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    Why Doctors and Pharmacists Are in Revolt

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    Dr. John Wust does not come off as a labor agitator. A longtime obstetrician-gynecologist from Louisiana with a penchant for bow ties, Dr. Wust spent the first 15 years of his career as a partner in a small business — that is, running his own practice with colleagues.Long after he took a position at Allina Health, a large nonprofit health care system based in Minnesota, in 2009, he did not see himself as the kind of employee who might benefit from collective bargaining.But that changed in the months leading up to March, when his group of more than 100 doctors at an Allina hospital near Minneapolis voted to unionize. Dr. Wust, who has spoken with colleagues about the potential benefits of a union, said doctors were at a loss on how to ease their unsustainable workload because they had less input at the hospital than ever before.“The way the system is going, I didn’t see any other solution legally available to us,” Dr. Wust said.At the time he and his colleagues voted to unionize, they were one of the largest groups of private-sector doctors ever to do so. But by October, that distinction went to a group that included about 400 primary-care physicians employed in clinics that are also owned by Allina. The union that represents them, the Doctors Council of the Service Employees International Union, says doctors from dozens of facilities around the country have inquired about organizing over the past few years.And doctors are not the only health professionals who are unionizing or protesting in greater numbers. Health care workers, many of them nurses, held eight major work stoppages last year — the most in a decade — and are on pace to match or exceed that number this year. This fall, dozens of nonunion pharmacists at CVS and Walgreens stores called in sick or walked off the job to protest understaffing, many for a full day or more.The reasons for the recent labor actions appear straightforward. Doctors, nurses and pharmacists said they were being asked to do more as staffing dwindles, leading to exhaustion and anxiety about putting patients at risk. Many said that they were stretched to the limit after the pandemic began, and that their work demands never fully subsided.“We’re seen as cogs in the wheel,” Dr. Alia Sharif said, “You can be a physician or a factory worker and you’re treated exactly the same way by these large corporations.”Jenn Ackerman for The New York TimesBut in each case, the explanation runs deeper: A longer-term consolidation of health care companies has left workers feeling powerless in big bureaucracies. They say the trend has left them with little room to exercise their professional judgment.“People do feel put upon — that’s real,” said John August, an expert on health care labor relations at the Scheinman Institute at Cornell University. “The corporate structures in health care are not evil, but they have not evolved to the point of understanding how to engage” with health workers.Allina said that it had made progress on reducing doctors’ workloads and that it was partnering with health care workers to address outstanding issues. CVS said it was making “targeted investments” in pharmacies to improve staffing in response to employees’ feedback, while Walgreens said it was committed to ensuring that workers had the support they needed. Walgreens added that it had invested more than $400 million over two years to recruit and retain staff members.Professionals in a variety of fields have protested similar developments in recent years. Schoolteachers, college instructors and journalists have gone on strike or unionized amid declining budgets and the rise of performance metrics that they feel are more suited to sales representatives than to guardians of certain norms and best practices.But the trend is particularly pronounced in health care, whose practitioners once enjoyed platinum-level social status at high school reunions and Thanksgiving dinners.For years, many doctors and pharmacists believed they stood largely outside the traditional management-labor hierarchy. Now, they feel smothered by it. The result is a growing worker consciousness among people who haven’t always exhibited one — a sense that they are subordinates constantly at odds with their overseers.“I realized at end of the day that all of us are workers, no matter how elite we’re perceived to be,” said Dr. Alia Sharif, a colleague of Dr. Wust’s at Allina who was heavily involved in the union campaign. “We’re seen as cogs in the wheel. You can be a physician or a factory worker, and you’re treated exactly the same way by these large corporations.”‘We were all partners.’ Then came the metrics.Pharmacists at Walgreens and CVS have complained of understaffing and overly aggressive performance targets. Spencer Platt/Getty ImagesThe details vary across health care fields, but the trend lines are similar: A before-times in which health care professionals say they had the leeway and resources to do their jobs properly, followed by what they see as a descent into the ranks of the micromanaged.As a pharmacy intern and pharmacist at CVS in Massachusetts beginning in the late 1990s, Dr. Ed Smith found the stores consistently well staffed. He said pharmacists had time to develop relationships with patients.Around 2004, he became a district manager in the Boston area, overseeing roughly 20 locations for the company. Dr. Smith said CVS executives were attentive to input from pharmacists — raising pay for technicians if there was a shortage, or upgrading clunky software. “Every decision was based on something that we said we needed,” he recalled.Dr. Wust looked back on his days in an independent practice of about 25 doctors with a similar wistfulness. “We were all partners,” he said. “It was relative workplace democracy. Everybody got a vote. Everybody’s concerns were heard.”Over time, however, consolidation and the rise of ever-larger health care corporations left workers with less influence.As so-called pharmacy benefit managers, which negotiate discounts with pharmacies on behalf of insurers and employers, bought up rivals, retail giants like Walgreens and CVS made acquisitions as well, to avoid losing market power.The chains closed many of their newly owned locations, driving more customers to existing stores. They sought to cut costs, especially labor costs, as the benefit managers reined in drug prices.Around 2015, Dr. Smith stepped down from his role as a district manager and became a frontline pharmacist again, reluctant to supervise co-workers under conditions he considered subpar. “I couldn’t ask my pharmacists to do what I couldn’t accomplish,” he said.Among his frustrations, he said, was the need to strictly limit the number of workers each pharmacy could schedule. “Every week that you’re over your labor budget, you get a call, regardless of prescription volume, from your district manager,” Dr. Smith said. “If your budget for tech hours is 100 and you used 110, you get a phone call. It’s not much money — maybe $180 — but you’re getting a call.”Asked how labor budgets were applied, CVS said managers were “provided guidance” based on expected volume and other factors, with adjustments made to ensure adequate staffing.Dr. Smith and other current and former CVS and Walgreens pharmacists said their stores’ allotment of hours for pharmacists and pharmacy technicians had dropped most years in the decade before the pandemic.The pharmacists also described being held to increasingly strict performance metrics, such as how quickly they answered the phone, the portion of prescriptions that are filled for 90 days rather than 30 or 60 days (longer prescriptions mean more money up front) and calls made urging people to fill or pick up prescriptions.For years, Walgreens and CVS pharmacists could largely ignore these narrower metrics so long as overall profits and customer satisfaction stayed high. But in the early to mid-2010s, both companies elevated the importance of these indicators, several pharmacists said.At Walgreens, many pharmacy managers began reporting to a districtwide retail supervisor rather than a supervisor trained as a pharmacist. “It coincided with more pushing of the metrics,” said Dr. Sarah Knolhoff, a Walgreens pharmacist from 2009 to 2022.