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Nurses Set To Strike Against New York City’s Healthcare Monopolies

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On New Year’s Eve, the New York State Nurses Association (NYSNA) announced that nearly 17,000 nurses at eight major New York hospitals planned to begin a strike January 9 if management did not meet their demands for increased staffing, fair compensation and health and safety protections.

After the strike was authorized, hospitals began making substantial wage and staffing offers, leading to three bargaining units representing about 7,000 nurses settling contracts in the past week. But nurses at five hospitals, including Montefiore Medical Center, Mount Sinai Hospital and Mount Sinai Morningside, remain on the brink of what could become one of the largest nurses’ strikes in recent years. 

“Tripledemic”

The potential strike comes at a time when nurses are overwhelmed by a “tripledemic” of Covid, flu and Respiratory Syncytial Virus Infection (RSV), but the issues animating the struggle are older, rooted in the creation of mega healthcare systems over the past decade.

A 2018 New York Times report shows that the nation’s hospitals have been consolidating at an exponential rate, forming a monopolistic healthcare system. Mergers and acquisitions put market power firmly in the hands of large hospital systems, which hike up prices knowing that insurance companies will pay to keep those facilities in their networks.

Insurers then pass the financial burden onto patients.

The Times report found that prices for an average hospital stay have gone up between 11% and 54% because of healthcare consolidation. 

From 2015 to 2019, U.S. hospitals’ net patient revenue increased by $8.6 million per year on average. By 2022, the top 25 hospitals in New York alone averaged an annual net patient revenue of close to $2 billion. These mergers have turned independent community hospitals into “nonprofit” conglomerates — “nonprofit” in their tax status, but profit-centric in every decision that counts.

“My hospital, once a humanitarian institution, now behaves like a profit-driven corporate entity,” says Judy Sheridan-Gonzalez, a past president of NYSNA and an emergency room nurse in the Bronx with 40 years of experience. Sheridan-Gonzalez’s hospital has been aggressively acquiring smaller community hospitals for years.

“It cuts staff and services to the Bronx, the county with the worst health indices in the state, investing instead in real estate and lucrative endeavors.”

Nurses are currently overwhelmed by a “tripledemic” of Covid, flu and RSV, but the issues animating the struggle are older—rooted in the creation of mega healthcare systems over the past decade.

Cost-Cutting

Per a Crain’s New York analysis, “the consolidation strategy has given rise to increasingly flush megasystems of hospitals concentrated in whiter, wealthier areas of the city. During the past 25 years, 20 hospitals have closed across the city, amounting to a loss of about 5,800 beds.”

In addition to wholesale hospital closures in poor neighborhoods, hospital managers’ newfound emphasis on increasing profits has led to other cost-cutting measures such as hiring fewer staff nurses and not buying sufficient personal protective equipment (PPE). Those decisions have created unsafe working conditions and extreme burnout. The pandemic exacerbated these issues, and even though many hospitals received Covid relief funding, this did not translate into sufficient PPE, better staffing or improved working conditions. 

Instead, the effects of a monopoly health system have continued: high executive salaries and segregated units where VIPs get concierge services and specialty care,while the majority of wards are understaffed.

Managers within the conglomerated health system also began to use rising profits to fuel more acquisitions, leading to a cycle of hospitals serving the rich at the expense of local communities which had relied on them.

Overflowing ERs

In New York hospitals, these profit-maximizing practices have left Intensive Care Units (ICUs) unequipped to handle the winter surge of patients, especially children, suffering from various repository illness at record levels.

In a statement put out by the NYSNA, Aretha Morgan, a pediatric emergency room nurse at New York-Presbyterian, said: “Our pediatric ER is overflowing and short-staffed on almost all shifts. It is unbearable to see children suffer because we don’t have enough staff to provide safe patient care.” 

Nurses have been fighting back. In 2021, the New York state legislature passed and the governor signed a NYSNA-initiated hospital staffing bill mandating a limit of two ICU patients per nurse and requiring hospital management to negotiate such limits with a committee of nurses for all units of the hospital.

The legislation, which was the result of decades of nurses’ organizing, represented a significant win for the NYSNA, but its implementation has been delayed thanks to successful lobbying by New York City’s hospital conglomerates.

The one-to-two ICU ratio was supposed to have been enforced by the state health department in January 2022, but a year after that deadline, staffing levels continue to be set by budget rather than by patient need — an issue which in part motivated the nurses’ strike vote.

Nurses routinely provide care to three and sometimes four critically ill patients in the ICU, when the standard is at most two. Given the severity of illness, it should often be one-to-one.

Strike for Better Standards

The impending strike is a challenge to the business model of hospital conglomeration. If they cannot undo the mergers, the nurses can at least re-establish community health and professional safety standards.

Jessica Montanaro, a nurse in Mount Sinai Morningside’s intensive care unit, told New York Focus that chronic understaffing was causing burnout among nursing staff, leading to many nurses leaving to pursue less stressful forms of nursing. She said those nurses have not been replaced, leading to a further staffing shortage.

“We’re kind of standing up as a profession and we’re saying, ‘Look, we’re not OK. We don’t have the support. We’re in these untenable ratios. It’s not safe for our mental or physical health or the patient’s safety,’ ” Montanaro said. “And yet it’s not being heeded for whatever reason.”

Decades of legislative activism and multiple rounds of contract bargaining have yet to create a safe hospital environment for nurses and patients, leaving NYSNA nurses with no alternative but to strike. In addition to safe staffing levels, nurses are demanding fair wages, no cuts to their health coverage, and health and safety protections in light of the tripledemic of Covid, RSV and flu. They also want community benefits, such as funding programs to recruit and train nurses from within the communities they serve.

Sheridan-Gonzalez summed up the process and the stakes, saying, “We testified about the brutal inequities that were exacerbated before, during and after the worst of the Covid pandemic … but no one listened. We now take the drastic step to go out on strike so that maybe, finally, someone will hear us.” 

Better Business Model

The NYSNA nurses’ impending strike is a challenge to the business model of hospital consolidations and to the elimination of community-based healthcare services. The need for nursing care is why patients go into a hospital. Nurses can use that power on behalf of communities abandoned and disregarded by the hospital monopolies.

If they cannot undo the mergers, the nurses can at least re-establish community health and professional safety standards.

To demand and win safe staffing and patient care practices is a vital community benefit. And as potential patients, we all have a stake in their struggle. 

