Doctors, Nurses Striking -- Is It Ethical?

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Doctors, Nurses Striking -- Is It Ethical?
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Art L. Caplan, PhD, discusses strikes among physicians and nurses, and the need to stand for professional rather than business ethics.

This video was recorded days prior to a strike of more than

It's not the first time that people have gone on strike in healthcare, but I think it's a growing phenomenon. Many healthcare workers, doctors, and nurses are starting to feel overworked, understaffed, and unhappy when, say, private equity takes over a rural hospital and begins to put in schedules or cut back on staffing, which the healthcare workforce thinks is dangerous to patients.

We even see people saying they were offered training or continuing education and their institution picked up the cost, but if they say they want to leave, they're expected to pay it back if they leave before their contract or arrangement runs out. This, again, fuels tremendous anger on the part of many doctors, nurses, and healthcare workers — and I would say appropriately so.

I'm not saying that unionization is wrong. I think you can start to see the case for it more and more. Unions have one powerful weapon, which is withholding services and strikes. For many in healthcare, that's just a no-no. You cannot put patients at risk. You cannot put their lives at risk. You shouldn't be delaying unnecessary surgeries by withholding services, by going on strike, or going on slowdowns. Many doctors and nurses will just say,"That is the height of immorality.

You don't have to use a broad-based approach. You can be surgical and specific, and slow services in ways that are not going to put patients at risk — or not at very much risk — but can cause inconvenience, catch the attention of management, and force their hand as perhaps some of the more lucrative things that they offer and do start to slow down because of anger and labor disputes.

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