“Never having been a pharmacist, they would push the pharmacy the same way they would push the front end,” Dr. Knolhoff added, alluding to the rest of the store.CVS said that performance metrics were needed to ensure safety and efficiency for patients but that in recent years it had reduced the number of metrics it tracked. Walgreens announced last year that it would no longer rely on “task-based metrics” in performance reviews for pharmacy staff members, though it still used them to track store-level performance.‘Corporate tells you how to manage your patient.’At health systems like Allina, doctors have incentives to talk to patients about conditions that may not be relevant to their immediate care. Health experts say it can help ensure that high-risk conditions are attended to.Jenn Ackerman for The New York TimesThe transition for doctors and nurses came around the same time. As independent medical practices found they had lost leverage in negotiating reimbursement rates with insurers, many doctors went in house at larger health systems, which could use their size to secure better deals.The passing of the Affordable Care Act in 2010, along with federal rule-making efforts, rewarded bigness by tying reimbursement to certain health outcomes, like the portion of patients who must be readmitted. Getting bigger helped a hospital system diversify its patient population, the way an insurer does, so that certain groups of high-risk patients weren’t financially ruinous.Administrators increasingly evaluated their medical staff according to similar metrics tied to patients’ health and put a variety of incentives and mandates in place.Doctors and nurses chafed at the changes. “Corporate tells you how to manage your patient,” said Dr. Frances Quee, president of the Doctors Council, which represents about 3,000 doctors, most of them at public hospitals. “You know that’s not how you’re supposed to manage your patient, but you can’t say anything because you’re scared you’re going to be fired.”At Allina, primary care doctors are given incentives to talk to patients about their high-risk or chronic medical conditions, even if those conditions are well managed and aren’t relevant to a visit.“Is that a valuable use of our 25 minutes together?” said Dr. Matt Hoffman, a primary care doctor at an Allina clinic that unionized in October. “No, but it means Allina gets more money from Medicare.”Dr. Wust said hospital administrators increasingly relied on management theories borrowed from other industries, like manufacturing, that sought to minimize excess capacity.For example, he said, obstetricians at Allina had one or two hold spots a day of 15 minutes each, in case of a patient emergency, when he began working at the system. Several years ago, Allina took away these buffers, instructing obstetricians to double book instead.Asked about the hold spots, Allina said, “We’re always looking at how we’re using our resources to deliver high-quality care.” It said the incentives tied to high-risk conditions could still be achieved if a doctor stated that the problem was no longer relevant. Dr. Josh Scheck, another Allina primary care doctor, said he found the nudge helpful and not very time consuming to address. He said the health system had allowed his clinic to experiment with ways to make its work flow more efficient.Other health workers complained that some of the metrics they’re evaluated on, like patient satisfaction, made them feel like retail clerks or dining employees rather than medical professionals.Adam Higman, an expert on hospital operations at the consulting firm Press Ganey, said consolidation and the increased use of metrics had arisen in response to a need to lower U.S. health care costs, long the world’s highest per capita, and ensure that the spending actually benefits patients.He pointed to data showing that more empathetic and communicative doctors and nurses — factors that affect patients’ experience — lead to healthier patients.But Mr. Higman acknowledged that many health systems had increased tensions with doctors and nurses by failing to involve them more in developing and putting in place the system of metrics on which they are judged. “The progressive, smart health systems and medical groups are listening to physicians, looking at their experience and turnover and creating venues to have discussions,” he said. “If not, that’s one of the contributing factors to organizing.”‘I would not have put unions and physicians in the same mind.’Nurses went on strike for three days in January at Mount Sinai Hospital in New York to protest understaffing.Gregg Vigliotti for The New York TimesThe pandemic magnified these strains.As retail chains rolled out Covid-19 vaccines, pharmacists complained of being overworked to the point of skipping bathroom breaks and said they worried constantly about making mistakes that could harm patients. (CVS said it began closing most pharmacies for 30 minutes each afternoon last year to give pharmacists a consistent break. Walgreens said “dedicated pharmacist meal breaks” began in all stores in 2020.)Doctors and nurses found that their already backed-up inboxes were suddenly bursting, as frightened patients clamored for medical advice. Administrators sought to squeeze more patients into overloaded hospitals and clinics.The breaking point came when the height of the pandemic passed, but conditions barely improved, according to many workers. Although health systems had promised to add staffing, many found themselves running deficits amid inflation and a shortage of doctors and nurses.Professionals who had never considered themselves candidates for union membership began to organize. When she started at Allina in 2009, Dr. Sharif said, “I would not have put unions and physicians in the same mind — it would have been a totally alien concept.” She reached out to the Doctors Council last year for help unionizing her colleagues.Dr. Quee, the union president, said that inquiries from doctors were up more than threefold since the second group of Allina doctors unionized last month — and that as a result, the Doctors Council was hiring more organizers. (Allina is appealing the outcome of the union vote at the hospital but not at its clinics.) Even pharmacists are reaching out. “Two days ago, pharmacists called me from Florida,” she said. “We’ve never done pharmacists before.”In September, Dr. Smith, who long ago shifted from CVS district manager to frontline pharmacist, took on an additional role: labor organizer. After CVS fired a district manager who had refused to close some stores on weekends to address understaffing, Dr. Smith helped organize a series of coordinated sick days and walkouts in the Kansas City, Mo., area, where he has worked for the company in recent years.The walkouts affected roughly 20 locations and drew the company’s chief pharmacy officer and a top human resources official to town for a meeting with the renegades. A few weeks later, CVS said it would rein in vaccination appointments and add work hours for pharmacy technicians, though it had not increased their pay.CVS said several Kansas City-area pharmacists had called in sick on certain days in September, “resulting in about 10 unexpected pharmacy closures” on one day and part of another. In response, it said, executives met with pharmacists to listen to and address their concerns.During an interview in October, while Dr. Smith and his colleagues were still awaiting the company’s response, he made clear that his patience had run out. “I’ve been asking and asking and asking for improvements for years,” he said. “Now we’re not asking any more — we’re demanding it.” More