This blog originally appeared at In These Times on January 6, 2023. Republished with permission.

About the Author: Michael Lighty is a Sanders Institute Fellow and DSA activist and a consultant for the National Union of Healthcare Workers.


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Focus on Black Women to Address Workplace Segregation

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Kemi Role

Occupational segregation in the United States reflects the systemic and structural racism built into the economy that marginalizes people of color.

Black workers are “crowded” into industries with poor working conditions, wages, and job security.  Black workers have also historically worked in jobs with the highest injury and fatality rates than other workers. Black women in particular are sorted into low-wage service sector occupations and five occupations account for more than half of all the jobs in which Black women work. 

The COVID pandemic has destabilized health, housing, and economic security for many communities in the United States and specifically for underpaid Black women. COVID disruptions to work and healthcare have compounded the challenges that Black women already face. Sixty-eight percent of Black mothers are the primary or sole breadwinners for their families. Black women are overrepresented in underpaid work, and are especially vulnerable to the disruptions to income and job loss caused by the pandemic.

Many Black women also work in positions that are now deemed essential including as nursing assistants, home health aides, and child care workers. This requirement to work at the frontlines of the pandemic puts Black women and their families at increased risk of exposure to the health and economic impacts of COVID. It has become abundantly clear that the US does not have the cohesive, integrated infrastructure to meet this monumental moment. Yet an ecosystem of Black women leaders and Black-led organizations are visioning new and bold program, policy, and narrative solutions that support Black women workers and address the impacts of occupational segregation. 

An Economy for All: Building a Black Women Best Legislative Agenda is a robust policy framework that centers Black women and recognizes that Black women’s economic well-being is central to a thriving economy. This framework recognizes the compounding impacts of racial and gender discrimination, and how Black women are sorted into underpaid, unstable, and dangerous occupations.

NELP continues to advocate for policies recommended in the report such as increased wages, paid family and medical leave, expanded access to unemployment insurance to support building Black women worker power and addressing the harmful impacts of occupational segregation. 

Bold policies such as guaranteed income also have the potential to build Black women worker power. The Magnolia Mothers’ Trust, a program of Springboard to Opportunities, is the first basic income pilot that specifically centered Black women head of households in Mississippi. The framework for the pilot was to provide “unrestricted, no strings attached cash…to better understand how a non-punitive, trust-based benefit could support families in not only exiting poverty but knowing that they have the freedom, dignity, and agency to be the anchors of their own lives”.

The initial pilot found that 100% of participants reported being able to meet their basic needs, increased positive family engagement, ability to pay bills, completion of high school education, and ability to pay over $10,000 in predatory debt. Make Sure the Shoe Fits: An Exploration of Guaranteed Income Pilots in California, a recent report from the Insight Center, underscores that targeted guaranteed income for Black women, creates more expansive choice with respect to work, has the potential to lift families out of poverty, and move the US towards a more equitable economy. 

Shifting the harmful impacts of occupational segregation for Black women workers also means dismantling the pervasive anti-Black narratives that undergird how work & the economy are shaped for them. Anti-Black racism is the scaffolding and fulcrum of radical economic inequality in the U.S., and of continued attempts to strip workers and communities of power and dignity.

Moving towards narratives that Center Blackness  “demands that we create and design policies and practices that intentionally lift up and protect Black people.”

Radical shifts for Black women workers mean building new narratives centered on abundance, dignity, and collective liberation.  

This blog originally appeared at Nelp on December 13, 2022. Republished with permission.

About the Author: Kemi Role is the Director of Work Equity for Nelp.


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How to Engage Employees in Hybrid Work Models

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Hybrid working models are becoming increasingly popular for companies transitioning out of the conditions of the pandemic. With so many employees preferring to retain flexibility and work remotely, at least some of the time, many businesses are striving to find ways to make this â€new normal’ work.

One of the key factors for success with hybrid working models is finding ways to keep remote workers feeling engaged, enthused, motivated, and satisfied with their job. The good news is that remote staff can feel just as enthused and motivated as in-office staff, but it takes the right management approach. 

Here are six ideas to create and maintain employee engagement within a hybrid working model:

1. Communicate clearly, regularly and authentically

These days, we can be instantly connected to people remotely in a variety of ways, such as via email, direct message, Zoom calls, online work platforms, and more. Of course, it is still typically easier to communicate regularly with someone sitting on a desk in your office. Nevertheless, in this age of hyper connectivity, it’s never been easier to touch base with someone regularly.

Some remote workers likely enjoy some solace more than the next employee, but they still need to feel included, considered, and connected to their team and management. 

To make up for the lack of in-person communication nuances, such as non-verbal body language cues, it’s vital that management communicate with remote workers in a clear and authentic way. This means taking the time to ensure that a rapport is built to foster positive communications at a distance is essential to making a hybrid model work. 

Ensure that you stay in regular contact even if it requires setting reminders or creating regular scheduled check-ins for any staff that you otherwise would not connect with regularly. It can help to create meaningful reasons for the contact, such as wellness checks, setting goals, giving feedback, and acknowledging achievements. 

2. Mix it up

While communication between remote workers and their regular teams and managers may be in-hand, it also pays to make sure that they feel connected to company staff in a broader way. Organizing group chats between teams and departments can help, as well as encouraging staff with similar interests to participate in social group discussions. Other ideas include:

  • Weekly video calls (potentially to include a compulsory video-on rule to foster greater connection between participants)
  • Arranging conferences between different teams to include an â€Ask Me Anything’ segment – this can help to create new connections and collaborations while assisting everyone in better understand the inner workings of each department

3. Include remote staff in all employee perks

One sure-fire way to make a remote employee feel excluded is to leave them out of the company perks. It may not always be possible to include remote workers in all office-based events, but it’s important to consider how to do it wherever possible. Even if you have to create unique ways to keep them involved, such as conferencing them in on an office â€happy hour,’ they will surely appreciate the inclusion and feel more engaged in general.

Of course, you can (and should) always seek to include them in out-of-hours business events, but wherever possible, think outside the box and ensure they never feel unnecessarily excluded. For example, if you are treating your employees to a lunch, send your remote workers a voucher for some uber eats.

4. Develop an inclusive employee culture

It is imperative that your in-office employees also adopt an inclusive approach to your remote workers, and the best way to do that is to create an inclusive culture across the board. Additionally, ensure that your remote staff have all the same access to support, training materials and all other resources. 

