New York
nurse Long IsLand EdItIon | june 2019
the official publication of the new york state nurses association
Missions reveal healthcare needs, p. 3 Marie Boyle, RN and Marianne Walsh, RN of Southside Hospital-Northwell Health
COUNTDOWN TO THE PRESIDENCY, PP. 7-15
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NEW YORK NURSE JUNE 2019
The solution to healthcare dysfunction
T Judy SheridanGonzalez, RN, NYSNA President
Advocating for patients. Advancing the profession.SM BOARD OF DIRECTORS President Judy Sheridan-Gonzalez, RN, MSN, FNP judy.sheridan-gonzalez@nysna.org First Vice President Anthony Ciampa, RN anthony.ciampa@nysna.org Second Vice President Karine M. Raymond, RN, MSN karine.raymond@nysna.org Secretary Tracey Kavanagh, RN, BSN tracey.kavanagh@nysna.org Treasurer Patricia Kane, RN pat.kane@nysna.org Directors at Large Anne Bové, RN, MSN, BC, CCRN, ANP anne.bove@nysna.org Judith Cutchin, RN judith.cutchin@nysna.org Seth Dressekie, RN, MSN, NP seth.dressekie@nysna.org Jacqueline Gilbert, RN jackie.gilbert@nysna.org Nancy Hagans, RN nancy.hagans@nysna.org Robin Krinsky, RN robin.krinsky@nysna.org Lilia V. Marquez, RN lilia.marquez@nysna.org Nella Pineda-Marcon, RN, BC nella.pineda-marcon@nysna.org Verginia Stewart, RN verginia.stewart@nysna.org Marva Wade, RN marva.wade@nysna.org Regional Directors Southeastern
Yasmine Beausejour, RN yasmine.beausejour@nysna.org
Southern
Sean Petty, RN sean.petty@nysna.org
Central
Marion Enright, RN marion.enright@nysna.org
Lower Hudson/NJ Jayne Cammisa, RN, BSN jayne.cammisa@nysna.org Western
Chiqkena Collins, RN chiqkena.collins@nysna.org
Eastern
Martha Wilcox, RN martha.wilcox@nysna.org
Executive Editor Jill Furillo, RN, BSN, PHN Executive Director Editorial offices located at: 131 W 33rd St., New York, NY 10001 Phone: 212-785-0157 Email: communications@nysna.org Website: www.nysna.org Subscription rate: $33 per year ISSN (Print) 1934-7588/ISSN (Online) 1934-7596 ©2019, All rights reserved
here’s not a nurse I know who thinks our current healthcare system “works.” ● Too much testing vs. not the right tests; ● too much documentation vs. documentation that misses the boat; ● hotel-style “customer service” scripts vs. from-theheart empathic dialogue; ● rote protocols vs. critical thinking; ● factory-style “efficiency” vs. humane interaction (which takes time); ● cumbersome outdated policies vs. common sense and professionalism; ● virtual management, training and human resource access vs. real, live human beings with personalities who want to help you. So, why are some folks so terrified of looking at alternatives to this dysfunctional system?
Fundamental change in systems and programs raise the specter of the unknown. We may not like the way things are, but we have figured out a way to manage within their constraints. The question becomes: Is a better way possible? We look around the world and there are things we know: ● National health systems exist
in every industrialized economy… except the United States. ● Not one country that has established such a system has voted or moved to abandon it. ● The satisfaction ratings in such countries are far higher than those in the U.S. ● They cost nearly half of what the U.S. pays as a percentage of the gross domestic product. ● The health indices in these systems are superior in nearly every standard to those in the U.S. ● These systems are built around a progressive taxation system rather than a “cost” system that discriminates against those with fewer means. ● These systems are not perfect, nor are they identical, and there are variations within systems.
● In the U.S., 42 percent of people
with Cancer spend all their money within two years of their diagnosis. That does happen in a country with a national health system. The insurance industry has been described as the parasite of the
healthcare industry. It provides no direct service, care, research or materials—and yet it is the key driver in costs and “professional aggravation”. It feeds off of inadequate treatments (no care = no cost to the insurer) and simply raises rates if complex care is required (always with a sweetener that further raises costs). Big Pharma is referred to as the predator of the healthcare industry. Hyper-inflation without regulation of drug prices (directly linked to the for-profit nature of the system) has led to increased morbidity and mortality for folks who cannot afford needed medications. Advertising and marketing has convinced people of the need to over-medicate or “selectively” medicate—with limited scientific basis. Providers lean on medication when confronted with insurancemandated productivity requirements—instead of comprehensive, holistic care. Side effects and multiple medications have resulted in serious complications. And the opioid crisis is directly linked to such practices. These parasites and predators could be dramatically reduced or even eliminated with a universal system that puts people before
profits. The repetitive checklists of the EMR could be reformatted to serve caregivers and patients rather than the hospital accounting department. The savings generated by eliminating multiple insurers’ share of the healthcare dollar, high drug prices, administrative overhead to manage reimbursement, unnecessary marketing and advertising could be used instead to hire desperately needed staff, allow for more time with patients, raise salaries for healthcare workers—employers would no longer “charge” us for health insurance as part of contract packages—and pay for research and innovative programs. Professionals could once again exert more control over our practice and avoid time-consuming workarounds to provide the care our patients deserve. Decisions could be based on need and best practices rather than what the insurance will cover. Clearly there are flaws in many national health systems, but such flaws are over-exaggerated by media controlled by parasites and predators—and the politicians and outlets that receive funding from them. Any new system can learn from the errors of previous or existing ones. What are the problems we can observe when we look at our neighbors in other countries? How can we avoid some of them? We are smart. Surely if we can figure out how to transplant organs, stop a cerebral or cardiac infarct in mid-attack, and eradicate and prevent fatal infections, we can create an equitable, quality healthcare system that includes everyone who needs care, while simultaneously respecting the caregivers who dedicate our lives to serving our communities. Improved and expanded Medicare for All is not a dream. It is a necessity.