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    U.A.W. Announces Drive to Organize Nonunion Plants

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    The United Automobile Workers’ effort, with a long-elusive goal, follows its success in securing big raises in contracts with the Detroit automakers.The United Automobile Workers union announced Wednesday that it was undertaking an ambitious drive to organize plants owned by more than a dozen nonunion automakers, including Tesla and several foreign companies — a goal that has long eluded it.The move comes weeks after the U.A.W. won new contracts from General Motors, Ford Motor and Stellantis that included wage increases of 25 percent or more over four and a half years for its 146,000 members employed there.In addition to Tesla, the targets of the drive are two other electric vehicle start-ups, Lucid and Rivian, and 10 foreign-owned automakers: Toyota, Honda, Hyundai, Nissan, BMW, Mercedes-Benz, Subaru, Volkswagen, Mazda and Volvo.The U.S. plants owned by those companies employ nearly 150,000 workers in 13 states, the union said.If the organizing drive gains momentum, it could become one of the largest by the U.A.W. since its infancy in the 1930s. The union’s past efforts to organize even single plants owned by the foreign automakers, concentrated in the South, came to nought. A foothold among those companies would signal a big shift in the American auto industry, where nonunion manufacturers have long had a significant cost advantage over the Detroit automakers.The union said the organizing drive had been prompted by inquiries from several thousand workers at nonunion plants.“Workers across the country, from the West to the Midwest and especially in the South, are reaching out to join our movement and to join the U.A.W.,” the union’s president, Shawn Fain, said in a video posted on Facebook. “The money is there. The time is right.”A Honda statement cited the automaker’s “competitive wages and benefits,” adding, “We do not believe an outside party would enhance the excellent employment experience of our associates.” Subaru did not comment directly on the union drive but referred to a series of wage increases and a comprehensive benefits package.At the DealBook conference sponsored by The New York Times on Wednesday, Elon Musk, Tesla’s chief executive, said, “If Tesla gets unionized, it will be because we deserve it and we failed in some way.” He reiterated his opposition to unions, saying that “it’s not good to have an adversarial relationship” between groups within a company.Rivian and Volkswagen said they had no comment. The other companies did not immediately respond to requests for comment.On Wednesday, the U.A.W. activated websites where workers can electronically sign cards that serve as an official certification of their desire to have union representation. Earlier, at a handful of plants, the U.A.W. had already received signed cards from more than 30 percent of the work force, the threshold required under federal law for the union to move forward with a vote on unionization, a person familiar with the matter said.The union is now working to send organizers to areas around these nonunion plants to collaborate with workers at those factories, this person said.After the U.A.W. reached agreements with the Detroit automakers to raise wages, Toyota, Honda and Hyundai announced that they, too, would increase workers’ pay.Toyota has told workers that it will raise hourly rates 9 percent in January. Honda will lift wages 11 percent and Hyundai 14 percent next year. Hyundai plans to increase wages 25 percent by 2028.The U.A.W. said Wednesday that it was making a concerted effort to organize a large Toyota plant in Georgetown, Ky., that employs about 7,800 workers and produces the Camry sedan and RAV4 sport utility vehicle.U.A.W. members have long earned more than nonunion workers. At plants in the South, wages tend to start below $20 an hour and top out at less than $30. The top U.A.W. hourly wage, previously $32, climbed to more than $40 in the contracts the union signed with the three Detroit manufacturers.The U.A.W. has fallen short twice in the past decade — by narrow margins, in 2014 and 2019 — in unionization votes at a Volkswagen factory in Chattanooga, Tenn. The U.A.W. lost by a substantial margin at a Nissan plant in Canton, Miss., in 2017. Organizing efforts at other companies’ plants have petered out before coming to a vote.But after Mr. Fain became the union’s president this year, the union promised a more aggressive approach to its contract talks with the Big Three and vowed to renew efforts to widen its reach in the industry.In addition to wage gains at the Detroit companies, the U.A.W. won agreements to preserve jobs and to keep open a Stellantis plant in Illinois that had been slated to close.Arthur Wheaton, director of labor studies at Cornell University School of Industrial and Labor Relations, said the U.A.W.’s wage gains created a stronger case for joining the union.“It shows collective bargaining works and shows the U.A.W. was successful,” he said. “They can say: ‘We saved this plant. Look at what we got. You can have this, too.’”Past organizing drives were hurt because the U.A.W. had a tarnished image, Mr. Wheaton added: Many unionized plants had closed, its members had been required to accept wage and benefit cuts to help the Detroit manufacturers survive the 2009 financial crisis, and federal corruption investigations had implicated senior union officials.“A lot of the negative things about the union — a lot of that stuff has gone away now,” Mr. Wheaton said.Santul Nerkar More