A remote worker may overlook difficulties in accessing resources once or twice, but before long, they will come to resent feeling excluded, which will inevitably result in disengagement. 

So, ensure that all departments and teams foster an inclusive attitude to all employees whether in-person or remote, and check in regularly to ensure that remote workers are not coming up against any barriers within the company; asking them directly can be the best way to establish just how inclusive your employee culture is. 

5. Centralize platforms and set shared goals

A lack of organization leads to a lack of productivity, eventually resulting in frustration and disengagement.

When managing a hybrid work model, it’s imperative that your remote workers can access information and collaborate with in-office staff in the simplest and most effective way. Centralized platforms that are easy to access assist all employees to share data, goals, project updates, and more – all in real time. 

In addition to improving productivity and efficiency, creating a platform upon which staff can share their goals, challenges and triumphs encourages accountability, team work, and a supportive, inclusive culture. Cross-company goals can also be included to help keep the broader body of staff connected and working towards common objectives. 

6. Include remote workers in all company opportunities

It can feel extremely discouraging for a remote worker to feel that they have missed out on career opportunities because they were not physically present. Therefore, whenever handling promotions, upskilling, and project lead opportunities, be sure to include all remote workers fairly. All staff deserve the same opportunities regardless of their remote working status.

Final thoughts

Hybrid working models can create a dynamic company culture that has everyone feeling professionally motivated and fulfilled, but it does take some careful management. When leading a team that includes remote workers, managers must work diligently to ensure that those staff continue to feel included and valued to keep them engaged. 

This blog was shared directly with Workplace Fairness by an anonymous contributor. Published with permission.


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Covid means remote workers can live anywhere. So where’s â€anywhere’?

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SEATTLE — In spring 2020, just as the first Covid-19 surge was peaking and businesses, schools, and whole countries were shutting down, a young couple named Elizabeth and Anton made a bold move. Little did they know it would put them in the vanguard of a pandemic-enabled geographic dispersion that demographers, economists, employers, developers and local governments are still figuring out.

Elizabeth grew up in a Seattle suburb and, after college and a spell working in Hawaii, returned to settle where she always wanted to live, in Seattle itself. She and Anton seemed to be living the Cascadia dream. Their apartment, in a walkable neighborhood packed with hip restaurants and bars, was small, but it had an iconic view of Mt. Rainier and the downtown skyline. She biked around the city’s scenic Lake Union to her job in the city’s shiny new tech district, helping oversee clinical trials at a biopharma company, and grew vegetables in a nearby community garden. On weekends they escaped to the woods and mountains.

But with each return to the city, her spirits fell. The dark, damp winter days depressed her: “When it rained, I smelled concrete rather than earth. It stressed me out to eat from my plot — two or three times I found needles there. I have a really bad image of leaving work in South Lake Union and seeing a man shooting up in his mouth. People like me were just walking by. It filled me with despair.”

Then the pandemic hit, and everyone who could was told to work at home. Elizabeth and Anton faced the prospect of living and working together, 24 hours a day, in just 550 square feet, or looking elsewhere for more space and the life they really wanted. Suddenly all options were open. They took an exploratory road trip around the Mountain West. “The call to Colorado kept getting stronger,” she recalls.

The tech giant Anton works for reluctantly agreed to let him stay remote indefinitely. Elizabeth asked the same but got shot down. She quit and landed at a smaller biopharma that was glad to let her work from home. They looked at a remote mountain village, but the broadband there was too slow to support online work — a critical factor in remote workers’ relocation choices. So they settled for a ranch house on the edge of Boulder with space for gardening and mountains nearby. Her urban blues evaporated. “Now the stressor of the day is building a barricade to keep the bobcat out of the chicken coop,” she says, laughing.

Just one hitch: Elizabeth and Anton, already priced out of Seattle’s real estate market, hoped to buy in Colorado. But prices have surged in Boulder, as they have in most of the country. They’re now looking south to New Mexico.

Meanwhile, another young tech-industry couple, Andrew and Amy, reached the same decision Elizabeth and Anton did, but it took them in the opposite direction. They’d had enough of life in San Jose, where they lived and worked for a streaming service: the sprawl and freeways, the wildfire smoke and surly neighbors, the general anomie of Silicon Valley. And with a 2-year-old daughter, they dreaded school prospects in California.

So they persuaded their employer to let them go remote permanently and chased their dream up the West Coast. They wanted to stay in a diverse, liberal coastal city; for many on the right and left, ideological compatibility is an important consideration in moving. But they also wanted a safe, cozy neighborhood and beautiful wild places to go camping.

They found it all in a quiet, leafy district of century-old bungalows with a prized public elementary school, a Carnegie library and a plethora of shops in easy walking distance, with water and mountains to east and west. With no income tax, their tax burden fell. Their immaculate three-story neo-Craftsman home cost $2 million, but they say it’s twice the house they could have gotten in a comparable Bay Area neighborhood. They still marvel at how friendly their new neighbors are. “Walking around, we get into conversations with strangers all the time,” says Andrew. “Everyone we pass says, â€How you doing?’” All in all, the move “was a pipe dream come true.”

And not just for them. “When we sold some stuff we didn’t need on Craigslist, everyone who responded had just come here from California,” says Andrew. “Even Waffles, the neighborhood cat,” adds Amy. “His tag says 408” — San Jose’s area code.

Their dream came true in much-maligned Seattle, just two miles northwest of Amazon’s headquarters and a mile south of the apartment Elizabeth and Anton fled, on a hilltop haven overlooking the same urban landscape that oppressed her. One couple’s ordeal is another’s idyll.

Millions of Americans moved during the last 18 months, many of them spurred or influenced by the pandemic. But these two reciprocal moves to and from Seattle point up just how personal such choices are, and how they’re steered by individual circumstances. Amy and Andrew wanted a more urban setting; by selling the ranch house they’d fixed up in San Jose, they could afford a Seattle that was out of reach for Elizabeth and Anton, who longed for the country anyway.

As these divergent moves also suggest, it’s perilous to seek simple patterns and easy takeaways in complex demographic processes such as Americans’ response to Covid-19. But the pandemic has reset the residential choices and aspirations of millions of Americans, in ways that will last long after the Covid-19 emergency recedes. Those millions of individual choices together add up to forces that can sustain, reshape — and sometimes unmake — cities and communities around the country.


