s going to show that we tired, we’re not playing anymore. We want to be heard.”
SPRING 2020
‘We’re essential workers and we’re hurting right now’: Coronavirus is taking a devastating toll on nursing home employees

By DANIELA ALTIMARI
HARTFORD COURANT |
MAY 17, 2020 

Sean Diaz, wearing his wedding outfit, looks at photos of his late wife, Cassondra Diaz, outside of his family's home Friday in Hartford. Cassondra Diaz, 31, passed away due to COVID-19 complications. She worked at Chelsea Place Care Center as a bookkeeper, and when Sean lost his job due to the economic impact of COVID-19, the couple — who had been married a year — needed Cassondra's income to pay the rent. She is one of at least seven employees of nursing homes in Connecticut to die of COVID-related complications since the virus began its lethal march. (Kassi Jackson / Hartford Courant) (Kassi Jackson / Hartford Courant)


With the coronavirus tearing through the Chelsea Place Care Center in Hartford, Cassondra Diaz was careful to take precautions.

She always wore a mask, even though she worked as a bookkeeper in the front office, not providing direct care to patients. Every night, when she returned home to her New Britain apartment, she sprayed down her shoes with Lysol, removed her clothes and immediately hopped into the shower.

Despite those safeguards, Diaz, 31, contracted the coronavirus in early April and died less than three weeks later. She is one of at least seven nursing home employees in Connecticut to die of COVID-19-related complications since the virus began its lethal march. Many more have fallen ill but survived.

Remembering those in Connecticut that we’ve lost to coronavirus »

The pandemic has taken a devastating toll on doctors, nurses and other medical personnel, who have been hailed as heroes for their work on the front lines.

But it has also brought illness and death to the vital, but less visible, brigade of workers in nursing homes, from nurses and dietary aides to office personnel and housekeepers.


The labor force is overwhelmingly female, and predominantly African American and Latina. Many of the workers are immigrants.

Wages for nonclinical workers are low: unionized employees make an average of $12 to $15 an hour; those who are not part of a union generally earn minimum wage. (Salaries for licensed practical nurses and registered nurses are significantly higher.)

Despite the modest pay, the job has always been physically and emotionally demanding, even before the stress of the current public health crisis.

“These workers were not paid attention to until we hit this disastrous outcome,” said Randy Albelda, a professor of economics and senior research fellow at the Center for Social Policy at the University of Massachusetts Boston. “It’s a labor force that has always been essential, but never thought of as valued.”

Connecticut nursing homes have become hot zones for the virus, with patients accounting for at least 1,927 — or about 60% — of the state’s more than 3,200 COVID-19 deaths.

There has been no official tally of worker deaths. Nursing homes have not released the names of employees who have died, citing privacy concerns.

SEIU 1199, the union that represents about 7,000 workers in 69 skilled nursing facilities across the state, says hundreds of its members have been sickened by the virus and six have died.

The victims include a licensed practical nurse who immigrated from Haiti and lived in Milford, a dietary aide from Hartford who was born in Guyana and a certified nursing assistant from Jamaica who settled in Bloomfield. At least one nonunion nursing home employee has also died of COVID-19 complications.

It is impossible to say with certainty how these workers contracted the virus. But some say they lacked access to N95 masks and other protective equipment.

“We’re just crying out for help right now,” said Tanya Beckford, a certified nursing assistant at the Newington Rapid Recovery Rehab Center. “We didn’t have the proper gear ... we were wearing plastic bags that left our arms exposed.”

Beckford, who is 48 and lives in Manchester, contracted the virus in April and developed pneumonia. Six weeks later, she is fighting exhaustion.

“I get so upset when I hear the word ‘hero’ thrown around,” Beckford said. “They can keep that word, it means nothing to us. We are essential workers and we’re hurting right now."

Matthew Barrett, president and CEO of the Connecticut Association of Health Care Facilities, which represents nursing homes across the state, said allegations of a lack of protective equipment need to be vetted by state regulators.

“We also need to be mindful that guidance from public health officials is complicated and has changed as the highly contagious virus has become better understood, especially in terms of its asymptomatic transmission in and outside of nursing homes,” he said. “Accordingly, we have to keep an open mind that implementation of the government’s guidance can sometimes be misconstrued as violating rules when, in fact, it is really implementation of the rules. This can and should be sorted out in the independent review"

He added: "Connecticut nursing homes agree that an adequate supply of all PPE and its proper use is essential in terms of preventing the further spread of the virus and protecting health care workers.”

‘Always ready'


Miriam Chinwe Kwentoh, a registered nurse at The Willows nursing home in Woodbridge, was devoted and fearless, said her daughter Joy Kwentoh. She died of COVID-19 complications in April.

Miriam Chinwe Kwentoh, a registered nurse at The Willows, a 90-bed facility in Woodbridge, wasn’t afraid to treat patients coming down with the new virus.

“She was always ready to take on anything her job required,” said her daughter, Joy Kwentoh. “She was such a strong lady and she loved her job as a nurse.”

Miriam Kwentoh, 48, had trained in her native Nigeria. A single mother of four, she often worked back-to-back double shifts "just to put a roof over our heads,'' Joy Kwentoh said. “She did everything for us and she never complained one bit.”

For Miriam Kwentoh, nursing home work provided an entree to a “golden lifestyle,” her daughter said. Her skill and hard work paid off: She was able to buy a house in Meriden, a Lexus and other cars and pay her children’s college tuition.

A fashionista with a joyous laugh, she was close to her children, joining them for manicures and cooking them elaborate meals. She talked about opening up a restaurant one day. She was also devoted to her two young grandchildren, Prince and Promise Obodoechina.

In March, Miriam Kwentoh fell ill and wound up in the hospital on a ventilator. On April 16, she was removed from the ventilator — without her family’s consent, they said — and she died.

“She died a super hero, saving lives which she enjoyed doing,” her obituary stated.