NEW YORK NURSE/LI
LONG ISLAND
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JUNE 2019
Missions reveal healthcare needs
T
he New York Recovery Network (NYRN), an independent entity created by NYSNA, recruits volunteers to provide medical care and healthcare education to communities in desperate need of health services and victims of natural disasters. Participating NYSNA nurses pay for their own travel and expenses to support communities around the world, all while expanding their perspectives and enriching their practice. Southside Hospital-Northwell Health colleagues, friends, and NYSNA members Marie Boyle, RN, and Marianne Walsh, RN, are two such nurses. “It really had a big impact on me,” said the recently retired Walsh, who participated in the Peru mission in May. “I’ve been a nurse for over 40 years, and even though sometimes I think we have struggles and room for improvement in the United States, then you go to another country and see that they don’t even have the basics. It really humbles you. And these people are so grateful for whatever you can do for them.” NYSNA becoming global
Boyle has participated in five mission trips—from Hurricane Maria relief in the U.S. Virgin Islands, to providing care for immigrants on the Guatemalan border with Mexico, to working in clinics in the slums in India, to treating indigenous communities in the Amazon region of Brazil, to joining Walsh and several other NYSNA nurses
Participants of the NYRN trip to Peru
on the Peru mission. “I think it’s important for nurses to go out and reach other cultures,” she said. “I think it’s one of the best things NYSNA has done, starting to become global.” An eye-opening experience
When Walsh and Boyle joined 12 other nurses in Peru, they were confronted with eye-opening healthcare conditions. Walsh was shocked by the isolated location of the rural community they visited, situated at a far distance from quality healthcare services. “We traveled an hour and a half up dirt, winding roads where people don’t have access to immediate health care,” she said. “If they had a critical issue in this mountain clinic, it would take an hour and a half for an ambulance to get there, let alone the time to get the patient back. They are pretty much on their own.” Walsh continued: “We toured one of the hospitals and it was pretty overwhelming to see the obstacles they have to work around to give the best health care they can. They don’t have access to the same skill set or hospital environment we have here. Mold on the ceilings, peeling paint on the walls and minimal comforts. Most patients don’t even have access to clean sheets or gowns—their families have to bring it in. And most of the rooms had at least six beds, and all very close together. You could reach out and touch the person next to you, and this was a regular hospital room.”
The patient-to-nurse ratio at the hospital the volunteers visited was 1:30. “If you’re doing 1:30, you’re putting out fires,” Boyle said. “You’re just doing emergency work, helping whoever needs the most care at that moment.” Boyle and Walsh, now close friends, found common ground with fellow NYSNA nurses on their mission trips. “There’s a certain type of person that goes on these missions. Doesn’t matter the age or gender— within 24 to 48 hours we’re friends,” Boyle said. “We just have the same outlook. It’s always that person that goes the extra mile and recognizes you need to give back. And it’s rewarding meeting these people time and time again on these trips.” A promising future
On these medical missions, NYSNA nurses often meet with student nurses at local universities. Boyle observed that these nurses offer a promising future for healthcare in these countries. “The interchange with the new nurses coming up is so encouraging because they are the next generation that takes over,” Boyle reflected. “They have so many ideas and they’re so altruistic. They all look different, but I find the same person—a kind, honest, hardworking individual. I find we have more in common than we have differences in the end.” Boyle plans to continue to participate in medical missions, traveling to Cuba in July and Zimbabwe in September. Walsh will join Boyle on the trip to Cuba.
“
I think it’s one of the best things NYSNA has done, starting to become global.” Marie Boyle, RN, Southside HospitalNorthwell Health
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NEW YORK NURSE JUNE 2019
A public health platform NYSNA
By Jill Furillo, RN, NYSNA Executive Director
’s policies constitute a public health platform. As nurses, we see that proposals and laws have a fundamental connection to the health and safety of our patients and communities. In that light, wages, pollution, gun violence, safe staffing and universal healthcare are inextricably linked to public health. With this month’s New York Nurse, we begin a months-long series highlighting leading candidates in the race for president of the United States. We start this month with the Democrats. (See pp. 7-15.) Candidates will be gauged based upon their commitment to NYSNA’s positions on the most significant issues. Because safe staffing saves lives. The Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2019, sponsored by Sen. Sherrod Brown in the Senate and Rep. Jan Schakowsky in the House, would provide for minimum nurseto-patient ratios and “amend the Public Health Service Act to establish direct care registered nurse-topatient staffing ratio requirements in hospitals, and for other purposes.” Because healthcare is a human right. We must fight to keep important aspects of the Affordable Care Act because to take them away will cost human lives and constitute a setback in our campaign for true universal healthcare. Because we believe in patients over profits. We support the Medicare for All Act of 2019, introduced by Senator Bernie Sanders and 14 of his colleagues. In the U.S. House of Representatives, it is sponsored by Rep. Pramila Jayapal (D-WA) and Rep. Debbie Dingell (D-MI). Medicare for All
represents a major step forward in lives of the vast majority of Americans who would receive quality care with no co-pays, no deductibles and no cost for prescription medicines by eliminating the insurance middleman. Because we believe that opioid use is a major public health crisis. We support Congressional action to further investigate the role of Big Pharma and we further support increased funding for the treatment of the addicted and public health programs to educate the most vulnerable, all paid for by Big Pharma. Because union jobs matter. We support the Green New Deal that was recently introduced by U.S. Representative Alexandria OcasioCortez (D-NY) and Senator Edward Markey (D-MA). With 102 supporters in Congress and 11 of the Democratic presidential candidates speaking in its favor, it is a boost to organized labor. In its current form, the Green New Deal includes a federal jobs guarantee, workforce retraining, strengthening of collective bargaining rights, retirement security, and universal healthcare. (See p. 16 for our reportage on the Green New Deal.) Because without decent wages, people cannot live healthy lives. We support the Raise the Wage Act, which would raise the federal minimum wage to $15/hour by 2024. It’s sponsored by Bernie Sanders (D-VT) in the Senate and Bobby Scott (D-VA) in the House. Because a healthy planet matters to public health. All Democrats seeking the party’s nomination agree that the U.S. must sign back on to the Paris Climate Accord. When discussing the paramount issue of pollution and its climate and public health consequences, many have invoked the Green New Deal as the fix. A slew of litigation has also challenged the Trump Administration’s rollbacks to the Clean Air Act. Because workers’ rights matter. Support the Protecting the Right to Organize Act (“PRO Act”) to strengthen protections for employees engaged in collective action, to facilitate collective bargaining, and
