Like many physicians, Kraig de Lanzac, MD, FASA, ASA Assistant Secretary, always associated unions with workers in the trades, government, or public education.

Amid consolidations, payment pressures, the No Surprises Act, and, of course, COVID-19, there's been a shift in the discussion of attending physician unionization over the last five-10 years. Dr. de Lanzac and other ASA members attended a presentation by Bob Sugarman, JD, Tom Sugarman, MD, and Ro Gonsalves, MD, titled “Can Unions/Collective Bargaining Improve Quality of Care and Physician Wellness?” at January's ASA® ADVANCE: The Anesthesiology Business Event. Dr. Gonsalves was instrumental in the two-year process of establishing a physician union that joined the SEIU 1021, a Bay Area union of more than 70,000 local workers, including physicians from Alameda Health Systems. According to Dr. Gonsalves, there are several prominent unions for attending physicians, including Doctor's Council SEIU, whose membership is composed of physicians in health...

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