Advances in pay, benefits and working conditions are directly linked to nurses organizing in unions. I am surprised to see so many disapproving entries. When I started my nursing career in 1982 I did not have any kind of job security...just an hourly wage and some miniscual vacation benefits. Today a nurse wouldn't even consider a job without a pension or at least a 401 k program. Shift differentials, charge pay, on call pay, safe needles, no mandatory overtime etc. all come from nurses coming together with a voice. The nurses association was a start but unions like the SEIU and AFSCME have moved us to another level. On a personal note my union activity led to my political activity which led me to the state legislature as a representative. I serve on the health care committee and today we passed a bill to mandate hospitals to have "no lift" policies and purchase the equipment to do it with within 5 years. The nurses lobbied the legislature to put the pressure on to pass the bills. The nurses came together from UFCW, SEIU and the WA state Nurses association together to get this landmark legislation. Unions may not be perfect. No organization is.. but I think you have to judge the tree by it's fruit. They have been great for nurses. Tami