to provide for stronger remedies for employees under the NLRA. Because gun violence is at epidemic levels putting the public health in jeopardy. We are submerged in a culture of gun violence and our commitment to help stop it is a top priority. The Help Empower Americans to Respond (HEAR) Act was introduced in June by Senators Bob Menendez (D-NJ), Dianne Feinstein (D-CA), Richard Blumenthal (D-CA) and Tim Kaine (D-VA). It bans the importation, sale, manufacture, transfer or possession of gun silencers or suppressors like the one used by the gunman in the recent VA Beach shooting. Because trickled-down economics do not help alleviate poverty. All Democrats seeking the nomination see the Trump tax cuts as a giveaway to the nation’s elites. The Democrats would abolish the Tax Cuts & Jobs Act of 2017 and return the country to a progressive tax system. Some have called for the elimination of the capital gains tax, invoking the argument that the sale of assets, particularly in the trading of stocks, should be taxed as regular income. Because every woman should have the freedom to choose. Reproductive Rights affect us in several ways. Most of us at NYSNA are women and hold firm beliefs about the decisions that affect our bodies. As public health and patient advocates, we know that limiting abortion poses serious harm to most women, who must seek services outside licensed clinics and hospitals. The Women’s Health Protection Act of 2019 would protect abortion access from state-level bans and restrictions that threaten to eliminate access around the country. It has been introduced in the House by U.S. Representatives Judy Chu (D-CA), Lois Frankel (D-FL), and Marcia Fudge (D-OH), and in the Senate by Senators Richard Blumenthal (D-CT) and Tammy Baldwin (D-WI). The Democratic candidates for president all have various policy platform proposals around a woman’s right to choose and should be scrutinized.
NEW YORK NURSE
IN MEMORIAM
JUNE 2019
Martha Wilcox: paragon of public health
O
n June 7, NYSNA lost a very special nurse colleague, board member, committed public health professional, wife, mother and devoted community advocate: Martha Wilcox. She passed away in her sleep at her home in Roscoe, New York. Martha was 57. First and foremost, Martha distinguished herself for the work she carried out as a public health nurse in Sullivan County. The county is rural, where family farms dot gentle hills. Many of these small agricultural enterprises are dairy farms, others grow organic fruit and produce. Lamb, beef and fowl are also raised. Much of what’s grown and raised is served in New York City’s finest restaurants. Martha and her husband, Daniel, operated a farm that has been in Daniel’s family for several generations. Martha’s family camped in Sullivan County when she was a teen and it was during these trips that she met Daniel. She worked hard every day with her husband
and family to maintain the farm— were keen and contributions to our meetings, classes and dialogue a demanding life, but one she articulate and intelloved. ligent. She was a In this rural setgood listener, but ting, marked by did not hesitate to farms and small express her views towns, lake commuwith vigor. She will nities and bordered be sorely missed here on the west by the at NYSNA. Delaware River, Martha is survived Martha was the by her husband, go-to public health Daniel L. Wilcox, nurse, protecting Sr.; two sons, Daniel residents from a L. Wilcox, Jr., and range of illnesses, Shawn T. Wilcox outbreaks and other and a future daughmatters of public Martha Wilcox, RN ter-in-law, Michaela health. She traveled (1962-2019) Schaefer. Martha many miles in her is also survived by indefatigable effort her mother, Mary Ann Pike and on the public’s behalf. Her husa brother, Charles Pike and his band said that during parts of her wife, Jo Anne; one sister, Debbie 20-year career Martha traveled Pike-Thomas and her husband, more than 100 miles a day. Lincoln; and two nieces. A valuable perspective Memorial contributions may At NYSNA, Martha brought be made in Martha’s name to the invaluable perspective of a Roscoe Cares c/o Mrs. Debbie public health nurse working across Hendrickson, 154 Rockland Road, a rural county. Her observations Roscoe, NY 12776.
Martha Wilcox, RN, and NYSNA board member (center/background), at a rally against Rep. John Faso, a one-term representative from New York's 19th congressional district, defeated in 2018. Faso voted to repeal and replace the Affordable Care Act.
First and foremost, Martha distinguished herself for the work she carried out as a public health nurse in Sullivan County.
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New York City Council Health Committee Oversight Hearing to discuss safe staffing resolution, June 24, (L-R)) Ari Moma, RN, Interfaith Medical Center; NYS Assembly Member Karines Reyes, RN, Montefiore Medical Center; Jalisa Saud, RN, Coney Island and Kings County hospitals; Alizia McMeyers, RN, Harlem Hospital
Calls for safe staffing resonate
F (below)NYC Public Advocate Jumaane Williams at the City Hall rally of public hospital nurses and supporters, June 12
rom the steps outside New York City Hall, into hearing rooms of the New York City Council, calls for safe staffing could be heard in June. “Every patient is a VIP� has become a popular refrain. On June 12, on the steps of City Hall, City Council members and borough presidents, alongside the NYC public advocate, stood tall with NYSNA nurses demanding safe staffing. The enthusiasm was palpable: nurses, elected officials, public health experts
and community advocates all pressing for a standard of safe care: equality for all patients, in all hospitals, with enough nurses to do their jobs. These pronouncements came on the heels of the release of a new study published in the Journal of Nursing Administration that provides additional empirical evidence to the common-sense argument that nurse understaffing puts patients at increased risk: infection rates for patients in understaffed units were 15% higher than those safely staffed.
