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    Dr. Marcinko is originally from Loyola University MD, Temple University in Philadelphia and the Milton S. Hershey Medical Center in PA; as well as Oglethorpe University and Emory University in Georgia, the Atlanta Hospital & Medical Center; Kellogg-Keller Graduate School of Business and Management in Chicago, and the Aachen City University Hospital, Koln-Germany. He became one of the most innovative global thought leaders in medical business entrepreneurship today by leveraging and adding value with strategies to grow revenues and EBITDA while reducing non-essential expenditures and improving dated operational in-efficiencies.

    Professor David Marcinko was a board certified surgical fellow, hospital medical staff President, public and population health advocate, and Chief Executive & Education Officer with more than 425 published papers; 5,150 op-ed pieces and over 135+ domestic / international presentations to his credit; including the top ten [10] biggest drug, DME and pharmaceutical companies and financial services firms in the nation. He is also a best-selling Amazon author with 30 published academic text books in four languages [National Institute of Health, Library of Congress and Library of Medicine].

    Dr. David E. Marcinko is past Editor-in-Chief of the prestigious “Journal of Health Care Finance”, and a former Certified Financial Planner® who was named “Health Economist of the Year” in 2010. He is a Federal and State court approved expert witness featured in hundreds of peer reviewed medical, business, economics trade journals and publications [AMA, ADA, APMA, AAOS, Physicians Practice, Investment Advisor, Physician’s Money Digest and MD News] etc.

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On the Collapse of Medical Labor Unions?

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Lessons Learned from the State of Wisconsin

[By Dr. David Edward Marcinko MBA, CMP™]

Did you know that healthcare journalist William F. Shea opined a decade ago that there were numerous psychological barriers against the formation of physicians unions [personal communication].

The Reasons

These included (1) public perception of doctor’s as a “cut above” ordinary workers; (2) doctor’s attempts to wrap collective bargaining in a mantle of patient’s rights that lacked credibility; and (3) the highly educated physician’s ability to re-engineer and seek alternate employment opportunities rather than accept the salary scale or lack of autonomy present in restrictive managed care entities.


Time has proven him correct as MD resignation through individual re-deployment and/or innovation has been more effective than any “strike” if called for by one practitioner, or union group, at a time.

MORE: Unions

MORE: https://www.beckershospitalreview.com/hospital-physician-relationships/princeton-economists-physicians-are-taking-money-away-from-the-rest-of-us.html?origin=bhre&utm_source=bhre&oly_enc_id=


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17 Responses

  1. Nurses Strike at Kaiser Sunset Boulevard

    More than 1,000 registered nurses at Kaiser Permanente’s Los Angeles Medical Center are going on strike – the first nursing strike at the Sunset Boulevard facility in 20 years.


    Ann Miller RN MHA


  2. The Effect of the Affordable Care Act on Jobs

    According to a recent report by the Urban Institute, the Patient Protection and Affordable Care Act (ACA) will not noticeably affect overall employment, but should give a modest boost to the healthcare sector.

    In the study, aptly titled with the question “How Will the Affordable Care Act Affect Jobs?” by authors John Holahan and Bowen Garrett, it is explained that the total spending under health reform for the period 2010-2019 amounts to only a quarter percent of the Gross Domestic Product. This amount is simply too small, they say, to have an effect on the overall economy.

    This is in stark contrast to claims that the healthcare reform law could cost the U.S. as many as 1.6 million jobs. What explains these divergent opinions? Holahan and Garrett say that assertions of forthcoming job loss were made before the details of the reform legislation were known.

    With regard to the health care sector specifically, the study estimates that higher net spending on health care services should see modest employment increases as a result of the ACA, leading to wage increases. Good news for healthcare practitioners it appears, but still too soon to make concrete assumptions with other implications of the reform remaining unclear.

    One last interesting highlight from the report; health reform would reduce job lock, in other words, the tendency for individuals to stay in a given job to retain their health insurance. The authors suggest that the ensuing result of movement from job to job will make the labor market more efficient and will increase economic productivity on the whole.

    Source: White Coat Jobs [March 25, 2011]


  3. Nurses Unions

    With ongoing nursing shortages, hospitals have been struggling to fill gaps in providing care, as well deal with nurses dissatisfied with resulting staffing levels.

    But, even the largest and most profitable health systems in California may find that avoiding nurse staffing issues can lead to a strike, further compromising care.




  4. Patient death allegedly linked to California labor union strike

    Tensions surrounding the California hospital labor dispute just got even more heated, making headlines across the nation. A patient at Alta Bates Summit Medical Center in Oakland, Calif., died due to a replacement nurse’s medical error during a hospital workers’ strike.

    The California strike is being called the largest nurses’ strike in U.S. history.