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    Unions in Sweden Expand Blockade Against Tesla

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    The LatestElectricians and dockworkers across Sweden on Friday joined a widening effort by unions in the country to pressure Tesla to sign a collective bargaining agreement with its mechanics.The labor action expanded three weeks after the autoworkers’ union, IF Metall, called a strike against Tesla in an effort to secure a collective arrangement over pay and working conditions for its roughly 120 members who work as mechanics for the electric vehicle maker. In the latest move, dockworkers at dozens of ports refused to unload cars from ships and electricians stopped repair work at the company’s charging stations, highlighting the power of organized labor in a country where collective agreements cover nine in 10 of all employees.Port workers blocking a ship from loading Tesla vehicles onto a ship moored at the port of Malmo in Sweden, in early November.Johan Nilsson/TT News Agency, via Associated PressTesla in Sweden: No production but many sales.Tesla does not produce any vehicles in Sweden, but runs several facilities where the cars are serviced. So far this year, the Tesla Model Y is the best-selling new car in Sweden, with more than 14,000 registrations through October, according to Mobility Sweden, an industry group.At the outset of the mechanics’ strike, a Tesla representative told Swedish media that the company followed labor laws in the country, and that it chose not to sign a collective agreement. The company said it would do what it could to keep its business operating.Quotable: ‘It is both important and obvious that we help.’The Swedish Transport Workers’ Union, whose members work at Sweden’s docks, said in a statement that “it is both important and obvious that we help, to stand up for the collective agreement and the Swedish labor market model.”How It Started: Mechanics at Tesla went on strike on Oct. 27.In late October, IF Metall, which represents 300,000 workers in Sweden, including some of Tesla’s mechanics, said talks with company representatives had ended without resolution. The union began the strike action at Tesla’s 12 service centers on Oct. 27.Dockworkers initially refused to unload any Teslas at four major Swedish ports starting on Nov. 7, which on Friday expanded to 55 ports.Unions representing cleaners have also refused to service Tesla facilities, and the postal workers’ union stopped any deliveries from reaching the company’s sites.Both IF Metall and the Transport Workers’ Union have acknowledged that Tesla has found ways around the strikes. Tesla appeared to be bringing in other mechanics to staff its facilities and bringing new vehicles into Sweden by truck, they said.The strike efforts have also been hampered by some union members who work for Tesla and refused to join, Swedish media have reported.What Other Unions Say: Germans have voiced support.In Germany, where Tesla produces the Model Y at a gigafactory outside Berlin, union leaders have been seeking to organize the roughly 11,500 employees who work there. Tesla’s leadership has not engaged with the German autoworkers’ union, IG Metall. Last month, several hundred workers wore union stickers calling for “safe and fair work.”Dirk Schulze, the regional head of IG Metall in Brandenburg, where Tesla has its factory, has expressed his solidarity with the striking workers in Sweden. The strike in Sweden has given workers in Germany “the courage and confidence to organize themselves into a union and take their fate into their own hands,” Mr. Schulze said in a statement.The union has not announced any further measures.What Happens Next: More strikes are planned in Sweden.This week, IF Metall said 50 of its members at Hydro Extrusions, a company that produces an aluminum component for Tesla, would walk off their jobs next Friday. More

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    U.A.W. Members at General Motors Ratify Contract

