No, not really. Not as far as the doctors go, anyway. No collective bargaining is done between employer and employee. It’s a different arrangement, really. In those, you get a mix of independent physicians, and physicians who are employed by a health corporation under contract, but without union representation. Certainly the Medical society would not stand up for you if you were being terminated by your employer, nor would it help you bargain for better working conditions or greater re-imbursement from your employer. It wouldn’t help you defend yourself in court for malpractice. It would lobby the government to increase medicare payments, lower malpractice caps, and so forth. It’s much more of a special interest PAC than it is a union. IMHO.
I was, for a time, a member of a bona fide doctor’s union. Physicians employed by the State to work in state prisons. We had collective bargaining agreements, union reps, work rules and regs, disciplinary tracks that had to be followed, union dues, union meetings, the whole nine yards. And it did result in a higher level of pay and professionalism as a result. Previously, pay was abysmal, and attracted only the type of doctor who couldn’t get employed anywhere else.
End result: The union is there to ensure that the members get everything that they’ve been promised by management, and also to see if next time, they can’t get more. Not inherently a bad thing.
The union’s still there, but I’m no longer a part of it, because I moved into management instead. And now I see the other side of it too. It’s hard to fire someone who’s not doing a proper job, because it takes an enormous paper trail to do it, and every ‘i’ must be dotted and every ‘t’ crossed in the right way, at the right time, no exceptions, or go back to the start. It’s harder to give constructive feedback, because now it becomes an issue where the person can demand a union rep be present. So I’m much more a creature of the bureaucracy, making and keeping paper trails, requiring rules be followed, and processes done correctly. Because if they’re not, it’s not the fault of the person who didn’t follow them, it’s the fault of the supervisor who didn’t make them follow procedure!!
Enough, I’m rambling.
Unions: Both good and bad. And neutral.