'An old soul’


Cassondra Diaz worked as a bookkeeper at Chelsea Place Care Center in Hartford. She was described by her aunt as an "old soul" who had a special connection to the residents of the nursing home.

By April, many nursing home employees were working long hours as caseloads rose and some of their colleagues became ill.

For some, financial necessity played a role. Diaz enjoyed her job at Chelsea Place but she also needed it: Her husband, Sean Diaz, who worked in the service industry, had recently been laid off and she became the primary breadwinner.

She continued to report to work as the number of confirmed cases rose. Her family said she had been provided with adequate personal protective equipment by the nursing home’s management.

Diaz had started at the 234-bed care center in 2019 as a front desk clerk, checking in visitors. When the facility’s bookkeeper went out on maternity leave, she jumped at the opportunity to fill in. She held an associate’s degree in business and was ready for the challenge.

Even though she did not provide direct patient care, Cassondra Diaz forged a strong connection with residents of the facility.

"She was an old soul,” said her aunt, Mary Cristofaro. “She had an understanding of the complexities of people. She was a very compassionate person.”

Judy Konow, the administrator of Chelsea Place, described Diaz as “an extremely kind person” who “was always smiling and willing to help in any way she could.”

Cassondra Diaz comes from a large and close family. She had a tight bond with her younger cousins, hosting “beauty days" where she would style their hair and do their makeup. She also lavished attention on older relatives and was extremely close to her mom, Christine Olejarz.

On April 9, Cassondra Diaz was feeling unwell and left work early. She spent the night at The Hospital of Central Connecticut in New Britain, where she was treated for dehydration and sent home the following day without a coronavirus test.

For a time, her condition improved: She was even able to celebrate her first wedding anniversary with Sean on April 20.

A few days later, she had a telehealth appointment with her physician, who told her she had strep throat and prescribed an antibiotic. She was also given an order for a COVID-19 test.

On the morning of April 29, Cassondra Diaz woke up gasping for breath. Alarmed, her husband called 911.

The medics arrived and, slowly, she made her way down three flights of stairs and out of the house, where a gurney awaited in the driveway to take her to the hospital.

“She saw her husband and she said ‘I love you,’ and then she died,” Cristofaro said. “She passed right there in the driveway.”

The family believes she died of a blood clot, a COVID-19 complication. Her coronavirus test result came back on April 30: it was positive.


Daniela Altimari

Daniela Altimari covers state government and politics at The Courant.

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SEIU

Nursing home workers on strike in fight for better wages, hazard pay, PPE; plan to continue picket line as long as it takes – WLS-TV
Uncategorized / By fiascojob

CHICAGO (WLS) — Some of the local nursing home workers went on strike early Monday morning.

City View Multicare Center in Cicero has had more than 200 COVID-19 cases and 15 deaths according to the Illinois Department of Public Health. Workers have said that they do not feel safe.

“I’m hoping we come to an agreement so we can go back to work and take care of our residents because they’re used to who they’re used to,” said Sade Drake, City View Multicare Center worker.

“We feel like we’re heroes and we want to be treated like heroes. We’re living below the poverty level,” said Shantonia Jackson, certified nursing assistant.

Nearly 700 essential nursing home workers walked off the job at 11 Infinity Health-owned facilities in the Greater Chicago area. They have been without a contract since June.

Nursing assistants, dietary aides and housekeepers in part, have demanded at least a $15 an hour wage, hazard pay for all employees and a sufficient supply of personal protective equipment.

“Hazard pay is not a lot to ask. These people are putting their lives on the line. So I don’t think you can separate the demands. I think that they are all equally justifiable in the situation we’re currently experiencing,” said Erica Bland-Durosinmi, Executive Vice President Executive Healthcare Illinois.

Jackson helps patients there with daily care like bathing and eating, and fears she’ll be the next to contract the virus.

“We get masks that as soon as you put the string on your face, it pops. We don’t get N-95 masks, and that’s what we really need,” she said.

The union said many of their patients support them.

“Family members have been on press conferences with us. They fully support this fight because they wanna make sure their loved ones are receiving the care they deserve,” said Bland-Durosinmi.

Infinity Health has not responded to request for comment.

Workers said they are prepared to strike as long as it takes for better pay and greater protections from COVID-19. They will be back at the picket line Tuesday morning at 6 a.m.


Copyright © 2020 WLS-TV. All Rights Reserved.

Sorgente articolo:
Nursing home workers on strike in fight for better wages, hazard pay, PPE; plan to continue picket line as long as it takes – WLS-TV


Workers go on strike at 11 nursing homes in Illinois, demanding higher wages and COVID-19 pandemic hazard pay

Nov 23, 2020


Nearly 700 nursing home workers went on strike Monday at 11 facilities in Illinois, seeking higher pay and greater protections from the COVID pandemic.

Certified nursing assistants, aides, housekeepers and other workers went on strike at 6 a.m. after failing to reach a contract agreement with the owner of Infinity Healthcare Management of Illinois.

The members of SEIU Healthcare Illinois and Indiana said they were seeking pay of $15.50 an hour for CNAs, and about $15 an hour for housekeepers and other workers, and hazard pay as essential workers during the pandemic. They say it’s similar to terms other workers in the state got after a nursing home strike earlier this year by about 10,000 workers at 100 nursing homes.

Infinity received nearly $13 million in federal aid through the CARES Act this year, and is seeking more, according to the union, part of the Service Employees International Union.

Infinity did not answer repeated phone calls or respond to repeated requests for comment. Nursing home industry officials have said repeatedly that they are hampered by low Medicaid payments, and need public financial aid, protective equipment and testing to get through the coronavirus pandemic.

Illinois lawmakers last year increased Medicaid funding for nursing homes by up to $240 million, and $70 million of that was meant to address staffing needs.