New York
nurse speCial editioN | june 2019
the official publication of the new york state nurses association
With this issue we begin an examination of candidates in the race for U.S. president. This issue looks at the field of Democrats. Next month, New York Nurse will feature the Republican candidates, as well as presidential candidates of other parties.
Countdown to the Presidency
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DEMOCRATIC CAND Former Vice President Joe Biden
Senator Bernie Sanders
Senator Elizabeth Warren
Medicare for All
Unions/ Janus
Minimum Wage
NYSNA’s Position
NYSNA supports the Medicare for All Act of 2019, introduced by Senator Bernie Sanders and 14 of his colleagues. In the U.S. House of Representatives, it is sponsored by Rep. Pramila Jayapal (D-WA) and Rep. Debbie Dingell (D-MI).
NYSNA supports workers’ rights, strong wages, collective bargaining, the right to organize, and supports the elimination of laws banning union security. NYSNA is in favor of the Support the Protecting the Right to Organize Act (“PRO Act”) to strengthen protections for employees engaged in collective action, to facilitate collective bargaining, and to provide for stronger remedies for employees under the NLRA.
NYSNA supports the Raise the Wage Act, which would raise the federal minimum wage to $15/hour by 2024.
Former VP Joe Biden
Does not support Medicare for All; would improve and build upon Obamacare.
Supported NAFTA and the TPP.
Endorsed a $15 an hour minimum wage, saying it’s “well past time.”
Along with 14 other Democrats, Sanders introduced the Medicare for All Act of 2019, which extends Medicare to every resident and largely eliminates private health insurance.
Pledged after Janus to double down on “efforts to make it easier, not harder, to join a union.” Along with Harris, Warren, Gillibrand, and Booker, Sanders is a Cosponsor of the Protecting the Right to Organize (PRO) Act, which would shore up workers’ rights to strike, organize, and litigate against their employers.
Cosponsor of Raise the Wage Act of 2019, which would raise the minimum wage to $15 an hour by 2024.
Cosponsor but has kept details broad. There are “different ways” to get to “affordable health care for every American.”
Called Janus a “huge victory” for a corporate-rigged system, saying “But I’ve got news for the billionaires behind this case: we’re not going anywhere. #Union” Cosponsor, PRO Act.
Supports raising the minimum wage to $15 an hour by 2024.
Cosponsoring but believes private insurance should still have a role.
Cosponsor of PRO Act.
Called for a $15 an hour minimum wage and is among other candidates who have put their money where their mouth is by walking the picket line with striking McDonald’s workers.
Cosponsoring but would keep private health insurance.
Cosponsor of PRO Act and a vocal opponent of Janus saying it should be “easier not harder … to join unions.” He picketed with McDonald’s workers to show support for their right to organize.
Cosponsor of Raise the Wage Act.
(D-DE)
Sen. Bernie Sanders (D-VT)
Sen. Elizabeth Warren (D-MA)
Sen. Kamala Harris (D-CA)
Sen. Cory Booker (D-NJ)
NEW YORK NURSE JUNE 2019
DIDATES AND ISSUES Senator Kamala Harris
Climate/ Green New Deal
Senator Cory Booker
Trade
Immigration
Reproductive Rights
Guns
NYSNA supports the Green New Deal and combatting climate change to protect public health.
NYSNA supports trade policies that protect American workers and the economy and opposed NAFTA and TPP.
NYSNA supports immigration policies to protect people seeking U.S. asylum; provide DACA recipients a clear path to citizenship; and respect the dignity of every person (No kids in cages!).
NYSNA support the Women's Health Protection Act of 2019 which guarantees safe and affordable care.
NYSNA supports the public health position on gun control to establish policies that protect our patients and communities, including the Help Empower Americans to Respond (HEAR) Act.
Believes it is a crucial framework for meeting climate challenges.
Backed NAFTA and TPP, but has promised to unveil a progressive trade policy and give unions and environmental advocates a seat at the table.
Maybe he would support a wall if border barriers added to national security and if a path to citizenship was carved out for those who arrived in this country as children.
“I can’t justify leaving millions of women without the healthcare they need… If I believe healthcare is a right, as I do, I can no longer support [the Hyde Amendment].”
Authored the 1994 Assault Weapons Ban legislation, and believes “Assault weapons and high-capacity magazines should be banned from civilian ownership.”
Cosponsor
Voted against NAFTA, opposed admitting China to the WTO without conditions and scorned trade policies made by, for and with global corporations and banks.
No to the border wall and to tax dollars that fund it.
His Medicare for All bill would cover the full range of reproductive right.
Supported the Assault Weapons Ban Bill, saying, “Assault weapons are designed and sold as tools of war.”
Original Cosponsor
Unveiled a plan for “economic patriotism,” which includes overhauling the government’s approach to international trade and prioritizing American workers.
No to the border wall. It’s “a monument of hate and division.”
Cosponsored legislation to Supports the Assault Weapons Ban, overturn the Hyde amendment. ending the gun show loophole, universal background checks, and other “sensible gun safety laws.”
Cosponsor
No wall under any Opposed the TPP as well as the circumstance. Yes to current administration’s tariffs and escalating trade dispute with border security. China.
Cosponsor
Opposed fast-tracking the TPP and is positioning himself as a “pro-fair trade Democrat” – trade that keeps American workers out of the “crosshairs.”
Does not believe building more physical security barriers is in our national best interest or makes us safer.
Called for a repeal of the Hyde amendment.
Supports near universal background checks and banning assault weapons.
Said the Hyde amendment is a threat to reproductive rights and punishes those who already struggle for access to adequate health care services.
Wants all gun owners to be licensed through the federal government and is building on past proposals for banning assault weapons, highcapacity magazines and bump stocks.
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Senator Kirsten Gillibrand
Senator Amy Klobuchar
Governor Jay Inslee
Former Representative Beto O’Rourke
Medicare for All
Unions/ Janus
Cosponsor
A cosponsor of the PRO Act, Gillibrand has consistently supported “It’s time to raise the the right to collectively bargain. minimum wage [to $15 an hour] so that hardworking men and women can actually make a living.”