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    The United Automobile Workers union hopes the agreements with General Motors, Ford and Stellantis will help it make inroads at other companies.Members of the United Automobile Workers union have given their backing to new contracts with the three big U.S. automakers, agreements that deliver hefty wage increases and other gains that had eluded the union for more than 20 years.In the most closely contested vote, the tentative contract agreement at General Motors won the support of 55 percent of the nearly 36,000 members casting ballots, according to a tally from all the G.M. locals that the union posted on Thursday.Tentative agreements with Ford Motor and Stellantis, the maker of brands including Jeep and Chrysler, appeared headed for approval by more decisive margins, nearly complete results there showed.A spokesman for the union confirmed the accuracy of the tallies but declined to comment further.The agreements are similar across the three automakers and raise the top wage for production workers 25 percent, to more than $40 over four and a half years, from $32. They were reached last month after a six-week wave of strikes that hobbled the companies — a strategy spearheaded by the union’s new president, Shawn Fain, who had vowed to take a more adversarial approach to negotiations than his predecessors.Workers leaving the Ford Chicago Assembly Plant on Thursday.Jamie Kelter Davis for The New York TimesThe agreements appear to have quickly reverberated across the auto industry, with Toyota, Hyundai and Honda announcing significant wage increase at nonunion plants in the United States only days later.“We call that the U.A.W. bump, and that stands for ‘U Are Welcome,’” Mr. Fain said in testimony before the Senate Health, Education, Labor and Pensions Committee this week. “And we’re very proud of that. And when these workers decide to organize and join the U.A.W., they’re going to realize the full benefit of union membership and get what they’re fully due.”The new contracts also included larger company contributions to workers’ retirement plans and the right to strike over plant closures. All three automakers declined to comment on the ratification votes.Mr. Fain said the union was seeking to capitalize on its momentum by waging muscular organizing campaigns at nonunion plants, and, in remarks submitted to the Senate committee, he added that thousands of workers were already contacting the union and signing union cards.But even Mr. Fain’s tough approach in the talks with the Big Three did not yield terms attractive enough to many union members. G.M. workers at several large plants voted against the tentative agreement by large margins.In contrast, members of the International Brotherhood of Teamsters recently approved a new contract at United Parcel Service with 86 percent support, while a new contract between the Writers Guild of America and Hollywood studios passed with 99 percent support.Rebecca Givan, a labor studies professor at Rutgers University, said Mr. Fain had achieved a major victory despite having taken office only a few months earlier with a goal of reorienting the union.Huey Harris, at the G.M. plant in Flint, said he had voted in favor of the contract despite his belief that it didn’t offer veteran workers like him enough gains.Nic Antaya for The New York TimesDr. Givan said the union’s approach of initially striking at one plant at each of the three automakers and ramping up over time had “really upended a lot of conventional wisdom” in the labor movement and had proved unusually successful at reversing some concessions that the union had accepted years earlier, like the suspension of a cost-of-living adjustment.“This shows that if workers build enough power, they can win things back,” she said.U.A.W. members at Mack Truck also ratified a contract on Wednesday, after rejecting an initial agreement with the company.Across the three automakers, skepticism toward the agreements arose in large part from veteran workers who felt that the proposed contracts did not go far enough to compensate them for years of concessions and weak wage growth, even given strong gains for newer workers. Wages for some newer workers will more than double over the next four years.Huey Harris, a G.M. employee at a large truck assembly plant in Flint, Mich., who has worked at the company for over 20 years, said the deal should have gone further in rewarding veteran workers, though he ultimately voted for it. “The traditional people didn’t think they were offered enough in the contract,” he said.Curtis March, who works at Ford’s Chicago plant and made the inflation-adjusted equivalent of more than $40 an hour in the early 1990s, will make about $36 in the first year of the new contract, he said.Jamie Kelter Davis for The New York TimesSeveral longtime employees of the Big Three automakers said that even after the large gains of the new contract, they would not be making more than when they started their careers.Curtis March, who works at Ford’s Chicago Assembly Plant, said he made about $18 an hour once he reached the top wage for production workers at the company in the early 1990s, equivalent to more than $40 today when adjusted for inflation. He will make about $36 in the first year of the new contract.Mr. March said the deal was likely to pass at Ford because it placated more recent employees, who outnumber veterans like him. Workers at his plant approved the deal after voting against several previous contracts.Despite the ultimate success, the path to ratifying the contracts has included some internal strains for Mr. Fain and the union. Unite All Workers for Democracy, a reform group that played a key role in electing Mr. Fain and six other members of the U.A.W. executive board to their positions, declined to formally recommend that union members approve the contract even after Mr. Fain urged the group to do so at a recent meeting, according to three people familiar with the meeting. Instead, Unite All Workers passed a resolution committing it to stay neutral during the ratification vote, though it stated that the group “celebrates the record gains made in this agreement.”Two of these people also said the union’s General Motors department had been less communicative and less proactive in distributing information about the contract to local union officials and members than the Ford and Stellantis departments.The union declined to comment on these developments.LaDonna Newman, a longtime Ford worker, said about the U.A.W.’s president, Shawn Fain, “I give him a lot of kudos for having the courage to go against the corporations.”Jamie Kelter Davis for The New York TimesRatification could also bring political benefits to President Biden, who waded into the negotiations over the summer and fall, and who risked angering business leaders by increasingly siding with the union’s members.Administration officials were taken aback in August when Mr. Fain called for a 40 percent raise for autoworkers and a four-day workweek. Executives at the Big Three called the White House to ask if Mr. Fain was serious. A senior administration official said Biden aides had reassured them that the union wanted a deal, but acknowledged that the negotiations could go quite differently from the way the automakers were used to.In mid-September, when Mr. Biden was in New York for meetings at the United Nations General Assembly, he joined aides on a video call to make a decision that he and his team had been building toward for weeks: to join autoworkers on a picket line in Detroit. That decision infuriated executives, the administration official said, but the White House saw it as a victory for the president and for workers, by making a clear statement about where Mr. Biden stood in the negotiations.Some autoworkers argued that the union had erred by failing to expand the strike, which eventually included about one-third of the companies’ unionized workers in the United States, even more.LaDonna Newman, another longtime Ford worker who opposed the contract because of its limited gains for veteran workers, said she believed the union could have won more at the bargaining table had it been willing to escalate further.Still, she did not blame Mr. Fain for the outcome. “He walked into a burning building,” Ms. Newman said. “I give him a lot of kudos for having the courage to go against the corporations.”Jim Tankersley More