Most of the 11 homes that would be affected by a strike are in the Chicago area. They include City View Multicare Center in Cicero, which had 249 coronavirus cases, and Niles Nursing & Rehabilitation in Niles, which had 54 COVID-related deaths, both among the most at any long-term care facility in the state.

The other homes are Ambassador Nursing & Rehabilitation Center, Continental Nursing & Rehabilitation Center, Lakeview Rehabilitation & Nursing Center, Southpoint Nursing & Rehabilitation Center, all in Chicago, and Oak Lawn Respiratory & Rehabilitation Center, Forest View Rehabilitation in Itasca, Parker Nursing & Rehabilitation Center in Streator, West Suburban Nursing & Rehabilitation in Bloomingdale and Momence Meadows Nursing & Rehabilitation Center.

Most of the workers are Black or Hispanic women. Typically, managers and contract workers attempt to replace the striking nursing home workers. Even with all their employees, nursing homes have chronically been accused of not having enough staff members, and administrators have said it’s especially hard to find enough workers during the pandemic, when some are sick or afraid to work.


Nearly 700 nursing home workers walk off job, begin strike in fight for better wages, hazard pay, PPE


Nursing assistants, dietary aides and housekeepers are among those demanding better pay and protection.

CHICAGO (WLS) -- Some of the local nursing home workers went on strike early Monday morning.

City View Multicare Center in Cicero has had more than 200 COVID-19 cases and 15 deaths according to the Illinois Department of Public Health. Workers have said that they do not feel safe.

"I'm hoping we come to an agreement so we can go back to work and take care of our residents because they're used to who they're used to," said Sade Drake, City View Multicare Center worker.

"We feel like we're heroes and we want to be treated like heroes. We're living below the poverty level," said Shantonia Jackson, certified nursing assistant.

Nearly 700 essential nursing home workers walked off the job at 11 Infinity Health-owned facilities in the Greater Chicago area. They have been without a contract since June.

Nursing assistants, dietary aides and housekeepers in part, have demanded at least a $15 an hour wage, hazard pay for all employees and a sufficient supply of personal protective equipment.

"Hazard pay is not a lot to ask. These people are putting their lives on the line. So I don't think you can separate the demands. I think that they are all equally justifiable in the situation we're currently experiencing," said Erica Bland-Durosinmi, Executive Vice President Executive Healthcare Illinois.

Jackson helps patients there with daily care like bathing and eating, and fears she'll be the next to contract the virus.



"We get masks that as soon as you put the string on your face, it pops. We don't get N-95 masks, and that's what we really need," she said.

The union said many of their patients support them.

"Family members have been on press conferences with us. They fully support this fight because they wanna make sure their loved ones are receiving the care they deserve," said Bland-Durosinmi.

Infinity Health has not responded to request for comment.

Workers said they are prepared to strike as long as it takes for better pay and greater protections from COVID-19. They will be back at the picket line Tuesday morning at 6 a.m.


Workers go on strike at 11 nursing homes in Illinois, demanding higher wages and COVID-19 pandemic hazard pay

By ROBERT MCCOPPIN
CHICAGO TRIBUNE 
NOV 23, 2020 


1 / 10
Dwayne Knox left, pickets with SEIU Healthcare Illinois workers at Oak Lawn Respiratory and Rehabilitation Center in Oak Lawn on Nov. 23, 2020. (Zbigniew Bzdak / Chicago Tribune)


Nearly 700 nursing home workers went on strike Monday at 11 facilities in Illinois, seeking higher pay and greater protections from the COVID-19 pandemic.

Certified nursing assistants (CNAs), aides, housekeepers and other workers went on strike at 6 a.m. after failing to reach a contract agreement with the owner of Infinity Healthcare Management of Illinois.

The members of SEIU Healthcare Illinois and Indiana said they were seeking pay of $15.50 an hour for CNAs, and about $15 an hour for housekeepers and other workers, and hazard pay as essential workers during the pandemic. They say it’s similar to terms other workers in the state got after a nursing home strike earlier this year by about 10,000 workers at 100 nursing homes.

Infinity received nearly $13 million in federal coronavirus relief aid this year and is seeking more, according to the union, part of the Service Employees International Union.


Infinity did not answer repeated phone calls or respond to repeated requests for comment. Nursing home industry officials have said repeatedly that they are hampered by low Medicaid payments, and need public financial aid, protective equipment and testing to get through the coronavirus pandemic.

Illinois lawmakers last year increased Medicaid funding for nursing homes by up to $240 million, and $70 million of that was meant to address staffing needs.

Most of the 11 homes that would be affected by a strike are in the Chicago area. They include City View Multicare Center in Cicero, which had 249 coronavirus cases, and Niles Nursing & Rehabilitation in Niles, which had 54 COVID-19-related deaths, both among the most at any long-term care facility in the state.

The other homes are Ambassador Nursing & Rehabilitation Center, Continental Nursing & Rehabilitation Center, Lakeview Rehabilitation & Nursing Center, Southpoint Nursing & Rehabilitation Center, all in Chicago, and Oak Lawn Respiratory & Rehabilitation Center, Forest View Rehabilitation in Itasca, Parker Nursing & Rehabilitation Center in Streator, West Suburban Nursing & Rehabilitation in Bloomingdale and Momence Meadows Nursing & Rehabilitation Center.


Most of the workers are Black or Hispanic women. Typically, managers and contract workers attempt to replace the striking nursing home workers. Even with all their employees, nursing homes have chronically been accused of not having enough staff members, and administrators have said it’s especially hard to find enough workers during the pandemic, when some are sick or afraid to work.


About two-thirds of Infinity workers said they had to work a second job to make ends meet, which increases the risk of exposure to COVID-19, while some workers left for higher pay elsewhere, leaving the homes short-staffed, union officials said. They said testing for COVID-19 at Infinity is inconsistent with slow results.

“We are striking for our lives, to protect ourselves and our families and to stand up for our residents,” CNA Shantonia Jackson said at news conference on the picket line in Cicero.

