rustypouch
Philosopher
- Joined
- Mar 1, 2003
- Messages
- 6,745
This falsely assumes there is rationality to an issue that is heavily influenced by culture.
For example, in my earlier underpaid years as a nurse, we were frequently short staffed. Normally in a labor market, when there is a shortage of supply, demand should dictate that wages rise.
But it didn't because wages were kept low by what in any other profession would have been considered illegal collusion. Hospitals colluded to all pay the same wages to nurses. They colluded not to compete for each others' nursing staff. The excuses proliferated, nurses couldn't strike because patients would suffer and so on.
1199 came in and began to provide better union representation than we had with nurses organizations that had union branches. But it wasn't enough to break the hospital monopoly on wages.
A change occurred in the mid-eighties, somewhat of a perfect storm:
For the first time in the history of nursing in the US, the market forces of supply and demand hit hospital labor forces. I was in the first wave of nurses that went to work for the agencies and eventually became an independent contractor cutting out the agency middle-men.
- Insurance companies began paying by the diagnosis instead of by patient need. Hospitals were forced to send sicker patients home sooner.
- Advances in medical care upped the technology in intensive care units by a large degree.
- Nursing staffing agencies began providing ICU nurses that hospitals needed more and more. It was more and more difficult for hospitals to function if short staffed.
- As hospitals faced competition for the first time, agencies started paying nurses more and more, and hospitals were forced to pay the rising costs. Nurses began fleeing the hospitals in droves to work for the agencies.
- In no time hospitals were forced to pay nurses more to keep them from leaving.
My wages went up 300% in just a few months then doubled in the subsequent year.
Today nursing wages have reached parity in many positions. Nurse managers are still seriously underpaid compared to equivalent managerial fields, but it's much better than it used to be because the hospitals had to pay managers more than floor staff. But nursing management position pay still isn't comparable to hospital administrator pay despite the fact nurse managers have greater responsibilities. There was a saying among us that nurses were rewarded with titles rather than better pay.
Edited to add: So don't try to tell me women are only underpaid relative to men because they work fewer hours and take time off to have kids. I watched the cork suppressing supply and demand pop off first hand. I was involved in the the court case we had to pursue to become independent contractors in this state because the people at the state labor and industry that made these judgements had an image of a nurse as the little bedpan girl. We had to educate them that nursing was a profession in its own right and we weren't a mere extension of doctors.
And yes, it was a sexist issue, first and foremost. But we had another saying that nurses were their own worst enemy because women are just as much a product of the culture as men are.
Why the need to turn a thread about how people who are not you might need help, into whining about your perceived oppression?
Why is total compensation important, but not hourly?
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