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    G.M.’s Contract Deal With U.A.W. Faces Surprisingly Stiff Opposition

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    Many longstanding General Motors workers have been voting against the tentative accord, which they feel insufficiently improves retirement benefits.A United Automobile Workers union vote on a tentative contract agreement with General Motors that provides record wage increases has run into unexpectedly strong resistance from veteran workers.Voting at most union locals has been completed and the final result, due as early as Thursday evening, will very likely be decided by a narrow margin. A majority of workers at several large plants in Michigan, Indiana and Tennessee rejected the contract, though union members at a large sport utility plant in Arlington, Texas, voted in favor of it.G.M., Ford Motor and Stellantis agreed to similar contracts with the union after U.A.W. members went on strike at select plants and warehouses. Workers walked off the job at the first three plants on Sept. 15 and stayed on strike for more than 40 days. It was the first time the union has struck all three automakers at the same time, though it did not shut down all of the factories of any company.The agreement appears to be headed for ratification at Ford and Stellantis, the maker of Chrysler, Jeep and Ram vehicles, by comfortable margins, according to running tallies the U.A.W. published online.At G.M., many veteran workers have opposed the contract because they want the company to contribute more money to retirement plans and the cost of health care for retirees.“I’ve heard from some traditional workers who said there wasn’t enough in there for them,” said David Green, director of the U.A.W. Region 2B, which includes Ohio, Indiana and a small part of Michigan. “The post-retirement health care is an issue for some people. For some people, it’s the pension contributions.”Mr. Green himself thinks the contract represents a big victory for union members. “This is the best contract I’ve seen since I started in 1989,” he said. “So I was happy with it.”General Motors declined to comment on the contract vote.The tentative contract raises the top wage by 25 percent, from $32 to more than $40 over four and a half years. The increase is more than the combined wage increases the union has won over the past 22 years, according to U.A.W. officials.Newer hires who are lower on the pay scale will see larger increases that take them to the new top wage. And workers who were recently hired will see their hourly pay double.The agreement also provides for cost-of-living adjustments that will nudge wages higher if inflation persists as well as enhanced company contributions to pensions and retirement plans, more paid time off and the ability to strike if any plant is closed during the term of the contract.The contract negotiations with G.M., Ford and Stellantis were led by the United Automobile Workers president, Shawn Fain, center, who was elected this year.Brittany Greeson for The New York TimesTo be ratified, the agreement must secure a simple majority. More than 46,000 U.A.W. workers work at G.M., although not all of them are likely to turn in ballots. More than 14,000 company employees took part in the targeted strikes.As of Wednesday afternoon, an online vote tally that the union maintains showed that just over 54 percent of the votes were in favor of the contract, but that tally did not include numbers from some big plants.If the tentative agreement is voted down, it would represent a big setback for the U.A.W. president, Shawn Fain, who was elected this year and promised to take a more aggressive approach in the contract talks in hopes of winning significant pay increases and reversing some of the concessions the union accepted in past contracts.He appeared to deliver that in what was widely regarded as a record deal. President Biden, who joined striking workers on the picket line in September at a G.M. site in Belleville, Mich., hailed Mr. Fain’s efforts. The president joined Mr. Fain last week at a plant in Belvidere, Ill., that Stellantis agreed to keep open after halting production this year.“I don’t think it diminishes Shawn Fain’s luster that much because of a close ratification vote,” said Arthur Wheaton, director of labor studies at Cornell University School of Industrial and Labor Relations. “It just means expectations were high, and had he not delivered as much as he did, it wouldn’t have passed.”After the contracts with the three Detroit automakers are ratified, Mr. Fain hopes to try to organize workers at nonunion plants in the South owned by Toyota, Honda and other foreign automakers, and the nonunion plants that Tesla operates in California and Texas.Since the terms of the U.A.W. agreements were announced, some of those companies have increased wages of factory workers. Toyota has told workers that it will raise hourly rates by 9 percent in January. Honda and Hyundai will lift wages 11 percent and 14 percent next year. Hyundai plans to increase wages 25 percent by 2028.“Everybody at those companies should say, ‘Thank you, U.A.W.,’” Mr. Wheaton said. “Those increases wouldn’t have happened without the new U.A.W. contract.” More

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    Las Vegas Hotel Strike Averted After Unions Strike Deals with Resorts