A strike was averted in May when the Illinois Association of Health Care Facilities granted pay raises and $2 an hour hazard pay to about 10,000 SEIU workers at more than 100 homes.

AARP was not involved in these disputes, but AARP Illinois State Director Bob Gallo said his organization was saddened that vulnerable nursing home residents are caught up in a dispute that threatens their safety during the pandemic.

“As an organization dedicated to advocating on behalf of older adults and their families,” Gallo said, “AARP hopes a quick resolution can be found that prioritizes the quality of life, health and safety of nursing home residents and the nursing home staff at a time when they need us the most.”

Chicago nursing home workers launch strike against poverty wages, lack of protection from COVID-19

Alexander Fangmann WSWS
24 November 2020


Nearly 700 nursing home workers went on strike Monday morning at 11 of 13 facilities operated by Illinois-based Infinity Healthcare Management, predominantly located in the Chicago metropolitan region. The workers, who include certified nursing assistants (CNAs) as well as those doing crucial laundry and housekeeping, are demanding an increase to their wages, as well as hazard pay in recognition of the dangerous conditions prevailing in nursing homes and other long-term care facilities (LTCFs) as a result of the COVID-19 pandemic.

Workers are also demanding adequate personal protective equipment and improved staffing, with many overstretched workloads substantially worsened as nursing home staff themselves fall ill or have to quarantine.
Infinity Health Care workers at Niles Nursing & Rehabilitation (Credit: WSWS)

Workers who spoke to the World Socialist Web Site said they are currently paid around $13 per hour and are demanding raises of about $2 per hour. This would bring CNAs up to a starting pay of $15.50 across the state, still a poverty wage and barely above Chicago’s minimum, which is set to rise to $15 in 2021. Pay for non-CNA workers would rise to $14.50 outside of Chicago and $15 at facilities located in Chicago.

According to the SEIU Healthcare Illinois-Indiana union, Infinity management has refused to bring worker pay in line with the paltry increases the union negotiated earlier at 100 facilities with about 10,000 workers. In a conference call with workers Sunday, Shaba Andrich, the union’s vice president for nursing homes, said that Infinity is offering only a $15.15 starting wage for new CNAs, a $0.25 per hour raise for those making above that, and a yearly raise of only $0.10 per hour.

Striking workers should take warning: While posturing as fighting for low-wage workers, the SEIU has over many years perfected the art of negotiating sellout contracts for its highly exploited members, tamping down worker militancy and enforcing management’s demands. In order to conduct a real fight to secure both their needs and those they care for, striking workers should take the struggle out of the hands of SEIU and move to elect rank-and-file strike committees, democratically controlled by workers themselves.

Conditions in long-term care facilities, which were often grim even before the pandemic, have become truly horrific. Half of those who have died from COVID-19 in Illinois, 5,782, were residents at LCTFs. According to figures from the Illinois Department of Public Health (IDPH) website, there have been at least 181 COVID-19-related deaths at Infinity’s 13 facilities, and at least 1,401 positive cases. Nine of the facilities are listed as having currently open outbreaks.

One facility in particular, Niles Nursing and Rehabilitation, accounted for 54 deaths, more than any other LTCF in Illinois, and workers said at least 30 staff members contracted COVID-19. Another, the City View Multicare Center in the Chicago suburb of Cicero, registered 249 cases and 15 deaths. One of two Infinity facilities not on strike, Belhaven Nursing and Rehabilitation Center, has an open outbreak with 101 cases and nine deaths so far.

Despite the well-known and life-threatening danger to both staff and residents, workers at Infinity are not provided with adequate PPE, with one worker, Jackie Abdulebdeh, telling the Chicago Sun-Times she is only given one mask per workday.

Workers are angry that Infinity received $12.7 million in federal aid through the CARES Act and is looking for more, even as it forces workers to live in poverty and does the bare minimum to protect them from COVID-19.

Clear data on deaths among nursing home workers has been difficult to determine, similar to the situation in virtually every other work sector, with the Occupational Health and Safety Administration (OSHA) under Trump refusing to maintain any central figures or do anything to protect workers. According to a CNN report from July 23, one government estimate put the figure at “more than 600 workers at around 400 facilities.” In all likelihood this is a vast undercount of the deadly toll the virus is taking on workers.

Even with the dire conditions at these facilities and the evident militancy of many workers in fighting not only for themselves but for better conditions for their residents, SEIU’s conference call with its members Sunday indicated many were skeptical about whether undertaking a strike led by the union is worth the lost pay, and whether they will be protected by SEIU if they are singled out by the company. Workers will receive just $50 per day in strike pay, even less per hour than they currently make, and only if they show up for four hours of picketing.

SEIU’s Andrich repeated the union’s mantra, “It would have been better to get a contract without a strike,” evidently wishing that Infinity had just gone along with the deal SEIU worked out in May with the Illinois Association of Health Care Facilities (IAHCF). In that struggle, despite having secured a strike vote by a wide margin, SEIU rammed through a contract that left workers without adequate PPE and with base wages that would not allow them to afford a one-bedroom apartment. The agreement provided for only $2 per hour in COVID-19 hazard pay and just five extra sick days for workers who contract the disease.

As anger has mounted among health care and other low-wage workers in the face of intolerable and life-threatening working conditions, SEIU has worked to sabotage one struggle after another in recent months. In June, SEIU Local 1000 agreed to an over 11 percent pay cut for 96,000 state government workers in California, including nurses. In the Twin Cities, SEIU Healthcare Minnesota canceled a two-day strike in September at Allina Health after being threatened with legal action, and in October SEIU ended a five-day strike at Alameda Health System without a contract.

