Money, union woes plague Catholic Healthcare
West
By TED PARKS
Los Angeles
The score remains very close so far this year between Catholic
Healthcare West and Service Employees International Union: eight elections in
which the health care mega-system has been forced to accept unionization; seven
in which it has successfully withstood it.
And, with contract negotiations still to come, predictions are for
contention to continue, even after the votes have been counted. We are
having an extremely difficult time in the bargaining, said SEIU executive
vice president Eliseo Medina. I see nothing but conflict ... for the rest
of the year.
As in any contest, a simple numerical report of outcome belies the
drama and, in this case, ironic twists in a protracted battle that is as much
about interpretation of Catholic social teaching as economics and power.
Catholic Healthcare West, sponsored by nine orders of Catholic
nuns, is one of the nations largest health care networks, with 48
hospitals in California, Arizona, and Nevada. In just a decade, the system grew
from 12 hospitals to its present size: the largest not-for-profit health
care system in the West, according to its 1998 annual report, the latest
available.
The report says the system spent $136 million, 4 percent of its
expenses, on people who could not afford services due to being uninsured
or underinsured. But the figures come in the context of significant
financial strain.
Despite assets of $6.2 billion, Catholic Healthcare Wests
bond rating dropped two notches in the wake of an operating loss of $310
million in fiscal 1999, according to reports last summer and fall. It was the
nonprofits third straight year to lose.
Compounding the losses, leaders of the Catholic system came under
attack from an aggressive secular union. Ironically, the union accused hospital
leaders of failing to respect Catholic teaching, which supports workers
right to engage in collective bargaining.
The controversies have drawn in state officials and church
leaders, including Archbishop Roger Mahony of Los Angeles.
Undoubtedly, the cumulative financial losses figured into the
systems choice for a new president and chief executive officer to take
over June 1 from Mercy Sr. Phyllis Hughes, interim president and CEO since
September 1999. Lloyd Dean, his selection announced April 5, brings a
resumé to the job that lists skills in financial turnaround and revenue
growth.
Dean has been executive vice president and chief operating officer
for Advocate Health Care, Oak Brook, Ill., which last year led Modern
Healthcares list of 100 health care networks with outstanding performance
in seven areas.
Asked what the new leaderships approach to unionization will
be, CHW vice president for corporate communications Lori Aldrete reaffirmed
that the system has no overall policy toward unions except its fundamental
support for workers freedom of choice.
The organization right now feels very strongly that
employees have the right to make their own informed choices, Aldrete
emphasized. The health care system is also convinced of its right to provide
employees with what it views as accurate information about the union.
But Dominican Sr. Mary Priniski of Atlanta, a member of one of the
religious orders that sponsors the health care system, worries about an uneven
playing field. I happen to think that when youre in a power
relationship, said Priniski, my telling them what I think has an
element of coercion to it. Prinisky is coordinator of the Commission on
Justice for the Glenmary Home Missioners.
The health care system Dean will steer into the new millennium is
not the only Catholic medical organization with allegations of union fighting.
Catholic hospitals in Iowa, Missouri, Arkansas, Illinois, Ohio and New York
figure among those with contentious labor disputes in the past year.
Sr. Barbara Pfarr, coordinator of the Religious Employees Project
of the National Interfaith Committee for Worker Justice, fears that the general
rule is for Catholic hospitals to lean hard on employees trying to organize.
High-powered pressure on the part of management for workers not to be
involved in union activity, Pfarr said, is very prevalent in our
Catholic health care institutions.
At Catholic Healthcare West, it was against a background of rapid
growth and, more recently, financial struggle that the union elections took
place, involving nurses, technicians and service and maintenance employees at
various sites.
For Catherine Sims, a registered nurse who works in postpartum
care at St. Johns in Oxnard, north of Los Angeles, the union vote was
about giving quality care.
Sims said, Our patient loads have gotten heavier and
heavier. She expressed a common theme: The vote to unionize has been as
much about making good on a professional promise to deliver compassionate care
as about better wages and benefits.
Workers supporting unionization hope the union can address
fundamental issues in a health care market squeezed by managed care and fierce
pressures to lower costs.
The labor conflicts at Catholic Healthcare West led hospital,
church and labor leaders to produce a working paper last summer on A Fair
and Just Workplace: Principles and Practices for Catholic Health Care.
The paper was the brainchild of Sr. Mary Roch Rocklage of Sisters of Mercy
Health System.
Bringing together Catholic Healthcare West, the AFL-CIO, SEIU, and
others, the Catholic Bishops Conference document pointed to common
ground among its authors on the need for a new way for labor and
management to relate to one another.