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    Two big unions reached contract agreements with the three largest resort operators ahead of a series of events crucial to the city’s economic rebound.Debra Jefferies, a cocktail waitress at the Horseshoe Las Vegas, spent much of the week wondering whether she would be walking a picket line, as she did in 1984 — the last time there was a major strike among hospitality workers in the city.“There was solidarity back then, just like there has been right now,” said Ms. Jefferies, 68. “Each generation has stepped up to demand better working conditions.”Nearly 35,000 union members, including Ms. Jefferies, had threatened to begin a strike on Friday against the city’s three big casino operators after months of negotiations had failed to yield a new five-year labor agreement.But last-minute maneuvering averted a walkout as the resort owners — Caesars Entertainment, MGM Resorts International and Wynn Resorts — came to terms, one by one, on tentative contracts with the city’s two most powerful unions.The final agreement, with Wynn Resorts, came early on Friday, a few hours before the strike deadline. The deal, when ratified, would provide “outstanding benefits and overall compensation to our employees,” Wynn said in a statement. The culinary union said the contract featured the largest wage increase negotiated in its 88-year history.A strike loomed as a major disruption to a series of big events, starting with the Las Vegas Grand Prix, a Formula 1 auto race along The Strip that is expected to draw hundreds of thousands of visitors late next week.It was the latest crucible for Las Vegas and for Nevada, which has the highest unemployment rate in the nation — currently 5.4 percent — and has struggled to bounce back ever since the start of the pandemic shuttered The Strip for months.Along with the Formula 1 race, Las Vegas is the site of the National Finals Rodeo in December and the Super Bowl in February.Bill Hornbuckle, the chief executive of MGM, said in a Wednesday earnings call that his company had sold more than 10,000 tickets to the Grand Prix and expected to bring in $60 million in extra hotel revenue in the days ahead.Those stakes made a labor agreement all the more crucial.Ted Pappageorge, the head of Culinary Workers Union Local 226, said, “Hospitality workers will now be able to provide for their families and thrive in Las Vegas.”Bridget Bennett for The New York TimesThe dispute pitted Culinary Workers Union Local 226 and Bartenders Union Local 165 — affiliates of the labor confederation UNITE HERE — against Caesars, MGM and Wynn, which operate 18 hotels along the The Strip and are the state’s three biggest employers. Ted Pappageorge, the head of Local 226, likened the negotiations to landing “three large planes at once.”The unions pushed for contracts that would raise wages, bolster safety practices and ease concerns about the introduction of new technology that could affect jobs.“Hospitality workers will now be able to provide for their families and thrive in Las Vegas,” Mr. Pappageorge said, adding that the MGM Resorts contract would provide compensation increases “far above” those in the last contract, which amounted to a $4.57-an-hour increase in overall in wages, health care and pensions.Details of the tentative agreements have not been released, but the terms are expected to be similar across the three companies. Under the contract that expired Sept. 15, union members make $26 an hour on average.Stephen M. Miller, an economics professor at the University of Nevada, Las Vegas, said the sea change in the balance of power between management and labor that has occurred in the post-pandemic period is on clear display in Las Vegas.Mr. Miller said the government stimulus money during the pandemic gave laid-off workers, including many who worked in the culinary union in Las Vegas, the resources to reconsider their future employment path.“The labor market is involved in a large restructuring process, which has given labor more bargaining power,” Mr. Miller said. “The resurgence of strikes and threats of strikes is the observable outcome of that power shift.”“There is no better time than now to fight for what we deserve,” Yusett Salomon, a warehouse operator at Wynn Resorts, said of the negotiations on a new contract.Mikayla Whitmore for The New York TimesEven before the labor ferment in the last year in the auto industry, Hollywood and other realms, Nevada’s culinary workers were a particularly powerful force.It was culinary union members — who include housekeepers, cooks, doormen, laundry workers, bartenders and food servers — whose political clout was vital in winning legislative approval of Covid-19 safety precautions.And they often help sway elections as a powerful base for Democrats.In 2020, members knocked on more than 500,000 doors and helped Joseph R. Biden Jr. win the state by roughly two percentage points. Last year, during the 2022 midterms, they doubled their door-knocking efforts, helping Sen. Catherine Cortez Masto secure her re-election. (Despite their efforts, incumbent Democratic Gov. Steve Sisolak, who faced fierce criticism over pandemic shutdowns, lost by a narrow margin.)That kind of support may be crucial to Mr. Biden again next year in a swing state where a recent New York Times/Siena College poll showed him trailing his likely Republican opponent, former President Donald J. Trump, by 10 percentage points.Yusett Salomon was among the workers who knocked on doors for Democrats during the 2022 election. He has worked as a warehouse operator transporting pallets of food and plants at the Wynn for the past two years, earning $22 an hour.On Thursday, Mr. Salomon sat inside a cavernous hotel conference room observing negotiations. “There is no better time than now to fight for what we deserve,” he said.Lynnette Curtis More

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    Biden Bolsters Union Support in Illinois

