Ratios are a politically charged and sensitive area for many people. There are far reaching after effects of implementing a state or federally mandated ratio. For one, many nurses feel that unions are not necessary to practice their profession. In fact many feel that a profession does not need unions. While on the topic of unions, there are several states where nurses forming a union is very much looked down upon. I mention unions because what happened in California in regards to state mandated ratios was a result in a lot of political maneuvering by unions.
California nurses, from my experience, pay $40-$50 per paycheck for union protectionâ€ and representationâ€. A hospital with 1000 nurses typically makes $40,000-$50,000 every pay period or $80,000-$100,000 a month just form union dues. These dues are used to pay lawyers, labor representatives etc. in order to lobby or advanceâ€ the nursing-agendaâ€.
One hospital with 1000 nurses can make about $1,000,000 a year. All those funds are used to lobby the state legislature and support political campaigns in order to further their agenda. Agendas such as mandatory ratios, retirement, and health insurance.
There are many in this country who view unions as an unnecessary entity in the profession. As professionals, communication with leadership and sharing in the same vision of patient care and proper compensation for all involved should be discussed. Many nurses feel that belonging to a union is much like paying for protectionâ€ or extortionâ€ and would rather not take part in it at all.