Union Busting: Moving Nurses to the Gig Economy -

A Shitty Medical Model Come Home to Roost

CJ Sterling
8 min readMar 30, 2020

Megan is an RN with a Bachelor of Science in Nursing from the University of Mary Hardin-Baylor in Texas. After a grueling four years in one of the country’s best nursing schools, she is deep in student debt. She struggled through college, graduating on the honor roll, overcoming illness, injury, military transfers, and a divorce, but she wouldn’t give up. Nursing is her passion, and she has put a lot of ICU work under her belt. On the night before she graduated, she tripped and broke her leg. The leg has healed, but this rocky start sent her into a career spiral.

This constant movement from facility to facility is blamed for the spread of COVID-19 from the Life Care nursing facility in Kirkland, Washington, ground zero for the spread of the virus in Washington State to other nearby nursing homes. Agency nurses and temporary hires cobble together a living, often working one facility and picking up extra shifts on another. Nursing home work, even for skilled RNs, is one of the lowest-paid jobs in nursing.

Now she finds herself struggling in her career in Texas, a state that has one of the lowest unemployment rate for nurses in the country, and few union hospitals. As a relatively new nurse, she found herself depending on agencies for contract work -eight weeks here, twelve weeks somewhere else. Her own health care insurance pops in and out as she is sent from hospital to hospital. Sometimes health care comes…

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CJ Sterling

Writer, journalist. Commentary: Washington Post, Economist, Daily Beast, New York Times, Seattle Times, Crosscut, The Stranger. 22.5 million views, Quora.