Closely tied to the Democratic Party, the SEIU has promoted the lie that Democrats are fighting on workers’ behalf, with Andrich even claiming that Illinois’ billionaire Governor J.B. Pritzker and other politicians are “with us.” The reality is that Pritzker has enforced the demands of the corporations to continue production at non-essential manufacturing facilities during the pandemic just as much as his Republican counterparts in other states, with the result that industrial work sites have been the source of roughly 30 percent of Illinois’ COVID-19 outbreaks.

Moreover, it should be recalled that Illinois’ last Democratic governor, Pat Quinn, pushed through $1.6 billion in cuts to Medicaid in 2012, further starving resources for health care for the state’s poorest.

In order to prevent this strike from being shut down and ending in a sellout contract, nursing home workers should follow the lead of autoworkers and teachers and form rank-and-file safety committees, independent of SEIU, in order to wage a fight for decent pay, safe and humane working conditions, and the resources necessary to provide dignified care to the elderly and those with long-term needs. Such a committee should raise the following demands:

Adequate PPE and staffing levels in all long-term care homes across the state of Illinois, overseen by rank-and-file safety committees working with trusted medical experts

A doubling of base wages and substantial hazard pay for all health care workers

Fully paid sick leave with no penalties or restrictions during the pandemic and free health care for all workers

A massive infusion of resources, not into the bank accounts of the nursing home companies and investors but toward meeting the needs of the workers and the elderly.


Infinity Healthcare, like much of the LTCF industry, reaps its profits at the expense of the lives and health of its workers and residents. The utter disaster playing out in these facilities due to the COVID-19 pandemic only underscores the failure of the capitalist profit system. The Socialist Equality Party (SEP) calls for the trillions of dollars handed over to the giant banks and corporations to be redistributed in order to fund free, universal health care, and for the health system to be placed under democratic, public control, run to meet social need, not private profit.

The SEP and WSWS will do everything possible to assist Infinity workers in the organization of rank-and-file committees and formation of connections with other sections of workers—in health care, auto manufacturing, public education, logistics and elsewhere—to launch a common struggle for workers’ rights. We urge nursing home workers to contact us today.

The influence of empowered work environments on the psychological experiences of nursing assistants during COVID-19: a qualitative study
Jasmine L. Travers,
Krista Schroeder,
Allison A. Norful &
Sainfer Aliyu

BMC Nursing volume 19, Article number: 98 (2020) 
Cite this article
Abstract

Background

Nursing Assistants (NA) who feel empowered tend to perform their duties better, have higher morale and job satisfaction, and are less likely to leave their jobs. Organizational empowerment practices in hospitals likely shape the psychological experiences of empowerment among these personnel; however, little is known about this relationship.
Objective

We used qualitative inquiry to explore the relationship between organizational empowerment structural components and feelings of psychological empowerment among hospital frontline workers during a public health emergency.

Methods

Kanter’s Theory of Structural Empowerment and Spreitzer’s Psychological Empowerment in the Workplace Framework were applied to identify the conceptual influences of organizational practices on psychological experiences of empowerment. In-depth interviews were conducted with a convenience sample of NAs, caring for hospitalized COVID-19 patients. Directed content analysis was performed to generate a data matrix consisting of the psychological experiences of meaning, competence, self-determination, and impact embedded under the organizational structural components of information, resources, support, and opportunity.

Results

Thirteen NAs (mean age = 42 years, 92% female) completed interviews. Information, or lack thereof, provided to the NAs influenced feelings of fear, preparation, and autonomy. Resources (e.g., protocols, equipment, and person-power) made it easier to cope with overwhelming emotions, affected the NAs’ abilities to do their jobs, and when limited, drove NAs to take on new roles. NAs noted that support was mostly provided by nurses and made the NAs feel appreciated, desiring to contribute more. While NAs felt they could consult leadership when needed, several felt leadership showed little appreciation for their roles and contributions. Similar to support, the opportunity to take care of COVID-19 patients yielded a diverse array of emotions, exposed advances and gaps in NA preparation, and challenged NAs to autonomously develop new care practices and processes.

Conclusion

Management and empowerment of healthcare workers are critical to hospital performance and success. We found many ways in which the NAs’ psychological experiences of empowerment were shaped by the healthcare system’s empowerment-related structural conditions during a public health emergency. To further develop an empowered and committed critical workforce, hospitals must acknowledge the organizational practice influence on the psychological experiences of empowerment among NAs

FULL TEXT

The influence of empowered work environments on the psychological experiences of nursing assistants during COVID-19: a qualitative study | BMC Nursing | Full Text (biomedcentral.com)


Pandemic exposes low pay and scant protections for nursing assistants and home-care aides


By ROWAN MOORE GERETY
APRIL 4, 202012:44 PM

When she heard friends working at Lowe’s were in line for $300 hazard-pay bonuses, Allanah Smit wondered why her employer, Memorial Hospital in Gulfport, Miss., had no such plans. “Healthcare workers deserve hazard pay too,” she declared on Twitter. “Yes, we chose this profession, but we didn’t sign up to fight a global pandemic with ONE N-95 respirator and improper PPE.”

As a certified nursing assistant, Smit makes just over $14 an hour to bathe, feed, and reposition patients recovering from car accidents, strokes, and major surgeries like hip replacements. When elective surgeries were suspended last week as the coronavirus spread from hot spots such as New Orleans, Smit began caring for patients with symptoms of COVID-19.

As the healthcare system braces for the full impact of the pandemic, the shortage of doctors and nurses in epicenters like New York has gotten massive attention.

Less scrutiny has been paid to home health aides, personal care aides and certified nursing assistants — who collectively represent the largest category of healthcare workers in the country, nearly 5 million people working across a fragmented landscape that includes teaching hospitals and nursing homes, as well as homes and apartments. These are jobs that do not require an associate’s degree.

Even in hospitals, where wages are higher and full-time employment is the norm, these workers are typically paid less than $15 an hour. The pandemic has highlighted the low pay, lack of equipment and scant job security for these workers.

