Some New York hospitals are not adequately staffing nurses, according to a new report.
The New York State Nurses Association report showed between January and October 2024, hospitals failed to staff intensive care units and critical care patients at the state-mandated ratio more than 50% of the time. The report also said most hospitals do not publicly post staffing ratios as state law requires.
Margret Franks, a registered nurse at Vassar Hospital in Poughkeepsie, said it greatly affects patient care.
"We were regularly coming into a shift where we had eight patients when we were only supposed to have five, with one nurse at six on a 36-bed unit," Franks outlined. "Eight patients means out of every hour that you're there you can only give seven and a half minutes worth of care to that patient in your shift."
She argued it is impossible to provide good patient care and do everything a nurse has to in a given shift. While one recommendation is hiring more and retaining nurses, it is not so simple. Reports have shown labor expenses at New York hospitals grew 36% since 2019. While 2024 is the second year they declined, it is still double what they were in 2019.
Other report recommendations included the Department of Health increasing transparency so people see a hospital's actual staffing levels, enforcing safe staffing levels and expanding nurse recruitment and retention.
Franks stressed the issues outlined in the report exist beyond her workplace.
"This is not a problem that's exclusive to the Hudson Valley where I work," Franks pointed out. "It's not a problem that's even exclusive to New York State, it's nationwide. The reason for this is because you have these corporations coming in, taking over health care systems, and they're all using the same playbook."
Many studies have shown the ongoing nursing shortage is only set to continue due to many factors. Chief among them is the high stress nurses face in their work. Franks feels the shortage is not about people not wanting to enter the profession. Instead, she said it is about nurses wanting better work environments.
"Each facility has to create the kind of work environment somebody would want to willingly go into and work," Franks asserted. "It's not that the nurses who are not at the bedside right now don't want to work, it's just that they don't want to work in the situations that have been created by the facilities."
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A New York City music school's faculty is back in the classroom after a weeklong strike.
The Manhattan School of Music's Precollege Program faculty walked off the job after lengthy union negotiations broke down. The teachers have been working without a union contract since last August. While the union has made concessions, it said the school has been reluctant to compromise.
Adam Kent, president of the Manhattan School of Music Precollege Faculty Union, said they were forced to strike because the school was not taking the union seriously.
"We gave them over three weeks. We asked them if they wanted to reconsider their last proposal and they spelled it out that, no, they wouldn't be making any new proposals," Kent recounted. "We gave them two days notice when we actually declared the strike, and their first response was to try to line up 'scabs.'"
He noted the union is heading back to the bargaining table with the hope of getting a cost of living increase aligned with other schools, such as the Mannes School of Music and Juilliard. In a statement, the Manhattan School called the union's actions "disruptive to student learning" and argued they have had little or no availability to negotiate. Students, parents and other union members have joined the faculty's picket line.
While this was the first strike, Kent said he cannot say whether it will be the last. He cautioned there could be another, longer strike if the pattern of bargaining continues. He added recent comments from the school's attorney regarding the union's National Labor Relations Board case against the school make him leery about what lies ahead.
"The attorney made a comment to us, 'Good luck with your board,' in the context of the eviscerating of all of these federal agencies under the new administration, and we were really chilled by that," Kent acknowledged. "We really saw it as part of this idea of people claiming impunity and taking advantage of the current political climate."
Throughout negotiations, there have been questions about how much money is available for faculty raises. The school has continuously said there are not enough funds for a pay raise, but tax filing data show the school's president and executives received large pay increases last year. Other data indicate the school's tuition has risen 58% since 2014.
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Whether it's pressure from inflation or health-care costs eating away at savings, a reliable "nest egg" is still up in the air for many Americans.
There are calls to bring more certainty and retirement simplicity to the table for workers. Pensions offered to public employees are seen as more stable because they're not shaken by movements in the financial markets.
In recent polling from the National Institute on Retirement Security, 86% of Americans say all workers, including the private sector, should have a retirement plan that is more pension-driven.
Dan Doonan, executive director of the National Institute on Retirement Security, says retirement coverage is still too spotty for non-wealthy workers, leaving them on their own to put away savings.
"In general, we're just asking way too much of individuals to get all this right. And saving during the middle years of your life to provide income throughout retirement, it really is a challenging endeavor," he explained.
He added the good news is that more states, including Minnesota, are setting up programs that enroll private-sector workers in an IRA-style plan.
The goal is to step in when a company can't or won't offer retirement perks. Experts say they're easy for states to operate and benefit small businesses because they don't have to contribute. But for the workers, the IRAs typically have lower contribution limits, meaning the retirement savings might not stretch as far.
Just like state and local governments, Doonan said a more simplified network of retirement programs around the country can help companies in the private sector avoid staff turnover.
"As they do move in that direction, I think what you'll see is more loyalty in return to the company. So, there are some benefits for private employers, especially employers who value retention," he continued.
Congress has taken its own steps by adopting policies such as the Secure 2.0 Act, which updates federal rules dealing with retirement plans in hopes of boosting access. Doonan said those reforms could steer more people toward savings accounts similar to pensions. But he warns rising health care costs for older populations still could put a damper on things. And partisan divides remain in Congress over the future of Social Security.
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A recent round of employee cuts at the Environmental Protection Agency and other efforts by President Donald Trump's administration to follow through on the president's campaign promise to reduce the size of the federal government have prompted concern among government employees.
In Iowa, the cuts will have an effect on a number of employees.
Charlie Wishman, president of the Iowa AFL-CIO, said the cuts or job reclassifications threaten veterans' services employees, civil servants who work at Offutt Air Force Base in Omaha, just across Iowa's western border, programs that help people access Social Security benefits, or work in government security jobs in Des Moines. He said all the moves are not being made based on facts.
"Beyond that, it's a real problem to transform the professional civil service into an army of political appointees that are just loyal to one person and not to the mission to the American public or to what their job is actually supposed to be," asserted,
The American Federation of Government Employees marched in Washington, D.C., on Monday to rally against, among a host of measures, House Resolution 201, which would recalculate the way federal agencies evaluate employee performance and calculate their pay. The administration said it is making good on President Trump's campaign pledge to reduce the size of the federal government.
Wishman acknowledged while the looming job cuts across Iowa and the country create uncertainty among government employees, there is a bright spot.
"People understand that the way for them to fight back is collectively," emphasized. "AFGE has seen their numbers of new members jump by thousands since the president got his pen out and started writing executive orders, some of which aren't even legal."
A federal judge late last week ordered a temporary hold on Trump's order to effectively dismantle
the U.S. Agency for International Development, saying the affected employees would suffer "irreparable harm" from layoffs with no notice.
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