Prefers a Medicaid-type plan (under Obamacare would be a public option) and would not get rid of private insurance.
From a union family, Klobuchar believes “when unions are strong, our country is strong.” She supports “free and fair union elections, … collective bargaining rights, rolling back Right to Work laws,” and making it easier to join unions.
“There’s no doubt about it – the federal minimum wage must be increased to $15 an hour.”
Gov. Jay Inslee Introduced a public option bill in
“Strong unions – in both the public and private sectors – provide a strong public benefit. All of us benefit from the dramatic reforms to working conditions that unions fought for and won,” Inslee tweeted post-Janus.
Unclear – supported raising the minimum wage in Washington State in 2020 from $12 an hour to $13.50, and claims to have the highest minimum wage in the U.S.
Sen. Kirsten Gillibrand (D-NY)
Sen. Amy Klobuchar (D-MN)
Minimum Wage
(D-WA)
Washington State.
Former Rep. Beto O’Rourke
Prefers extending Medicare without eliminating private insurance; his plan would include ”public option”; calls his plan Medicare for America.
“When we invest in the American worker, we’re investing in their families and this country,” O’Rourke says.
Supports a $15 an hour federal minimum wage.
Prefers something else.
If elected, he has said he will reverse the Janus decision.
Supports a federal minimum wage of $15 an hour that could be higher depending on the cost of living in local areas.
Prefers something else.
Unclear – “Make it easier for workers to bargain for better pay.”
Unclear – “We need to increase wages.”
(D-TX)
Former Gov. John Hickenlooper (D-CO)
Sen. Michael Bennet (D-CO)
Former HUD Secretary Julian Castro (D-TX)
Says Medicare ”should be there for As an expression of solidarity with unions, Castro has made it everybody” but has not backed any clear to his campaign staff that he fully supports their right to unionize. Medicare for All proposal.
Has shown his commitment to raising the federal minimum wage by paying every person on his work force at least $15 an hour.
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11
JUNE 2019
Former Governor John Hickenlooper
Climate/ Green New Deal
Senator Michael Bennet
Former HUD Secretary Julian Castro
Trade
Immigration
Reproductive Rights
Guns
One of the first supporters and Cosponsor.
Introduced the Level the Playing Field in Global Trade Act of 2019, which vowes to protect “fair wages, safe working conditions, and the environment” at home and abroad.
Has yet to firmly declare a stance on this issue.
Called repeal of the Hyde amendment “critical,” especially for low-income women.
Gillibrand has changed her position on gun control and now supports legislation to stop gun trafficking, ban automatic assault weapons, and institute universal background checks.
Cosponsor
Although trade is not a signature issue for Klobuchar, she is generally anti-trade and voted against a fast-track for the TPP and against CAFTA.
Unclear – she is for “smart security” and against the wall, but has tried to negotiate with the president around funding for the wall.
Cosponsored legislation to Supports universal background overturn the Hyde amendment. checks and the Assault Weapons Ban Bill. Otherwise, she will evaluate gun laws against “what would ‘hurt [her] Uncle Dick in the deer stand.’”
Supports the Green New Deal and has rolled out his own Climate Mission for a clean energy economy.
Opposed to this administration’s trade policies, Inslee told PBS in March that he supports a positive working relationship with trade partners and open access to foreign trade markets.
“I support smart border security that restores efficiency to our ports of entry and immigration ports.”
Supports federal funding for abortions and says Hyde is “wrong.”
Supports the Green New Deal’s “ambition.”
Proposed implementing U.S. labor practices and the right to organize in trade agreements with countries around the world.
“Let’s ensure our security not through walls and militarization, but by investing in our ports of entry where the vast majority of everything and everyone that ever comes into this country first enters…”
Supported the Assault Weapons Ban Supports a budget that “includes no restrictions on the bill. use of federal healthcare funds for abortions.”
Prefers something else, saying,“The resolution sets unachievable goals.”
Relatively pro-free trade: “The U.S. should expand trade rather than adopt a protectionist crouch. One of the most reckless things President Trump did was walk away from potentially positive trade agreements and impose tariffs to force other countries to capitulate.”
Unclear – “We don’t want to waste more money building a wall that’s not really necessary. But putting a significant amount of money toward border security – I think most people agree with that.”
The Hyde Amendment “actively harms women by limiting access and choice.”
Has yet to firmly declare a stance on this issue.
Prefers something else.
Voted to give Obama a fast-track on the Trans-Pacific Partnership trade agreement.
Would support the wall if experts recommend it.
Has called for the Hyde Amendment to be overturned immediately.
Supported ban on high-capacity magazines while in the Senate.
Supports it.
A proponent of NAFTA as mayor of San Antonio, Castro says he would hope to renegotiate the trade agreement and offer better protections for workers and the environment.
Proposes assessing alternatives to a wall such as new technologies and practices.
“It’s long past time to repeal the Hyde Amendment and make abortion care available to all women – not just those who can afford it.”
Supports renewing the 1994 Assault Weapons Ban, limiting high-capacity magazines, requiring background checks at gun shows and gun buybacks.
Supported 1994 ban on assault weapons, which has since lapsed.
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Representative Tulsi Gabbard
Rep. Tulsi Gabbard
Representative John Delaney
Mayor Pete Buttigieg
Andrew Yang
Medicare for All
Unions/ Janus
Minimum Wage
Cosponsor in the House
Has said she supports workers’ demands for union rights.
Cosponsor of Raise the Wage Act (House).
(D-HI)
Rep. John Delaney (D-MD)
Mayor Pete Buttigieg (D-South Bend, IN)
Andrew Yang (D-NY) Entrepreneur & Founder, Venture for America
Marianne Williamson
No to Medicare for All, and prefers “As the son of a union worker, I fully support the right of to keep private insurance. McDonald’s workers to organize. Unions create safe work environments and fight for the rights of all workers.”
Supports "public option" as “best way” to move towards Medicare for All system.