  5. Nurses’ union contract features first-in-nation needlestick and workplace violence benefit

    A nurses’ union in California is celebrating what it calls a first-in-the-nation workplace safety benefit in its new agreement with Centinela Hospital.




  6. More on Medical Unions?

    Recommended Citation

    Hazleton, Lynette MPH: “Health Workers Working Healthy: A Labor-Management Collaboration,” Population Health Matters (Formerly Health Policy Newsletter): Vol. 26: Iss. 3, Article 5, 2013.

    Available at: http://jdc.jefferson.edu/hpn/vol26/iss3/5

    Ann Miller RN MHA



  7. “First National Guild of Healthcare Providers of the Lower Extremity”

    OPEIU Guild 45 was first chartered on October 24, 1996, as the “First National Guild of Healthcare Providers of the Lower Extremity” and appeared on the front page of The New York Times the next morning. This endeavor was in large part due the insights of Dr. John Mattiacci, who is the President of Guild 45.

    We have had many successes over the years with different Legislative and Insurance issues. OPEIU Guild 45 currently represents 36% of the practicing podiatrists in the U.S.

    To learn more about our “Podiatry Union”, check out http://www.opeiu.org

    Ann Miller RN MHA
    via PMNews #4,912


  8. States with the strongest and weakest labor unions
    [A Labor Day follow-up]

    Despite a decades-long decline in membership, some states remain union strongholds, while others have almost no organized labor presence.


    I wonder if there is any direct / inverse correlation between physician satisfaction, prestige or income, in these listed states. Any thoughts?

    Dr. David Edward Marcinko MBA CMP™


  9. ‘Perfect storm’ boosting union success

    Labor unions continue to gain ground in healthcare because of employment instability anxiety among workers.


    But, what about the providers?



  10. MA Nurses Union Objects to Mandatory Flu Shots

    A nurses’ union is suing a Boston hospital to preserve its employees’ ability to decline influenza vaccination after the hospital made it a condition of employment. While Massachusetts law lets employees opt out of workplace flu shot initiatives, Brigham & Women’s Hospital has made it mandatory due to an employee vaccination rate that is lower than that of other regional hospitals.

    The Massachusetts Nurses Association filed a civil lawsuit in state court on Sept. 22 to block the implementation of Brigham & Women’s mandatory vaccination policy. The union represents approximately 23,000 nurses and other providers statewide, including 3,200 of the hospital’s employees.

    Source: David Bernard
    Outpatient Surgery [11/5/14]


  11. First U.S. Doctors’ Strike in Decades

    A handful of doctors providing medical services to students at UC San Diego — and their colleagues at nine other University of California campuses — went on strike in late January. It’s the first time in 25 years that fully licensed doctors are picketing a U.S. employer, according to the Union of American Physicians and Dentists, which represents the physicians at the UC schools.

    The work stoppage began at 7:30 a.m. and was scheduled to last one day. It involved 150 health center doctors who manage the primary care and mental health needs of students. UC San Diego said there are 10 such physicians on its campus. Dr. Amol Doshi, a staff physician at UC San Diego, said five of them work full-time while the others are part-timers. Doshi, one of four doctors in the union’s bargaining team, said the strike is needed because the UC system refuses to provide enough financial information on student health services for the union to make accurate judgments about whether resources are well-allocated.

    Source: Paul Sisson, UTSandiego.com


  12. UC Student Health Center Doctors Launch 4-day Strike

    Doctors who work at University of California student health centers are staging a rare four-day strike to protest what they claim is the university’s failure to negotiate a labor contract in good faith. Staff physicians at the university’s five Northern California campuses walked off their jobs on Thursday morning and plan to return on Monday morning. Doctors at the five campuses in Southern California are scheduled to strike from Saturday until Wednesday.

    The health centers will remain open during the work stoppages and managers will be tasked with treating patients, although students may need to reschedule routine visits and pass through picket lines, university spokeswoman Shelly Meron said. The 150 dentists, podiatrists, and physicians are negotiating their first contract since they joined the Union of American Physicians and Dentists in 2013. They also staged a one-day strike in January. Union spokeswoman Suzanne Wilson said the UC strikes are the first in the organization’s 40-year history.

    Source: Associated Press [4/9/15]


  13. Labor and Employers Join in Opposition to a Health Care Tax

    About two-thirds of employers recently surveyed by Aon Hewitt, a consultancy, estimate they will have at least one health plan that will be taxed within five years, and three-quarters think the majority of their plans will be subject to the tax after 2028.




  14. Bernie Sanders Gets Endorsement From Nurses’ Union

    The National Nurses United labor union just endorsed Vermont Sen. Bernie Sanders as its pick for U.S. president, a sign of division among organized labor that highlights a potential threat to Democratic front-runner Hillary Clinton.




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