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    The trip, including a meeting with the president of the United Automobile Workers, offered the president a chance to celebrate a landmark labor deal.President Biden pulled a red United Automobile Workers T-shirt over his button-down on Thursday and celebrated a landmark labor deal that kept a Stellantis manufacturing plant in business, using an appearance in Illinois to shore up crucial union support.“I’ve worn this shirt a lot, man,” Mr. Biden told a man in the crowd, one month after he walked a picket line to support autoworkers in their strike for higher wages. “I’ve been involved in the U.A.W. longer than you’ve been alive,” the 80-year-old president said.The speech before the boisterous crowd was a victory lap for Mr. Biden after the union reached an agreement with Ford, General Motors and Stellantis late last month on a contract that included pay increases and reopened the plant in Belvidere, Ill.Mr. Biden made the case for clean energy even as many workers fear the president’s climate change agenda could endanger their jobs. He also drew a contrast with his likely Republican opponent in the 2024 presidential race, former President Donald J. Trump.“When my predecessor was in office, six factories closed across the country. Tens of thousands of auto jobs were lost nationwide, and on top of that he was willing to cede the future of electric vehicles to China,” Mr. Biden said. He added that Mr. Trump has insisted that electric vehicles will lead to the loss of thousands of manufacturing jobs.“Well, like almost everything else he said, he’s wrong,” Mr. Biden added. “And you have proved him wrong. Instead of lower wages, you won record gains. Instead of fewer jobs, you won a commitment for thousands of more jobs.”During Mr. Trump’s four years in office, the National Labor Relations Board often took pro-corporate stances and was actively hostile to unions. While Mr. Biden in September became the first president to appear on a picket line, Mr. Trump visited a nonunion plant in Michigan and said union members “were being sold down the river by their leadership.”The Biden administration has proposed the nation’s most ambitious climate regulations yet, which would ensure that two-thirds of new passenger cars are all-electric by 2032 — up from just 5.8 percent today. The rules, if enacted, could sharply lower planet-warming greenhouse gas emissions from vehicle tailpipes, the nation’s largest source of greenhouse emissions.But they also come with costs for autoworkers, because it takes fewer than half the laborers to assemble an all-electric vehicle as it does to build a gasoline-powered car. Union leaders also fear that many of the new manufacturing plants for electric vehicle batteries and other parts are being built in states that are hostile to unions.On Thursday, Mr. Biden showered praise on union leaders, particularly Shawn Fain, the president of the U.A.W., saying the strike that Mr. Fain led saved the automobile industry. “You’ve done a hell of a job, pal,” Mr. Biden told him.Mr. Fain did not offer Mr. Biden the endorsement of his powerful union with about 400,000 active members, including a major presence in the swing state of Michigan. In the past, the union boss has been vocally critical of some administration decisions around its push for electric vehicles, writing in a memo to union members in May that “the E.V. transition is at serious risk of becoming a race to the bottom.” He wrote that the union wanted to see “national leadership have our back on this” before making a decision on an endorsement.“His view was: We’re two guys from working-class backgrounds,” Gene Sperling, Mr. Biden’s liaison to the U.A.W., said of the president’s view shortly before he invited Mr. Fain to the Oval Office in July. The two have spoken on the phone several times since, including once when Mr. Biden called Mr. Fain to wish him a happy birthday.Administration officials said the tenor of the relationship changed when Mr. Biden joined striking autoworkers in Michigan in September. When word came down that the union had struck a deal with the automakers, Mr. Biden stepped away during a state dinner welcoming the Australian prime minister and called Mr. Fain, a senior administration official said.David Popp, a professor of public administration at Syracuse University, noted that while new factories will be needed to build electric vehicle batteries, the vehicles will require fewer suppliers producing parts. Many assembly workers will also need to be retrained.“We may also need fewer workers,” Mr. Popp said in an email. But, he said, “there doesn’t seem to be a consensus yet on whether that is the case.”Kristine Lynn, who spent 17 years on the assembly line at the Belvidere manufacturing plant before it shuttered eight months ago, said she had “mixed emotions” about the transition to clean energy and electric vehicles.Ms. Lynn, 49, said she was unsure what job she was returning to, but knew she would face changes in the long run. Her last position involved putting gas tanks into automobiles.“That job isn’t going to exist anymore,” she said. More

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    Las Vegas Unions and MGM Resorts Reach Tentative Labor Agreement

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    The deal, the second in two days with a major resort operator, was announced on the day before a strike deadline set by two major unions.Two unions representing hospitality workers announced on Thursday a tentative labor agreement with a second major Las Vegas hotel operator, MGM Resorts International, a day before a strike deadline set by the unions.Culinary Workers Union Local 226 and Bartenders Union Local 165 said a deal had been reached on a five-year contract covering 25,400 workers at MGM Resorts, which runs eight Las Vegas properties: the Aria, Bellagio, Excalibur, Luxor, Mandalay Bay, MGM Grand, New York-New York and Park MGM.The unions, which are affiliates of UNITE HERE, announced on Wednesday that they had struck a deal with Caesars Entertainment, another major resort operator in the city.The unions said last week that their members would go on strike if an agreement with the city’s three main resort operators was not reached by Friday. The unions are still negotiating with Wynn Resorts.The unions have been negotiating with the resorts since April. The agreement would avert a strike at MGM’s resorts, although the unions’ members still need to ratify the new contract.Ted Pappageorge, the head of Local 226, said in a statement that with the new deal, MGM workers “will be able to provide for their families and thrive in Las Vegas.” The unions said the agreement with MGM included the largest wage increases “ever negotiated in Culinary Union’s 88-year history,” a workload reduction for some members and increased safety protections, among other benefits.“We’re pleased to have reached a tentative agreement that averts a strike, gives our culinary union employees a well-earned boost to pay and benefits and reduces workloads,” Bill Hornbuckle, the chief executive of MGM Resorts, said in a statement.It’s not yet clear how big of a pay increase union members will receive, but Mr. Hornbuckle, told analysts on an earnings call Wednesday that a deal would result in “the largest pay increase in the history of our negotiations with the culinary union.” He added that the company would harness “technology and process improvements to help offset the incremental labor costs we expect.” The deal with the union includes some protections from new technologies that would affect their jobs.The deals with the resort operators were reached about a week before the Las Vegas Grand Prix, a Formula 1 race that winds through the Strip, where most of the resorts are. The event promises to be a major moneymaker for the city’s hospitality industry: Mr. Hornbuckle said his company had sold more than 10,000 tickets to the event and expected to attract $60 million in extra hotel revenue that weekend. More