Unionization among U.S. healthcare professionals, especially physicians, is increasing as corporatization intensifies and physician autonomy erodes. Spurred by hospital system consolidation, private equity ownership, and COVID-19 burnout, many clinicians—particularly trainees—are turning to unions like the Committee of Interns and Residents (CIR-SEIU), which now represents 20% of the resident workforce. Surveys reveal over 60% of nonunionized residents would vote to unionize, citing pay and working conditions. Critics argue unionization risks physician professionalism, but others view it as a needed counterweight to corporate control. Strikes remain rare but are growing as a negotiation tool, raising ethical and legal complexities.
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