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Catholic
Healthcare West's Organizing Campaign
Our Sunday Visitor
by
William Bole
November, 1998
Does organized labor have anything to do with justice and
morality? Can unions help build the kingdom of God?
Those questions have burst from a bitter union battle
at one of the nation's largest health care corporations – which happens
to be Catholic.
The struggle at Catholic Healthcare West began a
year ago, when the Service Employees Union International began signing
up nurses, housekeepers and other workers at seven hospitals in the Sacramento
area and three in Los Angeles.
Only in recent weeks, however, has the union gone
public with allegations that the hospitals have harassed and intimidated
pro-union employees with the help of an anti-union consulting firm.
"This is the biggest anti-union campaign we've ever
seen. Columbia/HCA doesn't do a better job of attacking its workers," said
Sal Roselli, president of Service Employees Local 250, which covers Sacramento.
Columbia/HCA is a for-profit corporation, the largest in U.S. health care.
Referring to the nine orders of nuns that run the
non-profit Catholic Healthcare West with lay management, Roselli added:
"Clearly, the women religious are colluding with the suits, or this wouldn't
be happening."
Officials there acknowledge they have retained the
services of Management Science Associates, a firm with a reputation in
union circles for "union busting." But they deny using heavy-handed tactics
such as assigning security guards to follow around union supporters at
work, and say the hospitals have merely provided information employees
need in deciding whether to affiliate with a union.
"We support their right to make a choice" about
unionization, said Cindy Holst, spokeswoman for Mercy Healthcare Sacramento,
which is part of Catholic Healthcare West. But she said, "We have made
it clear to our employees that it would not be in their best interests
to vote in a union to represent them."
In a formal press statement, Catholic Healthcare
West said, "We believe that the most constructive relationship between
management and non-management employees is a direct one," without a union.
Nationally, labor has faced resistance in all hospital
sectors, secular and religious, for-profit and nonprofit. Labor organizers
say Catholic hospitals have been no exception and have typically sought
out the expertise of firms that specialize in maintaining "union-free"
workplaces.
But one difference with the campaigns at Catholic
institutions is that union supporters can quote chapter and verse from
Catholic social teachings in support of trade unions. Another difference
is that, notwithstanding those teachings, Catholic hospitals can muster
the moral and spiritual authority of their sponsoring religious communities
in arguing against unions.
Eliseo Medina, a national Service Employees leader
based in Los Angeles, accused Catholic Healthcare West of sending out the
message that employees "have to make a choice between being good Catholics
and being in the union."
Medina said, "I'm a Catholic, and I've always listened
to what priests, nuns, and brothers tell me. But I don't think this is
what Catholic social teaching is all about."
He cited, among other things, an alleged incident
in which the chaplain of St. Francis Medical Center in Lynwood, Calif.,
near Los Angeles, is said to have asked in morning prayers at the hospital
for God to lead workers on the right path and against the union.
But the chaplain, Brother Richard Hirbe, said it
didn't happen. He said he offers prayers over the public address system
at 8:00 a.m. every day and has "never once" mentioned the union in those
prayers.
Medina of the Service Employees also cited a letter
written to St. Francis employees by Brother Hirbe, whose formal title is
Director of Spiritual Healthcare Services.
Noting that the hospital is dedicated to "building
up the Kingdom of God," the letter stated: "No union can make claim to
building God's Kingdom as it's mission, just as no union can make you a
guarantee, only a shallow promise of a ‘better life.' "
The brother, in a telephone interview, said he wasn't
making an anti-union statement. The purpose of the letter was simply to
"inform the consciences" of employees about the Catholic healthcare mission,
said Brother Hirbe, a member of Brothers for Christian Community, which
he described as a contemporary community of religious men.
Like other hospitals, those belonging to Catholic
Healthcare West are struggling to adapt to the competitive, cost-cutting
environment of managed care.
Responding to market pressures, the hospital chain
has raced ahead of the industry trend toward mergers and acquisitions.
Founded in 1986 with eight hospitals and now with 37, it is the seventh
largest hospital network in the nation, according to research by the Service
Employees.
Pro-union employees and their supporters, including
some "labor priests" in Los Angeles, say Catholic Healthcare West has become
preoccupied with the bottom line. They contend – and the hospital denies
-- that the quality of patient care has plummeted along with employee morale.
Key issues in the organizing campaign include a
stronger voice by employees in decisions about staffing and services as
well as health insurance for their children. Currently the benefits are
only for employees, though hospital officials say the workers can pay a
premium for coverage of dependents.
"At this time, it is economically unfeasible for
us" to extend the coverage, said Holst of Mercy Healthcare Sacramento.
Still, Holst said the costs of doing business have
little to do with why the hospitals are resisting the union. The stated
reasons for doing so are broader than that and a bit philosophical.
"A union – an outside third party whose values greatly
differ from ours – would drive a wedge in the relationship," three Daughters
of Charity wrote in a "Dear Team Members" letter to employees of Robert
F. Kennedy Medical Center, part of the Catholic chain, in Hawthorne, Ca.
Nearby, at St. Vincent Medical Center in Los Angeles,
10 Daughters of Charity wrote: "A union sets up an adversarial relationship
within the hospital. It breaks down, even eliminates, direct communication
with employees …" The letter said unions can do this "by their very nature."
The union is attempting to turn a critical spotlight
on such roundly anti-union statements, against the ecclesiastical backdrop
of pro-labor teachings. Union literature has cited Pope John Paul's statement
that unions are "indispensable" in modern societies and "are indeed a mouthpiece
for the struggle of social justice" (Laborem Exercens, 1981).
Hospital officials say they see no contradiction
between their position and Catholic social teaching.
"Is it a mortal sin to believe that unions are not
the best way of social justice?" said Brother Edward Smink, chaplain and
manager of spiritual services at Robert F. Kennedy Medical Center. He added,
"Employees have a right to unionize, but they clearly have a right not
to unionize."
Some hospitals in the Catholic Healthcare West network
are already unionized, partly due to acquisitions of community hospitals
where unions have existed for decades.
It is within bounds of Catholic social teaching
for employers to let workers know they prefer to stay non-union, officials
say.
But critics such Father Stan Bosch, pastor of two
parishes in Los Angeles, say the hospitals have been doing that and much
more.
Father Bosch said he recently spent three hours
talking to workers in the St. Francis Medical Center cafeteria, and came
away convinced that the hospital is actively thwarting their right to organize.
The priest said pro-union workers complained of
managers and supervisors telling them, "I'd hate to see you lose your job."
He said they also spoke of one-on-one grilling sessions that they consider
coercive, and other anti-union strategies.
Susan Whitten, spokeswoman for Catholic Healthcare
West in Southern California, said management has used the meetings to convey
unbiased information to employees. She said the charges of intimidation
"are just not true."
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