In March 2020, as the novel coronavirus spread from its initial beachheads in the Seattle, San Francisco and New York areas, a dire meme also spread: Americans were fleeing en masse from crowded cities to the supposedly safer suburbs and countryside. Island communities from Maine to Florida closed bridges and raised road blocks to keep outsiders out.

It’s tempting to draw early conclusions from incomplete data when something as dramatic as a pandemic intrudes. LinkedIn News’ editor was one of many to call it an “urban exodus.” The Washington Post announced the “Great American Migration of 2020” and predicted that it “might contain the seeds of a wholesale shift in where and how Americans live.” Even then-President Donald Trump weighed in from the debate podium. “New York is a ghost town. … It’s dying, everyone is leaving.”

Such sweeping statements were bound to elicit a counter-narrative. “There is not a widespread movement of people prospecting to move out of urban areas,” Bloomberg’s CityLab declared in September 2020. In April 2021 it stated the case more boldly: “There is no urban exodus; perhaps it’s more of an urban shuffle” — movement within and between metropolitan areas, rather than away from them.

But this conclusion also rested on some shaky foundations. Its first iteration relied on data from Apartment List; the renters it tracks may be more dependent on transit, more rooted to the sorts of fixed, lower-paying jobs deemed “essential” and less able to take advantage of remote working opportunities than homeowners. The second version cited census and postal data showing 84 percent of those moving from cities stayed in the same states, 7.5 percent of them in the same metropolitan areas, while 6 percent moved to other large metros and less than 1 percent left metro and micro urban areas altogether. But that tally left roughly 10 percent unaccounted for. And staying in the same state, even the same metro area, generally means radiating out to suburbs, exurbs, smaller towns and rural areas within metro counties.

It also turned out that some of the headline-grabbing early outflow was temporary — students at closed colleges and laid-off young workers returning home, affluent urbanites sheltering in beach cottages and second homes. And as Brookings Institution demographer William Frey noted this past May, plummeting immigration levels under the Trump administration had already depressed population growth in the large cities where immigrants tend to land. Then, in the words of Matt Mowell, a senior economist at the national real estate firm CBRE, “immigration ground to a halt in 2020” under pandemic restrictions, contributing to steep population dips in New York and other immigration hubs.

That’s just one of the ways the pandemic has mostly reinforced and accelerated trends that were already underway, rather than creating new winners and losers in a grand reshuffle between metropolitan areas. As Frey’s tallies show, Sunbelt and Western cities that were already growing robustly — Tampa, Sarasota, Atlanta, Nashville, Denver, Phoenix, Boise, Sacramento, Riverside — kept growing (with an extra boost from coastal California for the last four). Rust Belt and other post-industrial cities that had lost inhabitants for decades — Baltimore, St. Louis, Detroit, Milwaukee — kept losing, though the outflow slowed in some. Mowell notes that “people just stayed put” in many shrinking or slow-growth cities, such as Dayton, Ohio. “The chaos of the pandemic and labor market uncertainty likely encouraged many households to delay moving plans,” he said. As a result, despite the much-publicized disruptions in some cities, about the same number of people — 35 million — filed address changes with the Postal Service in 2020 as in 2019 and 2018.

San Francisco, San Jose, New York — in particular Manhattan — and Boston were another story. Their populations, boosted by the tech and financial booms, had held strong until the pandemic, but then suffered the highest out-migration rates among major metro areas.

Boston’s loss has begun reversing as colleges reopen, and New York is showing signs of recovery. “More people are choosing to go there now,” says LinkedIn’s chief economist, Karin Kimbrough, who tracks workplace shifts through its millions of job and résumé listings. The University of Toronto’s Richard Florida, who prophesied the rise of the “creative class” in cities like New York, is confident the Big Apple will get its mojo back: “NYC is special,” he told me via email. “It is the world’s most dominant global center. It has a diverse economy spanning real estate, finance, media and entertainment, tech and more. It is the magnet for the young and ambitious.” And it has ample experience recovering from crises.

But San Francisco, which lost residents faster than any other major city after the pandemic hit, hasn’t gotten them back, and San Jose’s recovery also lags. Tech jobs have continued to proliferate there as in other hubs, but those jobs (unlike New York’s finance and arts) are especially suited to remote work. Florida likens the West Coast’s tech meccas to the once-dominant single-industry towns of yore — more versatile and adaptable, certainly, than Pittsburgh and Detroit were, “but still not New York.”


One of the most timely indicators of how the work-from-home revolution is affecting America’s cities is key card swipes. Kastle Systems, a national office security firm, uses them to track workplace occupancy in its largest markets.

In March 2020, office attendance plummeted from nearly 100 percent to a little over 20 percent in Houston, Dallas and Austin, 10 to 15 percent in Los Angeles, San Jose, Chicago, Philadelphia and Washington, lower still in New York — and just 4 percent in San Francisco. Those numbers have slowly risen since (aside from sharp drops in Texas during its February cold snap). Kastle clients’ office attendance is now about 50 percent in the Texan cities. It tops 30 percent in most of the others — except San Jose, with nearly 27 percent, and San Francisco, at just 24 percent.

San Francisco’s empty offices reflect other factors as well: its scarce housing, high land-use hurdles, nosebleed rents and home prices, and strict Covid rules (which gave it the lowest infection and death rates among big cities). But even there, the net flight seems to be abating, though not reversing. Apartment asking rents, which plunged 27 percent last year, “are almost halfway back up,” says Ted Egan, the City of San Francisco’s chief economist. “The flow now is both ways.” According to USPS change-of-address records, 12,058 individuals, households and businesses left San Francisco in January 2021, 4,442 more than arrived. By August that gap had shrunk to 1,752.

But none of the experts contacted expect San Francisco to fill up again soon. And none expect America’s suburbs to lose their growth edge over San Francisco and other cities. In 2020, according to census data crunched by the Brookings Institution’s Frey, suburbs grew 43 percent faster than central cities in the 55 largest metropolitan areas. The online real estate listing and data firm Zillow recently reported that “the ZIP codes with the highest page views per online listing … became increasingly suburban over the past 18 months.”

