Never Good Enough: Health Care Workers and the False Promise of Job Training

Index

Index 1199/SEIU United Healthcare Workers East, 180–207 Boston, 1199/SEIU in, 5–6, 13, 223 Bread and Roses Cultural Project, 227–28 bureaucracy administering training programs , 228–29 contract negotiations, 183–87, 189–94, 196–97 employment-based health care benefits for members of, 218–21 financial problems of hospitals, analysis of, 197–200 funds or trusts for training, 77–78 health care benefits compared to training benefits, 222–23 health care reform and restructuring, response to, 184–85, 203–4 Health Care Workforce Recruitment and Retention Act, 193–96 history of, 11–13 HCRA, reauthorization/renewal of, 192–93 job descriptions, enforcement of, 40 joining of forces with hospital leaders, 180–82, 197–200, 201–6 layoffs and downsizing, negotiations to avoid, 185, 187, 189, 190, 197, 199, 200–202, 204, 232 merger of 1199 with SEIU, 190 multiskilling backed by, 90, 96–98, 105–8 patient care affected by actions of, 201–3 pragmatic policies, effects of, 12–13, 109 Rite Aid agreement on pharmacy benefits, 220, 274–75n50 Rivera as president of. See Rivera, Dennis state budget cuts, 186–87, 188 Training and Upgrading Fund. See Training and Upgrading Fund training program strategy adopted by, 4–6, 16, 63, 182–83, 187, 200–201, 203, 205–7, 232 on universal health care, 218–19, 220–22 value added and social movement unionism in, 205, 272n83 wages, effect on, 12, 203–4 academic health centers (AHCs), 271–72n78 AFL-CIO (American Federation of Labor and Congress of Industrial Organizations), 204, 205, 212–14, 216, 230, 231 292 Index African-Americans. See women, immigrants, and people of color AHCs (academic health centers), 271–72n78 AIDS/HIV, 47 allied health care workforce, 14, 21–58. See also specific positions, e.g. patient care technicians blame for care and cost control failures placed on, 34–36, 37, 43, 45–46 breaks, lack of time and space for, 46–47 career ladders, lack of, 139–41 devaluation of. See devaluation of caring labor emotional burdens of job, 49–53 enjoyment of training, 112, 118, 174–76 entry into, 25–31 exit from, 53–58 job descriptions, issues with, 36–42, 49 motivations of, 22–25, 103–5, 235–38 NYC, dominance of industry in, 1–3 paucity of high-skill, high wage jobs in, 161–64 physical difficulty of work, 31, 50 physical health and safety issues, 47–49, 128 projected downsizing, nonoccurrence of, 59, 66 reform and restructuring of, lack of and need for, 239–40 reform and restructuring programs affecting , 73–74 staffing levels, 33–36 sub-baccalaureate labor market dominated by, 3–4 supplies and resources, lack of, 42–46, 119–20 as term, 3 training and education industry. See health care workforce training industry in NYC wages of. See wages women, immigrants, and people of color dominating, 1–2 working conditions of, 31–33, 159–60 American Federation of Labor and Congress of Industrial Organizations (AFL-CIO), 11, 13, 204, 205, 212–14, 216, 230, 231 American Hospital Association, 12, 86, 236 anger management, 115–16, 117, 127–28 Aronowitz, Stanley, 157, 246 attitude employer concerns about, 166–67 misplaced emphasis on, 235–38 soft skills training addressing issues of, 129–30 austerity as moral imperative, 242, 278n11 Balanced Budget Act (federal), 189, 199 “Bayside” Hospital, 141–44 benefits, employment-based. See employmentbased benefits Berg, Ivar E., 161 Berliner, Howard S., 199 Beth Israel, 106, 185, 220 billing and coding work, 37, 55, 84, 91, 104 blood, drawing (phlebotomy), 11, 82, 89–90, 92, 98, 101, 106, 205 Blue Cross and Blue Shield plans, 194, 215, 219 Booz Allen Hamilton, 62, 92 Boston, 1199/SEIU in, 5–6, 13, 223 Braverman, Harry, 94, 96 Bread and Roses Cultural Project, 227–28 breaks, lack of time and space for, 46–47 Brown, Michael, 217 California, labor-management partnership in, 204, 205 Canadian health care system, 218, 221, 240 career ladders in health care industry, lack of, 139–41. See also upgrading caring labor. See also allied health care workforce devaluation of. See devaluation of caring labor feminization of, 142–43, 146 interactive service work and emotional labor compared, 131, 278n8 penalty for undertaking, 9, 263n28 soft skills training’s suitability for, 131–32 Center for an Urban Future, 75, 85, 164 certified nursing assistants (CNAs), 90, 97, 98 Champy, James, 92–93, 96, 104–5 charity care, 107, 200 CHCCDP. See Community Health Care Conversion Demonstration Project...