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When Doctors Join Unions (Paperback)
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When Doctors Join Unions (Paperback)
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Current and anticipated changes in this country's health care
system are likely to add momentum to the physicians' union
movement, according to Grace Budrys. She documents the emergence
and development of the Union of American Physicians and Dentists
(UAPD), founded in the San Francisco Bay area in 1972, and suggests
it may be a harbinger of renewed organizing efforts throughout the
country.Representing both salaried and private practice doctors,
the UAPD gained strength in the early 1980s during the crisis in
malpractice suits, and surged again in recent years in response to
steadily increasing medical corporatization. Budrys argues that the
approach to modernization now favored across the country resembles
that of the industrialization era. As health organizations become
larger, more centralized, and more hierarchical, decisions are made
further from the work site and some traditional responsibilities
are delegated to lower-paid, less-trained workers.Nevertheless, the
image of blue-collar industrial workers organizing into unions is
not easily reconciled with our society's image of physicians as
highly trained and highly skilled members of a profession long
considered the bastion of individualists. Budrys suggests that
doctors' unions in general and the UAPD in particular may provide a
model for other nontraditional groups and occupations seeking
solutions to contemporary problems in the workplace. After
discussing the laws governing workers' organizing rights and their
interpretation by the courts, she concludes with commentary on the
organizing activity taking place among highly paid and highly
educated workers.
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