Frey’s lone outlier was Seattle, which experienced more growth in its center than its suburbs in 2020. Since then, however, even this exception has fallen into line. The Seattle area has charted record home-price growth even in 2021 — but prices rose more than twice as fast in the suburbs to the north as in Seattle itself, reflecting higher demand for suburban housing. In January 2021, the Postal Service received nearly 2,000 more address changes from those leaving the center city than those entering; by August that gap had grown by a fifth. Incoming and outgoing address changes were roughly balanced in Seattle’s inner suburbs, but arrivals outpaced departures in the outer burbs.

Nationwide, all this accelerated a trend that began in 2015. For nearly a decade before that, central cities had grown faster than suburbs, a trend Frey credits in part to the Great Recession of 2007-2009. He believes it left many new graduates and other young adults “stranded” in the cities scraping together what work they could, putting off forming families, and living “la vie bohème.” Also, the outsize millennial generation, a.k.a. the baby boomlet, was at just the right age to relish trendy cities’ restaurants, nightlife, and meeting and mating opportunities — and to put up with cramped apartments and shared housing. Then, as the economy recovered and the tech boom spread beyond Silicon Valley and Redmond, they were perfectly placed to take advantage. Yesteryear’s barista became today’s six-figure programmer.

But now the suburbs are hot again. As Frey told me, this seeming change actually marks a “return to normal” — to the pattern of suburban growth and urban contraction that began in the postwar years. The late ’00s and early tens, when young people and empty nesters flocked to revitalized urban centers, was actually an anomaly. Now those millennials are mostly in their 30s, ready to seek family-sized houses and yards and fret over schools.

“We know millennials move when they set up households, looking for more space,” says Kimbrough.

Remote working has added a new imperative (and another advantage to the suburbs): home office space. And it’s given those in tech and some other white-collar fields undreamed-of choice in where they look. “Everybody’s kind of dreaming right now,” says Andrew in Seattle, “because you have this opening.”

Employers have pushed back, fearing they’ll lose control and their companies will lose their edge without the secret sauces of spontaneous collision and workplace culture. “We’re hearing CEOs say that creativity and innovation wane as a result of not working in groups, especially for millennials and GenZ-ers, who like socialization and miss the â€creative collision,’” consultant Jay Garner told ChiefExecutive.Net.


Tell that to the millennials and GenZ-ers. Survey after survey finds that majorities of workers — 68 percent in one study — would choose remote over in-office work. The same survey finds that 70 percent of those who are already working remotely would forfeit benefits to continue, and 67 percent would take salary cuts.

It’s become a point of pride: “The people who want to go back are the ones who don’t do that much work,” one tech worker told me. “Who spend their days in meetings.”

As a result, going remote can give employers a recruiting advantage. In July, only 11 percent of the jobs posted on LinkedIn were remote, but they got 21percent of views. They included about 26 percent of software and IT services jobs and 23 percent in media and communications and wellness (all those Zoom Zumba classes).

A study by researchers at Stanford, the University of Chicago, and the Instituto Tecnológico Autónomo de México concludes that “the mass social experiment in which nearly half of all paid hours were provided from home between May and December 2020” proves that remote working works. They predict that 22 percent of workdays will remain remote after the danger passes, up from 5 percent pre-pandemic and 1 percent in 2010.

“I think companies are losing qualified applicants, so they’re conceding to that as an option,” says Anton in Boulder; he sees a “much, much higher number of permanently remote jobs advertised in the environmental field” for which he studied than he did in spring 2020. “And they’re saving on office space.” Or seeing the light: 52 percent of bosses surveyed by the consultancy PwC in December said productivity improved during the enforced work-at-home period.

“Remote work is the biggest shift in the nature of work in decades,” says the University of Toronto’s Florida. “It gives some workers more flexibility. And in these cases it shifts the balance of power from companies to workers.” And, to various degrees, from New York to upper New England and the Hudson Valley, from the Bay Area to Boise and Billings. In this way, the world is becoming flatter; remote work is leveling the field of opportunity.

Many more workers in manufacturing, service, retail, and some white-collar fields can’t join this shift. But what Susan Wachter, co-director of the University of Pennsylvania’s Penn Institute for Urban Research, calls “the new urban dispersion” will affect more than just the fifth or so of workers who will join it.

Kimbrough believes it will “be really healthy, a spreading-out of skills across the country” from places like New York. Will cities now compete less for job makers and more for jobholders — lavishing money on schools, parks and arts rather than tax subsidies for new factories and warehouses?

“Towns near amenities are the new hot spots now and for some time to come,” Wachter said by email. “I think cultural capital will be a continuing pull,” says San Francisco’s Egan. “I’ve told people you need to think about office workers as the new tourists. Instead of traveling they commute.” Or don’t.

Egan’s watchword may be prophetic in an unintended way. Well-paid remote workers, like affluent tourists, retirees and other transplants, can drive up property prices, pricing out those dependent on local labor markets. This introduces new class divisions, within rather than between regions. “There’s a widening affordability gap throughout the Mountain West,” says CBRE economist Mowell. “A city like Phoenix never had an affordability problem. Now it does.”

Dispersion may bring other changes, for better and worse. As Florida notes, “remote workers do not just work from home. They work in coffee shops, cafes, restaurants, co-working spaces, libraries, each others’ homes. Communities need to focus on building more effective remote-work ecosystems.”

It takes more than such “ecosystems” to adapt to the influx. The Boise area, with by some measures the nation’s fastest rising rents last year and biggest home price surge in the first half of 2021,is still reckoning with its own success. “This is no longer an affordable city,” says Jeffrey Lyons, a political science professor at Boise State University, who leads the annual Idaho Public Policy Survey. “We’ve asked since 2016, do you think pace of growth is about right or too fast? Responses were evenly split in 2016. Now 75 percent say â€too fast.’” Longtime residents grumble endlessly about rude, impatient newcomers overrunning the town and spoiling its traditional conviviality, but as Lyons notes, “the same stories about Californians ran here in the ’70s and ’80s.”

“People always think immigrants from places like California will help turn red states blue,” says Erik Berg, the Democratic Party chair in Idaho’s Ada County, which includes Boise. “But those coming here are predominantly conservative.”

Lyons’ research confirms that. “What we see in our survey data is that people who are moving here from California, Washington and Oregon tend to be Republican” — 55 to 60 percent, with 10 to 15 percent independent and 25 to 30 percent Democratic. Idaho and other mountain states beckon to those fed up with what they see as runaway regulation, taxation and disorder in a California where even Republican bastions like Orange County and San Diego have turned blue.

