Los defensores de los neoyorquinos con discapacidades están pidiendo a los legisladores estatales que tomen medidas sobre las políticas que aumentarían los ingresos de los trabajadores de atención domiciliaria.
La Ley de Pago Justo para el Cuidado en el Hogar aumentaría el salario de los trabajadores de cuidado a por lo menos 150 por ciento del salario mínimo.
Heidi Siegfried, del Centro para la Independencia de los Discapacitados de Nueva York, dice que los bajos salarios en este campo han contribuido a la alta rotación de trabajadores, lo que podría dejar a las personas sin la atención que necesitan.
"La persona puede terminar sin atención durante un día," dice Siegfried. "Sin poder levantarse de la cama, sin poder trasladarse. Dependiendo de su discapacidad, algunas personas dependen mucho del cuidador para sus vidas."
Siegfried dice que su grupo espera también que la gobernadora de Nueva York, Kathy Hochul, programe un aumento salarial para los trabajadores de atención domiciliaria en el presupuesto estatal que se anunciará el martes.
La financiación federal para este tipo de trabajadores a través de la Ley Build Back Better aún está en el aire, ya que el Senado de los EE. UU. no ha votado sobre el plan.
Según la empresa de personal de atención domiciliaria P-H-I National, en 2020, el ingreso medio de los trabajadores de atención en Nueva York fue de poco más de 21 mil dólares al año.
Siegfried dice que el estado debe abordar el problema de los salarios bajos.
"Realmente nos gustaría ver a Nueva York dar un paso al frente y decir: 'Vamos a brindar estos servicios, nuestra gente con discapacidades necesitan poder recibir atención en sus hogares," asegura Siegfried.
Siegfried señala que para muchas personas que requieren estos servicios, otro impacto de la alta rotación en la atención domiciliaria es la posible pérdida de independencia.
"Pero la otra cosa que puede suceder es que las personas terminen siendo internadas innecesariamente en centros de enfermería," asegura Siegfried. "La gente prefiere vivir en su casa, y necesitamos tener una fuerza laboral de atención domiciliaria que pueda apoyarlos con eso."
La Ley de Pago Justo por Atención Domiciliaria se encuentra ahora en el Comité de Salud del Senado de Albany.
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More than 1,100 caregivers at Portland's Providence St. Vincent Medical Center have voted to unionize, joining the Service Employees International Union Local 49.
Hospital staffers, including certified nursing assistants, cooks, lab assistants, pharmacy techs, environmental workers and patient representatives, will soon begin collective bargaining with management over a new work contract.
Finn McCool, senior food service attendant at Providence St. Vincent Medical Center in Portland, said changes to working conditions in the hospital were a major driver to organize.
"There's a lot that makes St. Vincent a great place to work, but we've also seen just tons of changes over the years around staffing and benefits," McCool explained. "My fellow caregivers really knew that jobs were only going to get harder."
The St. Vincent caregivers will join thousands of other unionized workers at Providence hospitals in Oregon, Washington state and other parts of the country. Providence officials released a statement, recognizing the union and saying they were prepared to work with it toward a new contract.
McCool noted the company made several changes to staffing and work policies without feedback from its employees, with changes to the employees' health care benefits causing a major upheaval.
"It's been a recent change to our health care plan with Aetna switching over, and that was probably a very large reason why a lot of us decided to vote yes," McCool pointed out. "We had our own internal health care system. We changed to a different thing. Co-pays changed. Things were definitely a lot harder with increased deductibles."
McCool stressed political uncertainty, particularly in the government's health care policies, was also a significant concern.
"We're seeing a lot of changes going on with the government with cuts, especially right now," McCool observed. "What threatens us is cuts to Medicare and Medicaid. Our CEO said, 'These cuts are threatening the hospital.'"
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The multistate Providence Health System announced it will close the maternity center at one of its Montana hospitals in October.
Opponents are hoping the corporation will reverse its decision at negotiations starting next week. The Family Maternity Center at Missoula's Providence St. Patrick Hospital has delivered about 450 babies each year over the last several, and serves many people from the surrounding small towns.
Robin Haux, labor program director for the Montana Nurses Association, said the layoff notification came as a big surprise and will affect moms and babies, nurses and Missoula's other hospital.
"Not only were the nurses provided just a four-month turnaround, so was the community, so was Community Medical Center," Haux explained. "This has triggered a pretty large scrambling of trying to get prepared."
The cut comes as U.S. lawmakers close in on the "One Big Beautiful Bill Act," the Republican budget megabill proposing cuts to Medicaid which could close rural hospitals. Providence said the closure is due to "declining birth volumes" and "workforce shortages."
Megan Carey, labor and delivery nurse in the Family Maternity Center at Providence St. Patrick Hospital, said no one from the Family Maternity Center was included in the decision.
"We were told there was a discernment team as well as external stakeholders," Carey pointed out. "It's just really disappointing that administration could not look inward to better go about this process."
Carey added Providence sent what she calls an "unsettling" message informing nurses they could apply to work in other departments at St. Patrick Hospital but there would not be enough jobs for them all.
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As more women enter the construction industry, a group in Philadelphia is working to support them and advance diversity amid political challenges to DEI programs.
The U.S. Bureau of Labor Statistics reports a nearly 45% increase in women in construction over the past decade.
Amy Novak, president of the Philadelphia chapter of Professional Women in Construction, said recent federal actions against DEI initiatives have prompted the relaunch of their empowering committee, which focuses on development and educational sessions.
"We choose to focus on empowering women to solve issues, be a part of the resolution of issues," Novak explained. "And also to feel supported, to be an advocate for diversity, equity and inclusion programs."
The Biden administration implemented widespread diversity, equity and inclusion initiatives across nearly all areas of the federal government from military operations to airline safety policies. Critics argued the programs amount to unlawful and unethical discrimination.
Novak said a recent Professional Women in Construction report showed strong support for diversity, equity and inclusion among those involved with the group. She added her group is committed to growing the talent pipeline in construction, architecture and engineering from trades to professional roles by expanding partnerships that boost early STEM interest, starting in middle school.
"We have our Connecting Committee, which goes out and regularly interacts at college campuses," Novak pointed out. "Not just to women who are in engineering, architecture, construction majors, but those majors as a whole, educating them about different careers within construction."
Novak stressed the goal is to expand into high schools next year, to reach students as they start making career decisions. She added the group's Student Recognition Program, launched in 2020, highlights young women pursuing careers in STEM and construction, aiming to inspire younger girls and strengthen the future talent pipeline.
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