From the The Department of Social and Behavioral Sciences, National Louis University, Skokie.
The School of Public Health, University of Illinois at Chicago, Chicago, IL.
Chest. 2014 Nov;146(5):1369-1374. doi: 10.1378/chest.13-2024.
Throughout medical history, physicians have rarely formed unions and/or carried out strikes. In a profession faced with the turmoil of health reform and increasing pressure to change their practices and lifestyles, will physicians resort to unionization for collective bargaining, and will a strike weapon be used to fight back against the array of corporate and government powers involved in the transformation of the American health-care system? This article examines the question of whether there could be such a thing as an ethical physician strike. Although physicians have not historically used collective bargaining or the strike weapon, the rapidly changing practice environment in the United States might push physicians and other health-care professionals toward unionization. This article considers the ethical questions that would arise if physicians started taking advantage of labor laws, and it lays out criteria for an ethical strike.
纵观医学史，医生很少组建工会和/或进行罢工。在一个面临医疗改革动荡以及越来越大的压力要求改变其行医方式和生活方式的行业中，医生是否会诉诸于工会化进行集体谈判，是否会利用罢工这一手段来对抗美国医疗保健系统改革所涉及的一系列企业和政府权力？本文探讨了是否存在所谓的“合乎职业道德的医生罢工”这一问题。尽管医生在历史上从未使用过集体谈判或罢工手段，但美国快速变化的行医环境可能会促使医生和其他医疗保健专业人员加入工会。本文考虑了如果医生开始利用劳动法，将会出现哪些伦理问题，并制定了合乎职业道德的罢工标准。