By contrast, argues Mowell, for liberal émigrés like Amy and Andrew, Seattle and Portland are “very easy places to adapt to. It’s the same social and economic ecosystem.” Covid-19, he adds, “has mapped onto these existing political divisions. People who were dissatisfied with government in California tend to be dissatisfied with the way California has dealt with the pandemic.” And attracted by the more permissive, mandate-free approach in Idaho, which has one of the lowest vaccination and highest infection rates in the country.

Such tendencies don’t bode well for any hopes that dispersion will soften the hardening ideological divides between regions. Rather the opposite: “We’ll see more people living in communities of choice as we disconnect from the workplace,” predicts UPenn’s Wachter.

That would reinforce prevailing political cultures, promoting local homogeneity rather than diversity. Work and the downtown areas that once depended on office workers will serve less as social mixing bowls.

So, for all the churn the pandemic has caused, the Great Dispersion may leave us even more economically and politically stratified than before, compounding, rather than easing, Americans’ isolation from people who aren’t just like them.

About the Author: Eric Scigliano is a freelance writer based in Seattle.

This blog originally appeared at Politico on October 21, 2021. Reprinted with permission.


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5 Tips to Make Video Meetings Fairer to Anxious Employees

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Video calls may have taken over as the meeting method of choice during the pandemic, and the surge in remote work means that they won’t be going away any time soon. Many people appreciate the convenience and flexibility of being able to show up on time no matter where they are physically. Still, it would be wrong to assume that everyone is entirely comfortable with this new working method.

It’s not always easy to tell who might be struggling with the new meeting schedule. For example, some employees that are more than comfortable meeting in person may be anxious about appearing on camera. On the other hand, people more than happy to chat for hours on the phone may still be coming to terms with the concept of online meetings.

Managers who are already comfortable with online meetings may be surprised to learn that one study suggests that 73% of people suffered from Zoom anxiety in 2020. A further study indicated that worries over backgrounds, appearance, and speaking over someone all play a part and virtually equally between males and females.

Essentially, the majority of people still have concerns about meeting online. Nevertheless, it’s a crucial component of adjusting to remote work, so what can you do about it? Here are five ways that you, as a manager, can promote a comfortable video calling experience for everyone involved.

1. Make Being on Screen Optional

Many employee concerns around video calls stem from the thought of being on screen. While comfortable in the office, their webcam acts as a window into their home. One of the quickest ways to make everyone more comfortable is to consider appearing on camera optional.

Some people like to be able to see who they’re talking to. Others want to ensure they have the full attention of the room. However, it’s time to accept that employees are often responsible and eager to do as their employer requires, and appearing on a screen shouldn’t make or break their efforts.

It may require additional trust from some managers, but the benefits are clear. Body language can be overrated on video calls, too – in some cases, it’s easily misinterpreted. Some employees might be concerned about this happening to them, but accepting that cameras aren’t essential to productivity can eliminate much of the anxiety associated with these calls.

2. Encourage Flexibility

Try not to get into the habit of scheduling video calls at short notice. This can cultivate an opinion among employees that they are expected to be at their desks at all times. That in itself can be a significant cause of anxiety, especially for those that have struggled to adapt to remote work and have altered their routines as a result.

It might make sense to implement an official policy on video meetings, such as providing at least 24 hours’ notice or potentially even banning them on specific days. There’s also evidence to suggest that it may be time to make all meetings optional, although this won’t work for every organization, especially those with just a handful of key people.

Giving people time to prepare for an upcoming meeting can ensure their schedule is free and that they’ve taken whatever steps work for them to make them feel more comfortable on screen.

3. Make it Your Job to Promote Social Interaction

There’s always a risk that anyone that misses out on video calls through anxiety may exacerbate their issues by reducing overall social contact. Like any competence, it is possible to lose social skills over time when left unused.

Video calls can replace face-to-face meetings, but they’re also a great way to keep up at least some of the more sociable interactions from the workplace. It may sound counterintuitive to arrange additional calls for those suffering from anxiety, but many people perform better under social circumstances than professional ones.

These meetings really should be optional, but someone needs to take the lead in ensuring they’re available for people that wish to attend. As a leader, there is no better candidate than you.

4. Make a Point of Mentioning Mental Health

Mental health is not a workplace taboo. On the contrary, many managers consider it part of their job to ensure that people feel good as issues can lead to a reduction in performance.

Most employees would rather not discuss their personal mental health, especially in front of groups. However, some are even anxious about broaching the subject at all. Make it clear on video calls that you’re aware of how remote work can affect people and that you’re more than happy to arrange for assistance.

If you’re comfortable providing that assistance yourself on a one-to-one basis, then do so. If not, ensure that you have someone you can send employees to for help. Such a seismic change in working habits affects everyone differently. Even if they merely need reassurance that their camera and microphone setup works, it can significantly improve their confidence levels.

5. Support Employees at their Own Pace

Some employees will never forget the first day they didn’t even have to get out of their pajamas for work. Others may still struggle to find a routine that works for them months after commencing remote work.

It’s simply impossible to support a team based on a timetable. There’s every chance that no two employees will be at an identical stage of adaptation. This does require flexibility on a manager’s part, but it should be viewed as an opportunity.

Every instance of providing customized support to an employee is a learning experience, and the more involved you become, the easier it will be going forward.

For example, if an employee who has never appeared on video decides to switch their camera on, don’t immediately view it as cause to make a big deal out of it – that may be the last thing they want. Instead, follow-up with them to ask how they felt and understand if there’s anything else you can do to make them comfortable in the future.

Wrapping Up

While people are becoming more comfortable with Zoom, Teams, and other video meeting apps every day, their usage represents a colossal shakeup in work patterns. The key takeaways involve acceptance, support, and enabling people to progress at their own pace. Some people may never be truly comfortable with the concept, but it is only fair to do all you can to encourage them to reach their potential, just as you would do with any other aspect of their working life.

About the Author: Amy Deacon is a business coach and speaker who creates solutions for businesses seeking to change attitudes and routines to boost productivity throughout the workplace.

This blog is printed with permission.


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When These Workers Unionized, Their Cafe Was Put Up for Sale—So They Bought It

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PROVIDENCE, R.I.?—?Five former White Electric Coffee workers gather at the Dexter Training Grounds next to the Providence Armory, slightly stunned. Earlier that morning, April 14, they signed the purchase agreement to own the cafĂ©. In just 10 months, this small group of baristas went from forming a union to creating a workers cooperative to buying the business for around half a million dollars. 

