Hospitals Are Using the Nursing Shortage to Stiff Health Care Workers

Rather than materially address the underlying issues of the nursing shortage crisis, health care providers are exploiting it in order to further consolidate power at the top of industry hierarchies — and break the power of organized labor below.

There’s no shortage of articles about our nationwide nursing shortage. Everywhere, foreboding headlines paint a dire picture of a health care system stressed by a skyrocketing number of patients and a dwindling number of nurses able to care for them.

But there are no attendant articles about hospital corporations, public health systems, and politicians rising to meet this shortage. One would expect hospitals to be aggressively recruiting and retaining as many nurses as possible with competitive pay, safe working conditions, and attractive benefits. But industry-wide labor disputes throughout the pandemic indicate that the opposite is true.

Industry bosses’ refusal to address this labor shortage by granting nurses even the most basic rights and protections — despite our nation’s major health systems making billions in surplus over the course of the pandemic — suggests that this crisis in nursing isn’t a crisis for everybody.

​​In fact, for decades hospital corporations, obsessed with profit over all else, have been cutting staffing levels while putting increased stress and unrealistic demands on the workers who remain. The result is an impossible situation in which workers are pushed to do more with less, leading to nurses and other health care workers leaving the field due to stress and an inability to provide adequate care for their patients.

When staffing is cut to the bone by health care companies looking to line their pockets, patient care suffers, often with devastating consequences. Researchers have shown that, after controlling for patient and hospital characteristics, each additional patient assigned to a nurse increases the odds that one of those patients will die by 7 percent.

Fewer nurses means worse outcomes for patients — but it also means lower labor costs, less union power, and more profit for hospital corporations. Their response to the current nursing shortage demonstrates that this is a trade-off they’re more than willing to make.

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