The healthcare industry remains a primary target for unions, with 2023 seeing a significant rise in representation petitions, led predominantly by the Service Employees International Union (SEIU). This trend has continued into 2024, which is on pace to be a record year for union activity in healthcare. Key concerns driving this momentum include staffing issues, compensation, and working conditions, as demonstrated by notable events such as the largest strike in U.S. history by Kaiser Permanente workers and the "Pharmageddon" protests by non-union pharmacists at CVS and Walgreens. Additionally, unionization among residents, interns, and fellows has surged, with many joining the Committee of Interns and Residents (CIR/SEIU) to advocate for improved working conditions and respect.
Changes by the National Labor Relations Board (NLRB) have further influenced this trend, overturning decades of precedent in cases like Cemex Construction Materials Pacific, Inc., and Stericycle Inc., which have reshaped the union representation process and workplace rule evaluations. The reinstatement of expedited union elections has made it even more critical for healthcare organizations to act proactively. As union activity gains momentum, healthcare systems must assess their labor relations strategies and address potential gaps to stay ahead of the unionization trend.