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NNU Membership

The last 20 years have been a time of steady decline for union membership in the healthcare industry.

In 1990, around 8.2% of all physicians and surgeons belonged to some union. By 2020, that percentage had dropped to 7.2%. Union membership among nursing and personal care facilities came in even lower, with just 5.7% of the population belonging to a union.


Source: Bureau of National Affairs (BNA PLUS)

Because of this decline, unions have been trying harder than ever to gain new dues paying members. Union organizing teams and in-house employee organizers have been known to use nursing concerns such as patient care and staffing ratios just to get their foot in the door. Once there, they may make highly persuasive and unrealistic promises with no guarantees all in an effort to gain new members.

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And rather than adding new members, NNU has been involved in 9 decertification petitions since 2010, where union members decide whether to kick the union out. The Unions were only able to win 4 of the decertification petitions filed.

NNU Petitions for Decertification
Source: Bureau of National Affairs (BNA PLUS)

Political Spending

Overall, unions haven't been very lucky when it comes to winning elections, so now they're trying a different route - a political route. They're spending millions of dollars each year to change the law, hoping to make it easier for unions to organize employees.

In the last few years, NNU has spent more than $20 million on political causes.

And where's this money coming from? Part of it is being funded by the dues and fees the Unions collect from its members - who may not know or agree with how their money is being spent.

NNU Political Spending

Source: 2015-2020 NNU LM-2 Reports

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