“If somebody had told me, ?â€One day, you’re going to run that business across the street,’ I would’ve said, ?â€Yeah, sure. OK, buddy,’ ” says Danny Cordova, 27, a barista at White Electric since 2019 who used to eat at the cafĂ© a decade ago when he attended nearby Central High School. 

These White Electric workers started organizing soon after the murder of George Floyd in May 2020. They sent a letter to owner Thomas Toupin with demands to ?“go beyond slogans and window dressing” in achieving racial justice at the cafĂ©. The letter, which was signed by 39 current and former staff, called for Toupin to hire more people of color, enroll in anti-oppression training, increase wages and make the cafĂ© wheelchair accessible, among other demands. 

“They weren’t actually things we thought would happen,” says Chloe Chassaing, 44, who has worked at White Electric for 16 years?—?even before Toupin bought it in 2006. ?“They were dreams, but they are fully all happening.”

The coffee shop, which reopened May 1, is one of Rhode Island’s few worker co-ops.

Even before the pandemic eliminated many food-service jobs, opportunities for workers to organize for better conditions at small restaurants were rare. Union membership was only 1.2% industrywide in 2020. While co-ops are becoming more popular, there are only around 500 operating around the country, according to Shevanthi Daniel-Rabkin, senior program director at the Democracy at Work Institute, a nonprofit that tracks and supports co-ops. 

Many of the White Electric workers say summer 2020’s national uprising over police killings of Black Americans made clear the need to push for a stronger commitment to racial justice at the cafĂ©. ?“That’s what set everything off,” says Amanda Soule, 36, who started working at the cafĂ© in 2013 and helped draft the letter. 

Toupin tells In These Times the letter is ?“untruthful and misleading” and disputes its characterization of him. “[Its description] wasn’t the situation at all,” he says. After receiving the letter, he says he closed White Electric for July 2020 to meet with the workers and a mediator. (The cafĂ© closed again in late 2020 because of the pandemic, then reopened in January until the sale in April.) 

The workers, however, claim the five active employees who signed the letter were laid off, while the two who didn’t sign were kept on to train replacements, as described in a public petition following the letter’s release. The petition adds that the fired employees were offered their jobs back, but they still were publicly appealing for community support to ?“prevent another episode of retaliation.”

Following the advice of a labor lawyer, the group realized they could form an independent labor union, which they named the Collaborative Union of Providence Service-Workers (CUPS). Unlike many other unions and co-ops, CUPS is not affiliated with any larger union, has no support staff and requires no dues, but still gives workers the ability to collectively negotiate a contract. After creating union cards, the workers requested Toupin voluntarily recognize CUPS, which he did Sept. 8, 2020.

The very night they formed the union, the workers say, they received notice that Toupin was selling. (Toupin tells In These Times that he had been looking to sell for months, but records indicate it was first listed Sept. 9, 2020.)

Toupin offered the first opportunity to buy the cafĂ© to the workers, who realized they could turn it into a worker-owned co-op. They raised $25,000 through a GoFundMe campaign, held fundraisers at a farmers’ market and raffled off merchandise to accumulate a $55,000 down payment.

“It’s been all community driven,” Cordova says. ?“People are excited to see a place where workplace democracy can thrive.”

Now the worker-owners are focused on the challenge of running the cafĂ©. The shop has no managers, and profits are distributed based on hours worked, Chassaing says. Employees have to invest a $1,000 member buy-in, which can be paid with a $100 deposit and $10 installments from each paycheck, Chassaing says. She adds that, while workers are still in the process of meeting their goals around racial justice, ?“our intention is do all of those things that are our demands.”

Their broader vision extends beyond the walls of a single coffee shop. That’s why, Chassaing says, their union name is so general; the door is wide open for other area service workers to reach out and form CUPS union locals.

“The union’s intention all along,” Chassaing says, ?“has been not only to fight for ourselves and our workplace, but to also serve as an advocate and resource for other workers and workplaces.”

This blog originally appeared on In These Times at May 27, 2021. Reprinted with permission.

About the Author: Harry August is an independent reporter in New York.


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Migrant Women Are Holding Society Together During This Pandemic

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The past year has seen several lockdowns as a result of the pandemic, which have had a deep impact on education, employment and the way we work globally. These factors have had an especially stark effect on women.

For more than 168 million children worldwide, schools have been closed for almost a year, forcing them to resort to online learning from home, according to UNICEF. In most households, it is women who have borne the majority of the burden of home schooling during the lockdowns.

Meanwhile, even as working from home has become the “new normal,” the pandemic has resulted in the loss of 24.7 million jobs, according to an estimate by the International Labor Organization. Economic inequality is likely to worsen, the ILO warns, as the jobs crisis disproportionately affects women and migrants.

In Latin America, the frequent lockdowns have come to define life during the pandemic, the social impact of which has unequally been borne by women. This has led to many women having to leave the workforce due to the mounting pressure of looking after their families, especially since the gender pay gap means they might not be the primary earning members of the household.

In cases where women try to retain their jobs while taking on the major burden of the housework as compared to men, sometimes, the only option available—if they can afford it—is to hire a domestic worker to do the various forms of care work like cooking, cleaning, child-rearing and eldercare that cannot be done easily by a working woman. According to data provided by UN Women in 2016, one in six domestic workers is an international migrant; of these workers, 73.4 percent are women. So, the domestic worker is typically a migrant woman.

Due to the precarious nature of domestic work and the insufficient political power among women domestic workers, their working conditions are appalling. According to data provided by Alliance for Solidarity, 57 percent of domestic workers have no fixed working hours. That means that these domestic workers do not control how long they work for in a day and when they can leave their workspaces, nor do they control their breaks and their meals.

Women Workers and the Pandemic

During the pandemic, the situation for domestic workers has worsened. They are presented with tough choices: either they stay in their employer’s house for the duration of the lockdown and therefore neglect their own families, or they choose to commute and risk losing their jobs because their employers fear that they could bring the virus into their households. Domestic workers’ unions have protested against this terrible choice. But their voices are not presented in the media, largely because these women are marginalized and treated as invisible parts of society.

Women domestic workers are part of a large community of informal workers, many of whom have held society together during this pandemic. It is these informal workers who have been attending to food distribution, cleaning public spaces, and working in small grocery stores and other shops. They bear the high risk of being infected not only due to the nature of their work but also because of their long commutes using public transport. In South America, such jobs are held largely by migrant women, many of whom have insecure residency status.

