Nursing Strike Ethics and the Coolidge Principle

“There is no right to strike against the public safety by anybody, anywhere, any time.”

Long before he was famous for his abrupt and verbally stingy one-liners, Calvin Coolidge’s best known quote was this one, and we forget it at our peril. The line probably made him President: its context was the Boston police force strike of 1919. Coolidge, then Governor of Massachusetts, sided against the strikers, who despite legitimate demands for better pay and working conditions, lost their jobs. The next generation of Boston police officers, mostly hired from the ranks of veterans of World War I, got the benefits the strikers sought.

Coolidge’s sentiment is still valid, though unpopular, as ever, with organized labor and public servant unions. It was the philosophical and historical basis for President Ronald Reagan’s firing of the striking air traffic controllers during his first term, despite stong public sympathy for their stand. Like the Boston Police in 1919, they also lost their jobs for ever.

12,000 nurses in Minnesota Nurses Association are eligible to vote today on a potential indefinite strike. Continue reading

Ethics Trainwreck in Kermit, Texas

In the tiny west Texas town of Kermit, just north of Mexico, an ethics train wreck is underway that may have long-term consequences far beyond the Lone Star State.

Anne Mitchell, a nurse with an impeccable record, became disturbed at the conduct of a physician at the Winkler County hospital where she worked. After unsuccessfully attempting to get hospital administrators to deal with what she believed was a matter of patient endangerment, she sent an anonymous complaint to the Texas Medical Board. This was a classic whistle-blower situation, protected by law and encouraged by the ethics code governing nurses. Unless she trumped up her accusations for a personal vendetta, she did exactly what the medical profession says she has an obligation to do, a responsible act of medical system self-policing that all too few nurses are willing to follow. Continue reading