Supporter of labor and union groups; thinks Democrats must work harder for working people and help them achieve economic stability.
“It’s time to raise the minimum wage to $15.”
Supports some version of a singlepayer system.
Unclear
“Leave minimum wage to states but universal basic income” – a monthly stipend of $1,000 to help workers make ends meet – “makes it much less necessary.”
Supports high-quality universal coverage for every American.
A proponent of workers’ right to organize.
Supports an increased minimum wage that is based on geographical location. She also supports a universal basic income of $1,000 per month.
(D-CA) Author, Lecturer & Activist
Mayor Bill de Blasio (D-NYC, NY)
Supports raising the federal minimum wage to $15 an hour over time.
Believes healthcare is a right not a “Unions and their members are the backbone of the middle class privilege. Supports Medicare for All and this attack [Janus v AFSCME] on the power and resources of the labor movement demands a response.” system.
Raised NYC’s minimum wage to $15 an hour, saying “There’s plenty of money to go around, it’s just in the wrong hands.”
NEW YORK NURSE
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JUNE 2019
Marianne Williamson
Climate/ Green New Deal
Mayor Bill de Blasio
Trade
Immigration
Reproductive Rights
Guns
Supports it with the Opposed Trans-Pacific caveat that she does Partnership. not want to leave the door open to nuclear power.
Unclear
Believes abortion should remain legal and accessible.
Voted to ban assault weapons, Cosponsoring of the Assault Weapons Ban of 2018. She wants background checks, to close the gun-show loophole, and to ban highcapacity magazines.
Does not support it. Supported Trans-Pacific Partnership. He has introduced a climate plan centered on a carbon tax.
Supports smart border security and does not rule out physical barriers.
“Women should have access to legal abortion care, and the Hyde Amendment kind of gets in the way of that.”
Supports universal background checks legislation, banning assault weapons and passing a national extreme risk protection bill.
Supports
Supports repealing the Hyde “Secure borders and a Thinks NAFTA caused irreplaceable job losses across the well-managed immigration Amendment. system are critical to industrial Midwest. national security.”
Enthusiastic supporter
Unclear
“A Green New Deal Unclear would provide an overall strategy for how clean energy, sustainable infrastructure and transportation, and a national green jobs program can revitalize our economy and utilize our innovative and human capacity to benefit all our people.” Supporter – NYC has already begun implementing its own version of the Green New Deal.
Against NAFTA and criticized the Trans-Pacific Partnership.
Supports increased funding Supports a repeal of the Hyde Amendment. to secure the border as well as supporting the use of modern technology to monitor the border courts. And supports more resources for border courts.
Supports universal background checks and banning assault weapons. Supports laws that would prevent “dangerous” individuals from owning guns and increased mental health resources for those who need it.
“The best way to provide security is not more or fewer walls, but efficient, effective border security driven by technology, particularly at points of entry.”
Supports using public funds to pay for abortions.
Pledged to eliminate the sale of assault rifles and semi-automatic weapons.
De Blasio has yet to firmly declare a stance on immigration. de Blasio’s NYC is a sanctuary city.
Called on cities‘ pension funds “If you don’t support repeal [of Hyde], you shouldn’t be the to divest from assault weapons manufacturers. Democratic nominee.”
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NEW YORK NURSE JUNE 2019
Governor Steve Bullock
Gov. Steve Bullock (D-MT)
Rep. Eric Swalwell (D-CA)
Rep. Tim Ryan (D-OH)
Rep. Seth Moulton (D-MA)
Former Sen. Mike Gravel (D-AK)
Mayor Wayne Messam (D-Miramar, FL)
Representative Eric Swalwell
Representative Tim Ryan
Representative Seth Moulton
Medicare for All
Unions/ Janus
Minimum Wage
Has says there are any number of different paths toward affordable, quality healthcare.
“The U.S. Supreme Court just overturned 40 years of settled law [Janus] that workers, employers and unions rely on.”
Unclear – ushered in a minimum wage increase in Montana, bringing the state’s hourly minimum to $8.50.
“America‘s unions represent a worker‘s best chance for a Supports Medicare for All but operating alongside and competing paycheck that grows and the American promise of being free to dream.” with private insurance plans.
Original cosponsor of the Raise the Wage Act.
Supports it but without eliminating “Labor unions built this country. We have unions to thank for private insurance. safe, clean work environments, the 40-hour work week, and the strongest middle class the world has ever seen. We need to be supporting and growing unions to fight for a prosperous life for all…”
Supports raising the federal minimum wage to $15 an hour.
Prefers updating Medicare through “Unions have been on the front lines fighting for American workers for decades, securing overtime, healthcare, paid leave a public option and competition and more. These rights will now [post-Janus] be under greater with private insurers. threat – for those in unions and the rest of us, as well.”
Cosponsor of Raise the Wage Act of 2019.
Supports abolishing private insurance companies and implementing a “fully socialized, National Health Service-style single-payer healthcare system” for all citizens and tax-paying permanent residents.
“McDonald’s workers, like workers all over the world, are tired of being paid less … and being harassed. I urge everyone to join them in their struggle and to never cross a picket line.”
“Establish a national $15 minimum wage and eliminate the tipped minimum wage. The minimum wage would be indexed to the consumer price index.”
Supports it but also supports a plan that maintains private insurance.
Unclear
Unclear – supports a “living wage.”
NEW YORK NURSE
15
JUNE 2019
Former Senator Mike Gravel
Climate/ Green New Deal
Mayor Wayne Messam
Trade
Immigration
Reproductive Rights
Strongly criticized the We can do better with a more focused administration’s trade war with China, saying the tariffs hurt plan. Montana farmers and are not really forward looking.
Has not firmly declared a stance on this issue.
The Hyde Amendment “should Supports banning assault weapons. be repealed.”
Cosponsor
“The trade war with China was not beneficial to the United States; this administration has alienated nations with longstanding relationships with the U.S.,” Swalwell told PBS in May.
