HARRISBURG, Pa. — March is National Professional Social Work Month, when social workers around the country raise awareness of the important roles they fill.

With masters' degrees and thousands of hours of supervised training, licensed clinical social workers are the number-one providers of mental health services in Pennsylvania. Nationally, there's a shortage of social workers. And according to Dr. Angelo McClain, CEO of the National Association of Social Workers, their average salaries are much lower than similarly licensed professions.

"Social-work salaries lag behind professions like nursing and teaching,” McClain said. “Social workers have the same obligations in terms of student loans, needs to take care of their family, so salaries should really reflect the value that social workers bring."

Pennsylvania social workers are in schools, hospitals and a variety of public agencies, often carrying huge caseloads. The NASW is calling its 2019 campaign "Elevate Social Work," highlighting the critical functions social workers perform on a daily basis.

Nationally, social workers are paid an average of $10,000-$15,000 a year less than nurses and teachers. McClain said part of the problem is the fee structure built into Medicare.

"Currently, social workers are reimbursed at 75 percent of the physician fee schedule,” he said. “Social work is the only profession that's reimbursed at a rate lower than 85 percent."

The Improving Access to Mental Health Act, to be introduced in Congress this year, would raise social worker compensation to 85 percent.

McClain noted that the opioid epidemic plaguing Pennsylvania and other states makes retaining social workers and ensuring they are adequately compensated more important than ever.

"Social workers are providing the mental health and substance abuse services, and child protective services for those families as well,” he said. “This one social problem has a ripple effect, and social workers are front and center on helping address those issues."

The NASW is encouraging Congress and the Department of Health and Human Services to offer scholarships and training grants to encourage more people to become social workers.

More information is available at Socialworkers.org.


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The Service Employees International Union is joining the AFL-CIO, a move both groups said will make it easier for more workers to unionize.

SEIU is the nation's largest union of health care workers, janitors and security officers, among others. Combined with the AFL-CIO, a federation of more than 60 national and international labor unions, the group now has 15 million members.

Alan Dubinsky, communications director for SEIU Local 49, representing Oregon and Southwest Washington, said the two unions have a history of working together and they share many of the same values.

"We want to unite people across class lines no matter where they live, no matter the color of their skin, who they love, so we can stand up to billionaire interest and corporate greed," Dubinsky explained.

Research shows although only one in 10 workers is currently part of a union, more than 60 million people said they would join a union if they could. In a statement, the AFL-CIO said it will fight for new rules to strengthen the rights of workers to organize and collectively bargain.

Recent polls showed unions have near record-high favorability, with 67% of Americans approving of them. Last year had some major wins for labor, including The United Auto Workers, unions representing airline workers, and several Hollywood entertainment unions. Dubinsky noted rights for workers cannot be won alone.

"As working people, we all want the same things," Dubinsky contended. "We want jobs that are going to pay us enough to live. We want accessible, affordable, quality health care for ourselves, for our loved ones. "

When workers organize, research shows wages increase and working conditions improve. In 2024, petitions to form or join a union more than doubled from the previous year.

After five days of Oregon's largest health-care strike, including the state's first doctors' work stoppage, Providence Health announced it is ready to return to the bargaining table. The Oregon Nurses Association is calling for competitive wages and resolution of what it calls systemic, unsafe staffing issues.

Kathy Keane, a nurse at Providence St. Vincent Medical Center who has been on the picket line, said Providence needs to focus on recruiting and retaining skilled staff.

"I want to work with the best of the best. And when we are the lowest-paid caregivers in the Portland metro area, it's hard to argue why people should come here and stay here long-term," she explained.

Providence said it is ready to return to the bargaining table, thanks in part to what it calls an "unprecedented number" of union nurses who have chosen not to strike. Earlier this week, Providence filed an unfair-labor-practice complaint, saying the nurses' association unlawfully delayed bargaining by refusing to meet and not responding to proposals in a timely manner.

A recent poll conducted by the Oregon Nurses Association found more than 90% of patients reported a negative experience with Providence, and support the strike.

Laura Wadlin, a Providence patient since she was a kid, said has had many discouraging experiences with rushed providers.

"Every time I go back, my fears are only confirmed, so that really reinforces the inclination not to even try," she said.

Keane and other union members are also concerned about acuity, or the level of care that a patient needs based on how sick they are. Keane said she wants nursing assignments tailored more towards patient need, rather than focusing on a staff-to-patient ratio, and said this issue is not unique to St. Vincent.

"This is something that system-wide we've seen issues with, so we know that systemic issues need systemic change, and that's really what we're working towards," she continued.

Providence said it is committed to following Oregon's staffing law, and is taking acuity into account. The nurses' association says 305 unsafe staffing complaints were filed against Providence in 2024.

A fiscally conservative advocacy group is pushing for the renewal of President-elect Donald Trump's Tax Cuts and Jobs Act.

Americans for Prosperity launched a $20 million nationwide campaign earlier this week, urging Congress now is not the time for more taxes.

Andrea Moreno, executive director of Honest Arizona, said it comes at too high a price. She contends big corporations and the wealthy do not pay their fair share, which is why her organization is educating voters about the tax code's consequences.

Moreno stressed Trump's tax code would affect funding for such priorities as public education, access to health care and other safety net programs in Arizona and across the country.

"Cutting assistance like SNAP and WIC -- and as a mother, that is something that means a lot to me -- that would be detrimental for mothers and children as well," Moreno pointed out. "The ACA is another one, and making changes to Medicaid, which would definitely impact a lot of seniors."

Americans for Prosperity said if Congress isn't able to renew the measure, millions of Americans will have to pay an extra $1,500 or more in taxes next year. They project Arizonans could face an even steeper increase and face an extra $2,700 in 2026.

Moreno noted while Republicans have argued the plan will lead to economic growth, she disagrees and believes things like state and local public spending could be put in jeopardy.

Trump has proposed a number of tax policy changes, including cutting the maximum corporate income tax rate to 21%, redesigning international tax rules and providing a deduction for pass-through income. Such proposals would, on average, lead to a tax cut for the richest 5% of Americans and a tax increase for all other income groups, according to the Institute on Taxation and Economic Policy.

Moreno argued it does not make sense.

"It is disproportionately helpful for the wealthy and not for people who actually need it," Moreno stressed.

Moreno encouraged Arizonans to get educated on the possible changes and to reach out to their elected officials to express their opinions on the tax code. She added it is important for democracy for everyone to make their voice heard.

"Your local politicians are really instrumental in some of these things," Moreno emphasized.


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