Emersen Peco, a certified nursing assistant at Sarasota Memorial Hospital in central Florida, has begun caring for overflow COVID-19 patients and “rule-outs” — patients awaiting test results — from other parts of the hospital.

But unlike salaried employees, she is not eligible for paid time off unless she shows symptoms and tests positive for COVID-19, and she has access only to paper surgical masks instead of N95 masks. Last week, Peco said, she and her colleagues were alarmed when a patient who had tested positive for COVID-19 wandered into the hallway without personal protective equipment.


“It’s hard to be confident in your job and patient care when you don’t have the protection you need,” she said. She says the hospital isn’t offering tests because “if we test positive they’re scared they’ll lose the healthcare workers.”

A hospital spokesperson, Kim Savage, says Sarasota Memorial hasd followed CDC guidance for use of personal protective equipment during a shortage, and that the hospital has begun offering paid leave to employees who get sick from COVID-19.

The risk of infection is often greater outside hospitals — at home health agencies and long-term-care facilities, where fewer workers have health benefits or paid leave.

“They feel compelled to go to work,” said Barbara Meinke, a nursing professor emerita at McHenry County Community College in Illinois. “These are the folks who can least afford not to go work — they may be tempted to go to work when they’re not feeling well, and they may be unfortunately the ones who spread the virus.”

Now, with hospitalizations increasing rapidly around the country, direct-care workers are expected to be a vital part of building up the capacity of a strained health system. Health and Human Services Secretary Alex Azar recently urged governors to waive restrictions on licensing, scope of practice, and certification “so that healthcare workers can be deployed as needed.”

Daniel Bustillo, director of the Healthcare Career Advancement Program, a Service Employees International Union training program that serves a million healthcare workers, said those changes would lead to greater demand. “There’s no way we’re going to be able to support the level of care needed without expanding the workforce that can help,” he said.

Rebecca Hanson, who runs training programs for SEIU members in California and other Western states, said the union was rushing to introduce online modules so certified nursing assistants could be trained to perform tasks that might usually be reserved for nurses — such as screening patients for symptoms — and on the proper use of personal protective equipment, or PPE.

Many healthcare facilities have already scaled back employees’ hours or laid off workers in response to the cancellation of routine medical procedures. Hospitals have rearranged staffing patterns to minimize the number of staff at risk of infection. But as hospitals gear up for a surge in COVID-19 cases, adding additional bed space however they can, Hanson anticipates “a kind of domino effect,” whereby nurses move to more acute care settings and nursing assistants take on greater responsibility in screening and caring for patients.


At Stony Brook University Hospital, on New York’s Long Island, strict measures to minimize infection and conserve scarce PPE have been in place for weeks. Tamethiea Bradley, an anesthesia technician, now spends her shifts as a runner, ferrying IV drips, thermometer probes, and other supplies and equipment back and forth to nurses, doctors and respiratory therapists working with COVID-19 patients on the other side of a closed door.

Patient care technicians only enter the rooms of COVID-19 patients under urgent circumstances — for example, a sudden blood pressure drop or cardiac arrest. The limits on the workers who can enter those wards, and the need to wear full-body protective gear, have only made the work more intense.

“You do everything for them, from cleaning them, to bathing them, to turning them every two hours to make sure their lungs don’t collapse,” she said. “There’s no way you can’t be in the room.”

MORE ON CORONAVIRUS’ ECONOMIC IMPACT



Several colleagues have gotten sores on their faces from the pressure of wearing a tight N95 respirator for an entire shift at a time, Bradley said.
Jasmine Travers, a postdoctoral fellow at Yale’s medical school, says the coronavirus crisis appears to be spurring closer communication between patient care techs and the hospital nurses they work with.

“That’s what the PCTs are saying — nurses are checking in with them often, making sure they have what they need,” Travers said. “This collaborative relationship has emerged between the nurses and the nursing assistants that wasn’t there previously.”

Gabriel Montoya, an emergency room technician at Kaiser Permanente Hospital in Downey, credits his workplace with including all staff in huddles at the start of each shift “so they can get the information about changes to PPE or the daily workflow.”


Federal guidance on PPE has fluctuated seemingly by the day, causing anxiety for the workers. “Workers believe the CDC’s making recommendations based on supply availability, and not the science behind protecting us from this disease,” Montoya said.

Stony Brook has struggled, at times, to provide staff with clear instructions on the use and reuse of PPE — at one point they advised workers, incorrectly, to store used N95 respirators in plastic bags between uses. That instruction was amended to breathable paper bags only 10 days later, after Bradley and her colleagues made calls to the manufacturer and the state health department to learn for themselves. The hospital didn’t respond to a request for comment.

As a public hospital with a unionized workforce, Stony Brook’s direct-care workers tend to have better pay and benefits than many of their counterparts, but Bradley said many CNAs still felt “underpaid and under-appreciated.”

She is responding by showing appreciation for all her colleagues, including those not involved in patient care.

“I said it to a housekeeper the other day: ‘Thank you so much for being here. You’re on the front lines because if you weren’t here, we’d be getting shut down because the hospital isn’t clean,’” Bradley said.

Moore Gerety is a special 
correspondent
In hospitals, housekeepers are truly the ‘keepers of the house’

By NEIL PROSE and RAY BARFIELD
STAT - Reporting from the frontiers of health and medicine (statnews.com)
FEBRUARY 5, 2020
ALEX HOGAN/STAT

Malcolm cleans patient rooms and offices in the large medical center where we both work as pediatric doctors.

After finishing our respective rounds one afternoon, we noticed that Malcolm was deep in conversation with the parents of one of our very sick patients. We met him later in the hall, and the three of us began to talk. After Malcolm told us a bit about the concerns of our patient’s family, he mentioned the ways he often supports and cares for the children being treated on our ward.

“I don’t call myself a housekeeper,” said Malcolm, who has been with the hospital for 10 years. “I am the keeper of the house.”


