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.

New data show fewer than half of rural Gen Z'ers believe they can find a good job in their community, compared to nearly 70% of their urban peers.

Oregon is following the national trend along with a growing rural-urban income gap.

Megan Tuck, program coordinator for the Central Oregon Intergovernmental Council, grew up in St. Paul, a small town in the Willamette Valley and now lives in Bend. She said she would have liked to stay in her hometown, but there are few opportunities there for work.

"That was the options, I feel like, growing up for me and a lot of my peers was you either move away, live in St. Paul and commute somewhere, or you work on farms, which is still an amazing profession," Tuck explained.

In 1980, the average rural Oregon household earned about 10% less than an urban family. Today, the gap has widened to 25%. Trump administration cuts to the federal workforce would only worsen the situation, as federal jobs make up a larger share of employment in rural Oregon counties and tend to pay more.

Data show rural youth, like Tuck, are more likely to want to stay closer to home than city-dwellers. Tuck pointed out she and a lot of her peers found city life challenging and missed their hometown community, though many initially wanted to leave after high school.

"Then at the same time, I see a lot of my peers and I as we get older, reflecting and realizing we actually want to come back and we actually want to live here," Tuck emphasized.

Tuck noted employment is not the only challenge to come with living rurally. She stressed rental housing options are also limited. Research shows rural Oregonian incomes are on par with rural American incomes, but rents are 16% higher.

Tuck added people in rural communities are afraid of losing their young people but many have no choice but to leave to find living-wage jobs. Regardless of the challenges she and her generation face, Tuck is determined to find a solution.

"How do you transition some rural economies to still keep the character of the community but also create opportunities for young people?" Tuck asked.


get more stories like this via email

The Iowa Legislature has advanced a bill to provide a $1 billion tax cut to companies covering unemployment benefits for out-of-work Iowans.

Iowa lawmakers reduced the maximum number of weeks Iowans could file for unemployment benefits in 2022 from 26 weeks to 16. The money the state has saved by not paying the additional benefits went into a trust fund, which has reached nearly $2 billion. Now, lawmakers are giving half the money back to business in the form of a tax cut.

Peter Hird, secretary-treasurer of the Iowa Federation of Labor, said Senate File 504 is a blow to people who are looking for work and now have a lot less time to find it while watching companies get a tax cut.

"If you take a benefit, a protection for workers, and then turn that into a tax savings for employers, it's a totally man-made tax cut," Hird pointed out. "This isn't just because of good luck."

The bill is through committee and awaits action on the Senate floor. Gov. Kim Reynolds said she is following through on a campaign pledge to lower taxes for Iowa companies, making the state more attractive to those considering locating in the state.

Hird noted labor groups also worry about what happens in the event of an unexpected economic downturn and added the fears are prominent in rural Iowa.

"Especially if you're working in the ag sector where your job is at stake, and you're talking about giving more benefits to rich people?," Hird emphasized. "I feel like that's just something that's resonating across the country right now."

Reynolds has proposed cutting the highest unemployment tax rate companies pay from 7% to 5.4%, which would save them nearly a billion dollars over five years.

Kentucky lawmakers are considering a bill that would ban the state from enforcing existing worker safety laws that are above and beyond federal standards. Critics say it would weaken worker's rights and put employees in manufacturing, construction, mining, and other dangerous jobs at higher risk. According to state data from 2022, Kentucky's workplace injury and death rates are higher than the national average.

Dustin Reinstedler, Kentucky AFL-CIO president, said Kentucky needs state laws that match industry-specific needs and challenges.

"There's so many things like coal mining, the bourbon industry, some of the heavy metals, aluminum and steel manufacturing that we have here that really aren't in other states," he explained.

If passed, House Bill 398 would eliminate the right of a worker's family, clergy, or attorney to request a safety inspection - a right that exists in all other states. It would also shorten the time for an employee to file a worker safety complaint and for the state to issue employer citations.

Supporters of the measure say matching worker safety regulations to the standards set by the federal Occupational Safety and Health Administration will spur economic development. But Reinstedler added that the Commonwealth is already experiencing record economic growth, jobs and capital investment.

"There's this kind of like false information flying around that somehow there are companies out there saying, "Oh gosh, I wish Kentucky would relax their rules against worker safety so we could come there and do business,"', when we know the facts, the data is there," he continued.

Jason Bailey, executive director of the Kentucky Center for Economic Policy explained that the bill would also threaten the state with financial penalties for enforcing safety laws.

"Making the state pay court costs, and that really will intimidate the state from issuing citations and incentivize employers to contest them," he said.

Kentucky's maximum penalty for workplace safety violations is $7,000 and can hit $70,000 for willful or repeated violations, while OSHA's is more than $16,000 per violation and $161,000 for willful or repeated violations.