â€We Don’t Have Labor Rights in a Pandemic—Only Working Conditions’

AngĂ©lica Venega left Peru for Chile to earn more money so she could support her daughter’s education. A relative put her in contact with Sinducap, a trade union for workers in private households and those who work in related activities. Sinducap is part of the Latin American and Caribbean Confederation of Domestic Workers, founded in 1988. Sinducap, Venega told me, allowed her to bargain for clearly defined working conditions in the home where she is employed. These terms of employment include working hours, provision of meals and money for transportation, payment of social security, a uniform requirement or lack thereof, and limits to what is expected during working hours.

Emilia SolĂ­s Vivano, president of Sinducap, told me that there are more than 300 people in the union. The union members are not only domestic workers but also include cleaners, caterers, gardeners and window cleaners. These workers help to sustain a better way of life for their employers. Unfortunately, the same is not possible for them.

Already precarious before the pandemic, the situation for the workers has become worse in the past few months. “Because of the stigmatization of domestic workers as possible [carriers] of the virus,” Venega told me, “many employers ask us to live in the house to avoid using public transportation. This is not exactly an offer. If you don’t accept this offer, you are fired. You are dismissed, but because they make you an offer which you refuse, they call it a resignation. If you resign, there are [no] legal benefits. In a pandemic, we have no labor rights. We only have conditions.”

The demand that domestic workers live in their place of employment, Venega said, is not just about the pandemic, fear of disease, and the protocols of health. The pandemic, she said, is being used by employers to extend the working day for less pay. When you live in the same house where you work, working hours can end up being dictated by the convenience and working conditions of the employers, who may demand more attention once they come home from work, during weekends when receiving visitors, and according to the schedule of their children.

These are conditions, Venega told me, that the employers of domestic workers would not tolerate in their own workplaces, where they are employed, but they are not afraid to impose such terrible conditions on the domestic workers. Employers often reduce the wages of the domestic workers, saying that their own salaries have been reduced due to the pandemic.

If a worker is infected by the COVID-19 virus, then they are summarily fired. Workers are responsible for paying for their treatment and where they spend a quarantine period in these cases. This is even more terrible for a migrant, who might not have a house to go to or a family to shelter with. Being fired could mean deportation.

The “new normal,” Venega told me, is not so “new.” It is part and parcel of how things were even before the pandemic. “What is being made normal,” she said, “is greed.”

This article was produced by Globetrotter. Reprinted with permission.

About the Author: Taroa Zúñiga Silva is the co-editor with Giordana García Sojo of Venezuela, Vórtice de la Guerra del Siglo XXI (2020). She is a member of the Secretaría de Mujeres Inmigrantes en Chile. She also is a member of the Mecha Cooperativa, a project of the Ejército Comunicacional de Liberación.


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Health and Safety Standards for Frontline Healthcare Workers

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America’s frontline healthcare workers have rightly been called our country’s real superheroes. But the truth is that the US healthcare system is falling far short in its obligation to protect these essential workers in the face of the worst global pandemic in more than a century.

A Failure to Protect

It should perhaps come as no surprise that frontline healthcare workers are at extreme risk for contracting communicable illnesses, particularly when we are dealing with a pathogen as infectious as COVID-19. And with a new flu season looming in the northern hemisphere, the increased influenza risk incurred by nurses and other frontline healthcare workers only serves to amplify the threat.

Worse, more than eight months after the advent of the virus, healthcare workers are still facing a significant shortage of personal protective equipment (PPE). This lack of access to adequate PPE may well be the single most significant source of danger for doctors and nurses working with COVID patients.

When infected persons are asymptomatic, for example, the impulse to relax PPE standards by rationing equipment may well lead to potentially preventable disease transmission.

The Significance of Training

Because COVID-19 is a novel virus, there is still much about the disease that is unknown. Safety, prevention, and treatment guidelines continue to evolve. Healthcare systems, however, must be highly proactive in ensuring that frontline healthcare workers are up to date on the latest disease information and safety protocols.

This must include rigorous training in pre-appointment patient screening, treatment room sanitation, and risk mitigation and infection containment processes.

Job Losses and Furloughs

Perhaps one of the less-discussed but potentially most harmful risks facing today’s frontline workers is the risk of job losses and furloughs. Current research suggests that system mismanagement is pervasive across the US healthcare system, resulting in tens of thousands of job cuts, despite billions of dollars being allocated to US hospitals and healthcare systems from the emergency CARES act.

Thus, America’s frontline workers are not only confronted today by the threat of the virus, but they are also faced with the possibility of layoffs, furloughs, and termination. In the wake of a national crisis not only to public health but also to the economy, this may well leave frontline workers facing the loss of not just their health but also their income, their home, and their security.

The Takeaway

The COVID-19 pandemic has had a devastating effect across the US, but few people have been more affected than America’s frontline healthcare workers. The risk of infection for these workers is particularly great, amplified by an ongoing shortage of PPE.

In addition, due to the novelty of the virus, healthcare providers may still be uninformed on best practices in risk mitigation and disease prevention. Efforts to ensure up-to-date training and support must be made to ensure that workers are prepared to protect themselves, their families, and their patients. Perhaps worst of all, the healthcare system is challenged with massive layoffs, putting frontline workers’ jobs and livelihoods at risk.

This means it is incumbent on the public whom these workers care for to help care for and protect them in return. If you are able, donate to your local organizations that are now providing equipment, financial assistance, and other resources to frontline workers. If you own a business, consider offering these heroes freebies and discounts, special operating hours, or other perks to show your appreciation and offer support.

Help relieve the burden on these healthcare workers by always remaining vigilant about your own health and the health of your community, adhering to public health guidelines to help prevent the spread. Above all, reach out to your local, state, and government officials to demand they make caring for these care providers priority number one, which must include not only financial support but also employment protection and access to quality healthcare, child and elder care, and other resources they may need to weather this crisis.

After all, our frontline workers are saving lives day in and day out. The least we can do is anything and everything we can to return the favor.

About the Author: Luke Smith is a writer and researcher turned blogger. Since finishing college he is trying his hand at being a freelance writer. He enjoys writing on a variety of topics but business and technology topics are his favorite. When he isn’t writing you can find him traveling, hiking, or gaming.


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