Point-Counter-PointHealth Care Unions Response Fortifying Clinicians’ Patient AdvocacyManthous, Constantine A., MDAuthor Information Lawrence and Memorial Hospital, New London, CT The author has no relevant conflicts of interest. Reprints: Constantine A. Manthous, MD, Lawrence and Memorial Hospital, CA Manthous MD, 28 Central Avenue, Niantic, CT 06357. E-mail: firstname.lastname@example.org. Medical Care: May 2014 - Volume 52 - Issue 5 - p 398-399 doi: 10.1097/MLR.0000000000000125 Buy Metrics Abstract In a previous article in this point-counter-point, I argued that work actions could be ethically problematic and undermine clinicians’ values and goals. I now respond to the elegant arguments made by Ash and colleagues, presenting additional measures that may be required—until health care unions (if ever) grow—to fortify protections for clinicians who advocate for patient safety and medical professionalism. © 2014 by Lippincott Williams & Wilkins.