In response to Manthous, we discuss the role of unions in health care. The ethical quandary that Manthous perceives in health care worker unions is overstated because patient and worker interests are frequently aligned. The search for a “selfless” union overlooks the importance of adequate compensation for providing excellent care. The collective actions employed by health care workers’ unions need not include strikes or slowdowns and can be consistent with patient safety and well-being.
*Department of Economics and Center for Public Policy and Administration, University of Massachusetts, Amherst, MA
†School of Nursing
‡Philip R. Lee Institute for Health Policy Studies and Center for the Health Professions, University of California, San Francisco, CA
Supported by the Agency for Healthcare Research and Quality (AHRQ) under Grant R01 HS014207.
The authors declare no conflict of interest.
Reprints: Michael Ash, PhD, Department of Economics and Center for Public Policy and Administration, 200 Hicks Way, University of Massachusetts, Amherst, MA 01003. E-mail: firstname.lastname@example.org.