https://www.wsj.com/articles/doctors-are-losing-their-calling-union-mass-general-brigham-resident-suicide-depression-representation-burnout-7f72ab6?mod=opinion_lead_pos8
Physician-trainees at Mass General Brigham are attempting to unionize. If they succeed, the union would be the largest of its kind in the country with more than 2,500 members, joining the estimated 15% of U.S. medical trainees who’ve assembled under the Committee of Interns and Residents in recent years. At the center of the doctors’ unionization efforts is a desire to reclaim their identity as service-driven providers and to fight for the autonomy and fair working conditions that they’ve lost as their profession becomes more commercialized and centralized.
Doctors are proud of their occupation’s mixture of sacrament and science in service to society. Urbanely trained at universities, these learned professionals once left the city to settle into solo practices or small partnerships in the towns they served. This autonomy allowed them to charge patients what they could afford—some more, some less and some not at all. Meanwhile, their authority allowed them to advocate effectively on behalf of their patients, even on nonmedical matters. Their familiarity with their neighbor-patients encouraged participation in the community, both economically and socially.
But as teaching hospitals were subsumed into larger corporate systems, and healthcare grew more expensive from the mid-20th century onward, hospital systems lobbied for policies that created a regulatory environment too thick and expensive for private practitioners to remain solvent. For doctors, hospital-acquired practices held the promise that as employees they could forget about red tape and bottom lines because the hospital would handle it. Doctors would purportedly get to focus on practice instead of administrative tasks.