Supports “more funding to train, hire and retain border personnel, deploy the best technology at ports of entry and provide additional immigration court resources.”
Has said he would lift the Hyde Called for a mandatory government Amendment. buyback of all assault weapons, which could cost as much as $15 billion, and prosecution of those who resist.
Does not support some aspects such as job guarantees and universal basic income.
Says NAFTA, CAFTA, and the U.S. Korea-Free Trade Agreement cost America jobs and he has denounced unfair trade practices by China.
Wants funding to better equip those at the border with the tools needed to prioritize national security and treat migrants and asylum seekers with the respect they deserve. Keeping families together is a priority.
Supported a bill that would have repealed the Hyde Amendment.
Has yet to firmly declare a stance on this issue.
One of the first to sign on, but takes exception to the jobs guarantee and forcing everyone onto Medicare for All.
Broadly agrees with levying certain tariffs, but characterizes the administrations’ approach as “short-sighted, irresponsible, and dangerous.”
“We need more judges to expedite the [asylum] process,” and to invest in ports of entry to keep drugs out of this country.
Supports the public funding of abortion care.
Authored bi-partisan legislation to ban bump stocks, and has said, “There’s simply no reason for a civilian to own a military-style assault weapon.”
“The Green New Deal is an ambitious and absolutely necessary plan.”
Identifies as “very much of a globalist,” who believes in open markets and open borders. Called NAFTA unfair and economically hurtful and the “root cause” of illegal migration to the U.S.
Supports open borders with “absolute freedom of movement.” (Excepting criminals). Would abolish U.S. Customs and Border Enforcement and the U.S. Immigration and Customs Enforcement agency.
The rights of all citizens to basic bodily autonomy should be guaranteed by constitutional amendment, including the right to a safe and legal abortion among others.
“It is not a question of outlawing guns; it is a question of background checks, it is a question of limiting automatic weapons so it is not taking guns away from the people under their second amendment rights.”
Unclear – Use tariffs to crack Supports the urgency and the end down on certain countries. goal of the Green New Deal but would roll out his own policy and include renewable energy markers.
Guns
“I think it’s settled law in terms Has yet to firmly declare a stance on “Concurrent to passing this issue. comprehensive immigration of a woman’s right of choice and I respect that settled law.” reform, the legislation should also include the necessary funding to provide border security, including technology, CBP agents and facilities to humanely detain” migrants and asylum seekers.
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NEW YORK NURSE JUNE 2019
Why the Green New Deal matters to labor and for the public’s health
P
resident Franklin D. Roosevelt (FDR) assumed office in 1933 to a country in grave trouble. It was The Great Depression and more than 60 percent of the U.S. was living in poverty. Banks were shuttered, the future was bleak. Hardest-hit were working people: construction workers, farmers, manufacturers, families. Roosevelt knew the country needed a fundamental change—
U.S. Representative Alexandria OcasioCortez (D-NY) and Senator Edward Markey (D-MA) introduce the Green New Deal
that the usual political solutions wouldn’t be enough to turn things around. With help from Congress, his administration implemented The New Deal: a series of public programs that would bring the country back to life. An important legacy
Upon assuming office, the FDR administration launched a variety of programs in short order. They launched a Civilian Conservation Corps to put men back to work in rural areas. They created the National Labor Relations Board to protect workers’ rights by growing labor unions. They passed the Social Security Act to support the retired, elderly, disabled, and survivors of loss. These policies, and many more, were among the most ambitious
government projects in American history. They not only brought the American people and the economy back to life, they also created an important political legacy that still resonates. An ambitious agenda
Today, as we tackle the fundamental crises facing our country— income inequality and climate change—members of Congress have looked back to FDR’s approach and proposed the Green New Deal. Like Roosevelt, the Green New Deal focuses on what historians call the “three Rs”: 1) relief for the unemployed and the poor; 2) recovery of the economy; and 3) reform of the financial system. Within the next 10 years, the Green New Deal aims to provide everyone in the country with: ● High-quality healthcare ● A job with a family-sustaining wage, family and medical leave, paid vacations, and retirement security ● Affordable, safe housing ● Access to clean water, clean air, healthy and affordable food, and nature ● Resources, training, and highquality education, including higher education It will do this by creating jobs and government programs that will: ● Move 100 percent of the power demand to clean, renewable, zeroemission energy sources ● Repair and upgrade infrastructure ● Spur massive growth in clean manufacturing ● Ensure that all Green New Deal jobs are union jobs that pay prevailing wages and hire local ● Upgrade buildings to maximal energy efficiency, water efficiency, safety, affordability, comfort, and durability ● Ensure affordable access to electricity ● Overhaul transportation systems to eliminate pollution from transportation ● Work with farmers and ranchers to eliminate pollution from agriculture
Though the ideas behind the Green New Deal have been around since the 1970s, only in recent years—as inequality balloons and the planet changes drastically before our eyes—have its policies gained real political support. Driven by U.S. Representative Alexandria Ocasio-Cortez (D-NY) and Senator Edward Markey (D-MA), the Green New Deal now has 102 supporters in Congress and 11 of the Democratic presidential candidates touting its importance on the campaign trail. A boost to labor
The Green New Deal also includes a boost to organized labor and a national reminder that unions protect workers and the economy as a whole. In its current form, the Green New Deal includes a federal jobs guarantee, workforce retraining, strengthening of collective bargaining rights, retirement security, and universal healthcare. But perhaps most important are the positive health effects these policies will have on everyday Americans. Our members have seen the impacts of poor environmental conditions on our patients and in our own families. We have seen how drastically our country’s income disparity has grown, and how critical union representation is to protect our jobs, our patients and our communities. Well-being for generations to come
Whether it’s an agricultural community in the Finger Lakes or an urban center in the heart of NYC, the Green New Deal will fundamentally and positively impact New York State. NYSNA supports moving the U.S. economy to clean energy, reducing pollution to the very best of our technical abilities, ensuring access to clean water, air, food and nature, and doing so by growing good-paying union jobs for all Americans. These measures will strengthen America’s health and well-being for generations to come.