Malcolm’s description of what he does knocked us back on our heels. It made us realize that we pass dozens of housekeepers in the corridors and elevators every day and — like most other physicians — pay little attention to what they really do and had little appreciation of their contributions to patient care.

Caring for the caregiver in the emergency department

Our blindness to the important work they do every day led us to organize a focus group to learn more about it. From that grew a film project that documented the ways hospital housekeepers participate in patient care. Throughout this process, we quickly realized that they often interact with patients more than physicians do, and they do so with great compassion.

Lorna, originally from Jamaica, told us she enjoys singing with patients — Bob Marley’s “Three Little Birds” with the catchphrase “don’t worry about a thing” being her favorite.

Rosetta, who had worked at our hospital for more than 20 years, found a way to provide meal tickets for a visiting family who couldn’t afford food.

Barbara, with the OK from a nurse, shared with a patient the collard greens and fried cornbread she had brought to work for a hospital potluck.

La Shara encouraged a frightened young woman to have much-needed heart surgery.

Maybelline maintained a friendship with a patient long after her hospital discharge.

Gladys used her native Spanish to communicate with first-time mothers, and often gave them encouragement and informal advice about breastfeeding.

We also heard stories that were less encouraging. One housekeeper told us that a patient she had come to know well during his hospital stay had taken a turn for the worse and died, and no one bothered to inform her of his passing.

Another housekeeper talked about a doctor who repeatedly refused to move out of the way when she was maneuvering her heavy cleaning cart down the crowded corridor, reinforcing to her that housekeepers are invisible to doctors and nurses.

Where we work, housekeepers clean 36 rooms a day. Their work is vital to the prevention of serious infections and to the efficient running of the hospital. It’s clear they also play an important role in the care of patients.

“Interprofessional cooperation” and “teamwork” are among the newest buzzwords in modern hospital medicine. Doctors are consistently reminded that clear, respectful communication with their teams is essential for patient safety and quality of care. But we’ve often been blind to the fact that housekeepers are an essential part of that team.

Jane Dutton, a professor of psychology at University of Michigan, worked with colleagues to research the ways in which hospital housekeepers feel valued or devalued by the actions of doctors and nurses. Through 29 interviews with workers, she and her team found that doctors and nurses frequently undermined housekeepers’ sense of value and well-being by ignoring them or by acting in ways that made their work more difficult.

When we premiered our film at an international conference, a Swiss physician mentioned that the director of the burn unit in her hospital routinely included the housekeeper in morning rounds. The housekeeper provided useful information about the patients with whom she interacted, which contributed to her sense of feeling respected and valued for her work.

In one interview for our film, Lorna says that the emotional toll of working with sick and dying patients is very high, and she is able to continue only because of the support she receives from the nurses and other members of the team. But how often do clinicians provide that much-needed support?

No matter where you work, you are a member of one or more teams that are larger than you imagine. Doctors like us — and our health care institutions — need to give keepers of the house, along with food service workers, patient transporters, and other “invisible” workers the respect they have long deserved.

Neil Prose, M.D., is a professor of dermatology, pediatrics, and global health at Duke University School of Medicine and co-director of Duke’s Health Humanities Lab. Ray Barfield, M.D., is a professor of pediatrics and Christian philosophy and director of medical humanities at Duke’s Trent Center for Bioethics, Humanities, and History of Medicine. The 15-minute documentary “Keepers of the House” was designed to be incorporated into an interprofessional curriculum for doctors, nurses, and other health care providers.


REPORT

Essential but undervalued: Millions of health care workers aren’t getting the pay or respect they deserve in the COVID-19 pandemic


INTRODUCTION

The COVID-19 pandemic has inspired an outpouring of public appreciation for the country’s frontline heroes, from television ads to firefighter salutes to essential worker toys. But while doctors and nurses deserve our praise, they are not the only ones risking their lives during the pandemic—in fact, they represent less than 20% of all essential health workers.

Too often, we overlook the heroism and dignity of millions of low-paid, undervalued, and essential health workers like Sabrina Hopps, a 46-year-old housekeeping aide in an acute nursing facility in Washington, D.C.

“If we don’t clean the rooms correctly, the pandemic will get worse,” said Hopps. She cares deeply about the patients she works with, and knows that the value of her job goes well beyond cleaning. “It’s me and the other housekeepers who sit and talk with [patients] to brighten up their day, because they can’t have family members visiting.”

Despite her contributions, she doesn’t feel recognized. “Housekeeping has never been respected,” she told me recently. “When you think about health care work, the first people you think about are the doctors and the nurses. They don’t think about housekeeping, maintenance, dietary, nursing assistants, patient care techs, and administration.”



Hopps is one of millions of low-wage essential health workers on the COVID-19 front lines. Like the higher-paid doctors and nurses they work alongside, these essential workers are risking their lives during the pandemic—but with far less prestige and recognition, very low pay, and less access to the protective equipment that could save their lives. They are nursing assistants, phlebotomists, home health aides, housekeepers, medical assistants, cooks, and more. The vast majority of these workers are women, and they are disproportionately people of color. Median pay is just $13.48 an hour.

Over the last several weeks, I interviewed nearly a dozen low-wage health workers on the front lines of COVID-19. (You can read their stories here.) Despite being declared “essential,” the workers I interviewed described feeling overlooked and deprioritized, even expendable. They spoke with pride about their work, but few felt respected, even as they put their lives on the line. Many expressed frustration—and sometimes anger—over their lack of life-saving protective equipment.

It is long past time that these workers are treated as truly essential. This starts with simply recognizing the value of workers like Hopps—but we can and must do more. The policy recommendations in this report aim to keep these workers safe on the job, compensate them with a living wage, support them if they fall ill, and give them the respect and appreciation they deserve.