The details of a fair and just work environment,
according to the paper, include not only fair wages and adequate benefits, but
safe and decent working conditions, and the right to participate in
decisions which affect ones work.
While expressing great appreciation for many sections of the
paper, Aldrete also has concerns. Catholic Healthcare West thought the
document unduly targeted Catholic health care, she said.
Aldrete stressed that Catholic health care continues as a
ministry, not a commercial enterprise. Any implication ... that the ministry
has been supplanted by commercial considerations is both inaccurate and
harmful.
Nonetheless, outsiders think that Catholic Healthcare West -- and
many other Catholic hospitals around the country -- are downright unfriendly to
unions. A report filed by the Fair Election Oversight Commission, chaired by
the former speaker of the state assembly, cried foul in a union election in
Sacramento.
Managers and supervisors systematically interfered in
employees decisions about whether to form a union, said the
commission, convened by former California State Assembly speaker Antonio
Villaraigosa.
The report found that hospital managers in Sacramento
misused power and authority by pushing employees to reject the
union in individual conversations and mandatory meetings, according to a March
17 statement by Villaraigosas office. Further charges were that
management restricted employees freedom of speech and
provided false and distorted information.
Accusations flew in Oxnard as well. They really used
intimidation, said Sims of the way St. Johns management treated her
in the unionization campaign.
Stephanie Lara-Jenkins, another St. Johns RN, said that when
fellow nurses from a neighboring SEIU-represented hospital sent a letter and
balloons to show solidarity, officials ordered housekeepers to take the
balloons down. The letter of support was replaced, Lara-Jenkins said, by
anti-union flyers.
The union has come in for its share of criticism, too.
In Los Angeles, director of spiritual health care services at St.
Francis Medical Center, Br. Richard Hirbe, accused SEIU of a distorted
campaign. No union can make claim to building Gods kingdom as (its)
mission, just as no union can make you a guarantee, only a shallow promise of a
better life, said Hirbe in a letter to hospital employees
almost two years ago. Promises are not reality. SEIU does not want you to
know the whole truth.
Interviewed the morning after the March 23 no-vote at St. Francis
Hospital in Los Angeles, Hirbe described feelings at the hospital the night
before as very triumphal. Explaining that SEIU tried to impugn the
hospitals faithfulness to its Catholic identity, Hirbe said the plan
backfired. It was a lie, he said. The mission to the community
makes employees jump out of bed and run to get here in the morning,
he added.
Hirbe was viewed by some as overstepping his bounds as spiritual
leader. A letter dated March 8 from two women religious, a hospital chaplain,
and a representative of the Episcopal Social Justice Ministry accused him of
inappropriately participating in an anti-union committee.
The letter was addressed to Hirbe and Sr. Martha Ann Kramarz,
assistant director of chaplain services at St. Francis. In a March 15 response,
Hirbe and Kramarz labeled the allegations false. They said they had
consistently upheld and supported the teachings of the church on
organized labor.
A vote by registered nurses in Ventura County grew out of a
deadlock that not even Cardinal Roger Mahony of Los Angeles could break. Dave
Bullock, president of SEIU local 399, explained that Mahony had brought
hospital and union officials together in a series of mediation
sessions in late fall. Sr. Carolita Hart, director of health affairs for
the Los Angeles archdiocese, said Mahony hoped the two sides could work
something out without having all ... this mud-slinging thing that was
going on at the time.
The roar of controversy grew loud enough to again elicit the
archbishops intervention before the March elections at two hospitals in
Los Angeles. In a March 10, letter addressed to CEO Hughes and SEIUs
Medina, Mahony urged both to heed last summers A Fair and Just
Workplace.
Ultimately, workers must choose how they wish to be
represented in the workplace, said Mahony. They must decide what
means will affirm their dignity and preserve the mission of Catholic health
care.
With some 40 years experience in health care, Hart laments
the wedges union battles have driven between employees who at one time saw
themselves as family.
Some of these people have been best friends for years and
years and have worked side by side, Hart said. Now they dont
even speak to each other.
Even where the elections resulted in union victories, hopes are
guarded. Nobody expects Nirvana with the union, said Lara-Jenkins,
one of the nurses at St. Johns. Things will remain the same until
we change them.
Respiratory therapist Hillman refused to see a no decision in
Sacramento as a defeat. Everyone worked very hard, she said.
They deserved to go into work with their heads held high.
I think its not over yet, she said.
National Catholic Reporter, April 28,
2000
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