NEW YORK NURSE
CELEBRATIONS
17
JUNE 2019
NYSNA celebrates diversity
T
his June, NYSNA participated in multiple parades in New York City celebrating the cultures of its diverse membership and patients. Nurses marched up Fifth Avenue in the 62nd Annual National Puerto Rican Day Parade on June 14th for the fourth time. Flandersia Jones, RN, at BronxCare Health System, was one of a group of members who danced with students from a Bronx elementary school. “The nursing community is a diverse community. Becoming a dancer this year was the best way to celebrate and support our Puerto Rican members,” she said. Support for Puerto Rico
Along the route, parade-goers expressed their exuberant support for the nurses who work tirelessly to care for New York City residents every day. “Every time we walked by, everyone would stand up and cheer,” said Jones. “They were very happy, saying thank you for your service and all that you’re doing.”
Jones said NYSNA’s presence at the parade sends a message about the union’s priorities. “Of the thousands of nurses in NYSNA, many are Hispanic. So for NYSNA to participate in a parade like this shows recognition for the members and support for their culture and Puerto Rico itself along with its development. Puerto Rico needs more healthcare services.”
“
Celebrations continue
At the celebration, Jones met several nurses who recently returned from a New York Recovery Network (NYRN) medical mission trip to Puerto Rico, where residents are still struggling to fully recover from Hurricane Maria. “Most of the people who danced with me were people who went on the mission trip to Puerto Rico,” she said. “Their stories of the trip brought more meaning to the parade this year.” Earlier in the month, 200 nurses, family members and cultural activists marched down Madison
NYSNA nurses at the 29th Annual Philippine Independence Parade
Avenue for the 29th Annual Philippine Independence Parade. This was the union’s fifth time participating in the event and its highest turnout ever. NYSNA pride
NYSNA celebrating the 62nd annual National Puerto Rican Day Parade
A full contingent of NYSNA members and staff accompanied our float this year, in honor of the 50th Anniversary of the Stonewall Uprising, the birthplace of the gay rights movement. NYSNA members marched as millions lined the streets of NYC to celebrate LGBTQ+ people. It was the world’s largest annual Pride march. All people should live as themselves with dignity, just as all people deserve healthcare as a matter of human rights.
For NYSNA to participate in these parades shows recognition for the members and support for their culture.” Flandersia Jones, RN, BronxCare Health System
NYSNA members at Gay Pride March, June 30
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NEW YORK NURSE
UPSTATE
JUNE 2019
My life as a nurse
“
It was a huge part of my life, but I’m excited for the next chapter.” Colleen Vokes, BSN, RN, SPHN
A
fter an impressive career that began in the summer of 1981, Colleen Vokes, BSN, RN, SPHN and current WIC Coordinator at the Livingston County Department of Health, is embarking on the next chapter: retirement. In a Q&A with the New York Nurse, Vokes reflected on what made her nearly 40-year career so special and shared advice for up-and-coming nurses. How are you feeling about retirement?
I’m very excited about it, but I’m also conflicted. There are a lot of things I’m going to miss, and I’ve been coming to the Livingston County Department of Health— except when I had my kids—every single day for 35 years. It was a huge part of my life, but I’m excited for the next chapter. I have a new grandson due in July and a two-year-old grandson already, so that will be my retirement right off the bat. Where did your nursing career begin?
When I first came to Livingston, I was a public health nurse and I was out on the road doing home care. Starting out, public health nurses did everything, we did the home care, maternal child health visits, a well-baby clinic, orthopedic clinic and end-of-life care. Everybody did everything. As a public health nurse, what have you learned about the people you serve?
People will come together to help accomplish whatever needs to be done. For instance, there was a presentation about emergency pre-
Colleen Vokes, BSN, RN, SPHN
paredness recently, and more than 50 people attended. We got several volunteers for medical reserve core. These were community volunteers who would step up in the face of a real emergency to support the public health team. People are willing to help if you give them the opportunity. After 40 years in the profession, what have you learned about being a nurse?
I learned to never underestimate the value of kindness, listening and meeting people where they are and not projecting what you think they need. Rather, listening to the person, seeing what is important to them, then supporting and moving them along. What piece of advice would you give to new nurses?
I would say to treat your patients
and co-workers the way you would want to be treated. What are you going to miss the most about being a nurse? I will miss the people we provide a service to and also the people I work with. I’ve worked with some awesome, kind, smart, and professional people in the world here at the Health Department who do great work for a lot people. What’s one word you would use to describe your time as a nurse?
A blessing. I know it’s two words, but it truly was a blessing. I’ve learned so much and met some of the most wonderful people. Being able to help people in their own homes and give care that was invaluable. A blessed journey for sure.
NEW YORK NURSE/LI JUNE 2019
CENTRAL REGION
– Central RNs show up for the
patients at the Boxing Hall of Fame Parade with their slogan: “Fight for Patient Rights!”
STATEN ISLAND
– Staten Island University Hospital
nurses continue the fight for safe working conditions at NYSNA-led Health and Safety Summit.
Around the state 9
WESTCHESTER /HUDSON VALLEY – In need of bedside nurses, Westchester Medical Center gained 20 new nursing positions in critical care and behavioral health.
NYC – H+H nurses take to the steps of City Hall to
make their voices heard, drawing political and community support for their contract campaign.
CAPITAL /NORTH COUNTRY – RNs at Albany Medical Center use various tactics to push momentum in their final rounds of first contract negotiations.
WESTERN REGION – NYSNA nurses celebrate the African-American community at the Buffalo Juneteenth parade, and Robin Conner, RN, explains why union representation matters.
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NEW YORK NURSE JUNE 2019
131 West 33rd Street, 4th Floor New York, NY 10001
1 Long
Save the Date! Delegates, Alternates and Members
The NYSNA Convention will be held Oct. 29 and 30 (Tues & Wed) in Albany, NY
Non-Profit US Postage Paid NYSNA