UNDERPAID, UNDERVALUED, AND ESSENTIAL

The underpaid but essential health care workforce in America comprises nearly 7 million people in low-paid health jobs in these three categories:

Health care support workers assist health care providers such as doctors and nurses in providing patient care. Roles include orderlies, medical assistants, phlebotomists, and pharmacy aides.

Direct care workers such as home health workers, nursing assistants, and personal care aides provide care to individuals with physical, cognitive, or other needs.

Health care service workers include housekeepers, janitors, and food preparation and serving workers employed in health care settings such as hospitals and nursing homes.

More people are employed in health care support, service, and direct care jobs than in all health care practitioner and technician jobs (doctors, nurses, EMTs, lab technicians, etc.). In fact, more people work in hospitals as housekeepers and janitors—like Sabrina Hopps—than as physicians and surgeons. The size of this low-wage health workforce exceeds the size of most other occupational groups of essential workers. It employs more people than the entire transportation and warehousing industry and more than twice as many people as the grocery industry.

Median wages in health care support, service, and direct care jobs were just $13.48 an hour in 2019—well short of a living wage and far lower than the median pay of doctors (over $100 per hour) and nurses ($35.17 per hour). Home health and personal care workers earn even less, with a median hourly wage of only $11.57. The wages are so low that nearly 20% of care workers live in poverty and more than 40% rely on some form of public assistance. These fields are some of the fastest-growing of all occupations, with more than a million new jobs projected by 2028.



Molly Kinder
David M. Rubenstein Fellow - Metropolitan Policy Program
Douglas Stuart hopes Booker win helps 
working-class writers

© Provided by The Canadian Press

LONDON — Fittingly in this year of work-from-home and lockdowns, Douglas Stuart’s life-changing moment came to him on his sofa.

The Scottish writer was at home in Manhattan when he was announced as the winner of the 2020 Booker Prize last week. Stuart won the 50,000-pound ($66,000) literary award for “Shuggie Bain,” the powerful story of a boy coming of age with an alcoholic mother in poverty-scarred 1980s Glasgow. It’s an astonishing feat for a first novel that took a decade to write and was rejected by 32 publishers before finding a home.

“I had a bit of a dance around the kitchen -- that’s about as much as you can celebrate in 2020,” Stuart told the Associated Press in a Zoom interview from — where else? — his sofa.

Stuart, 44, knows that the Booker can transform careers, bringing a major boost to an author’s sales and profile. Just ask previous winners like Bernardine Evaristo or Hilary Mantel, transformed from critically respected, commercially middleweight novelists to the top of bestseller charts.

He hopes it will help open up publishing to new voices, especially writers from working-class backgrounds. Glasgow-born Stuart is only the second Scottish Booker winner in the 51-year history of the prize, open to English-language novels from around the world. He grew up, like his central character, in a poor home on a Glasgow housing project with a mother who struggled with addiction.

The novel centres on Shuggie, a sensitive boy in a hardscrabble world, and his mother Agnes, trying to stop her dreams disintegrating during the grim 1980s, when Prime Minister Margaret Thatcher’s free-market economic policies hastened Glasgow’s industrial decline.

Stuart thinks it’s important — and overdue — that a working-class writer has won the Booker Prize. He said that in his childhood “books were never seen as ‘for people like us’ because they never contained people like us.”

“The thing that’s defining about ‘Shuggie Bain’ is it’s a working-class family who are slipping through the fabric of society, and we don’t often get to hear those kinds of voices,” Stuart said in a gentle Scottish burr.

“It’s good to have Scottish voices have a moment of support, and it’s great to see queer writers also," said Stuart, who lives in New York with his American husband. "So I’m hoping that it not only changes my life but it helps a lot of other people.”

Stuart dedicated the book to his own mother, who died from alcoholism when he was 16. He says it was important to him to give a truthful depiction of addiction.

“Sometimes when I read about addiction, it’s a big capital A and the addiction is almost the person’s personality or what they are,” he said. “And I never knew that to be true."

“I write about it as someone who’s gone through it and who has loved someone who is lost. And I knew when I was writing the book that I wanted Agnes to be as round a person as possible. She doesn’t have to be nice. She doesn’t have to always do the right thing. But, you know, she’s a mother, a lover, a friend, an enemy. She is lots of things.”

Stuart has won critical praise for the way he looks at addiction, poverty and dashed dreams unflinchingly, but with tenderness and humour. Publisher and editor Margaret Busby, who chaired the Booker judging panel, said the book’s emotional range and ability to convey “compassion without pity” made it likely to become a classic.

Stuart’s own route out of poverty came through fashion rather than writing. He studied textile design at college, moved to New York and forged a successful career in fashion with firms including Banana Republic. He began writing “Shuggie Bain” in 2008, driven by what he calls a “compulsion,” not admitting even to himself that he was working on a novel.

“I truly wrote it for the characters, not knowing it would ever be a published book,” he said. “Part of the reason why it took 10 years is because I didn’t want to let them go. I found such an immense comfort and joy in writing and in creating these worlds.”

The novel was repeatedly turned down by publishers who said they liked it, but didn’t know “how to explain Glasgow in the 80s and Thatcherism to the American public.”

They needn’t have worried. Already the top seller in the U.K. among the six Booker finalists, “Shuggie Bain” was a National Book Awards finalist in the U.S. and features on many best-of-the-year lists. Stuart has quit his day job to become a full-time writer, and has already finished his second novel, a “conflicted queer love story set in 1990s Glasgow.”

He’s delighted with the way the book has been embraced in his native land. Scottish First Minister Nicola Sturgeon sent him a congratulatory message minutes after his Booker win.

“But one of the greatest things about publishing the book and connecting with readers is people from New Zealand and India and Detroit have come out and shared with me similar stories,” he said.

“And as we live in a society that is polarizing more between the haves -- who don’t want to hand back to the have nots -- and the have nots, who are being left behind, ‘Shuggie’ is not actually even a historical novel, either.”

Jill Lawless, The Associated Press