Insurance plan trustee advises members ‘go elsewhere for care’ during Allina strike

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Nurses picket outside United Hospital in St. Paul, one of five Allina Health facilities where members of MNA have been on strike since Labor Day.

The president of a major Minnesota union sent a letter this week to members enrolled in its health insurance plans urging them to “go elsewhere for health care” during the Allina strike.

Jennifer Christensen, president of United Food and Commercial Workers Local 1189, cited concerns about “quality control” and patient safety at five Allina Health facilities in the Twin Cities where members of the Minnesota Nurses Association have been on strike since Sept. 5: Abbott Northwestern, Mercy, United and Unity hospitals and Phillips Eye Institute.

[Click here to view the full letter.]

As it did during nurses’ seven-day strike in June, Allina has contracted replacement nurses from across the country to fill in for the 4,700 union members who regularly staff its facilities. The changeover was rocky in June, prompting patients and hospital staff to file about 40 complaints with state regulators, according to MNA.

Christensen, who serves as a trustee of two multi-employer health insurance plans that cover 7,000 people, questioned whether replacement nurses could uphold the high standards set by union nurses, or whether Allina’s facilities have “become so overwhelmed with so many new replacement nurses that quality care is no longer guaranteed.”

Local 1189 leaders say they plan to invite other unions that sponsor Taft Hartley plans to join them in advising members to consider alternatives to Allina until the provider gets serious about negotiating with its nurses.

Laser focused on cutting health care, Allina turns deaf ear to nurses’ safety concerns

Abbott Northwestern nurse and MNA spokesperson Angel Becchetti speaks at a press conference on nurses' safety proposals.

Abbott Northwestern nurse and MNA spokesperson Angela Becchetti calls on Allina to respond to nurses’ proposals to improve their safety on the job.

 

When Celeste Kopacek’s patient in the neuroscience unit at Abbott Northwestern Hospital told her he was going home to get his gun and would come back to find her, she reported the threat to Allina security.

“They told me to call back if he showed up,” Kopacek said.

Since contract negotiations with Allina began in February, nurses at five metro-area Allina facilities have made several proposals aimed at improving their safety on the job.

Erinn Olson (L) and Celeste Kopacek display a partial list of the attacks Kopacek has suffered while working as an Abbott nurse.

Erinn Olson (L) and Celeste Kopacek display a partial list of the attacks Kopacek has suffered while working as an Abbott nurse.

Allina has refused to respond to those proposals, nurses said at press conference today outside Abbott Northwestern. Instead, the not-for-profit corporation has focused almost exclusively on slashing nurses’ health insurance.

“We’ve made a compromise on their issue,” Abbott Northwestern nurse Angela Becchetti said, referencing steep concessions nurses accepted in last-ditch negotiations before beginning their open-ended strike Sept. 5. “They haven’t made a compromise on ours.”

Nurses want a heightened security presence in their facilities to reduce response times when patients become violent or dangerous. Nurses have seen an uptick in such incidents over the last 10 years, in part, because of untreated mental illness, opioid addiction and other substance-abuse issues.

Nurses also want Allina to provide counseling and paid time off to nurses who are victims of violent incidents, as well as more training in how to diffuse them before they begin.

“We need more than two hours of training,” said Erinn Olson, Kopacek’s colleague in the Abbott neuroscience unit.

About 4,700 Allina nurses are on strike at Abbott Northwestern, United, Unity and Mercy hospitals, as well as Phillips Eye Institute.

“Every single one of them has at least five stories,” Kopacek said, of being attacked or threatened on the job. “To not feel safe at work is unacceptable.”

As strike drags on, nurses question Allina board members’ leadership

Striking nurses assemble outside Piper Jaffray's offices in downtown Minneapolis, seeking a meeting with Allina Health board member Debbra Schoneman.

Striking nurses assemble outside Piper Jaffray’s offices in downtown Minneapolis, seeking a meeting with Allina Health board member Debbra Schoneman.

 

The 16 members of Allina Health’s board of directors have remained mostly above the fray since a contentious round of negotiations with nearly 5,000 union nurses began in February.

But that changed last week, when Allina nurses at five Twin Cities facilities began an open-ended strike and, at the same time, rolled out a campaign to hold their not-for-profit employer’s governing body accountable.

The Minnesota Nurses Association, which represents striking nurses, is publicly questioning whether Allina’s negotiating team, led by CEO Dr. Penny Wheeler, has provided board members with accurate information, particularly when it comes to the cost of prolonging the work stoppage after the two sides came so close to an agreement in their most recent talks.

“Allina Health will spend $20 million every week the nurses are on strike,” MNA Executive Director Rose Roach said. “How can the stewards of a not-for-profit health care company allow that to happen when we were just $2 million away from a deal at the bargaining table?”

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More Wall Street than wellness

It’s a question nurses have tried asking several board members over the last week, seeking them out in commercial high-rises and corporate headquarters – even on one college campus – across the Twin Cities.

It’s a strange and troubling road map for tracking down the people who oversee a non-profit health care provider, and it reveals a governing body whose makeup skews more toward Wall Street than wellness.

John Church chairs Allina’s board; he works a vice president at General Mills. Executives from Buffalo Wild Wings and the for-profit Capella University also hold seats. The financial sector is well represented too, with executives from four investment firms holding seats. There’s a lawyer, a retired partner in global auditing and tax giant KPMG, the founder of a Minneapolis consulting company and the president of Macalester College in St. Paul.

Just four members of the Allina board make their livings in health care. Two are doctors, one works in human resources for a local medical-technology firm and the other is an entrepreneur whose latest start-up helps employers shop for insurance providers.

Elizabeth English, a nurse at Mercy Hospital in Coon Rapids, joined a delegation of about 20 striking nurses who dropped in on board members with offices downtown Minneapolis last Thursday. None of the board members made themselves available, but if they had, English would have asked one simple question: “Why are you on the board of a hospital?”

“The problem is they’re on the board, and they’re just trying to make money,” English said. “They know nothing about caring for patients. It’s very disappointing.”

Support from Mac students, alumni

Nurses and Macalester students assemble outside the offices of college president Brian Rosenberg, who collected $10,000 from the not-for-profit health system to serve on its board of directors in 2014.

Nurses and Macalester students assemble outside the offices of college president Brian Rosenberg, who collected $10,000 from the not-for-profit health system to serve on its board of directors in 2014.

Equally disappointed are some members of the Macalester community with President Brian Rosenberg’s involvement in the nurses’ strike.

Nurses who took part in a delegation to his office last Wednesday were pleasantly surprised to find several students, including sophomores Jackson Dean and Nicolas Koch-Gallup, awaiting their arrival. Dean said he wanted to “show that students support the nurses’ union.”

That Rosenberg’s fingerprints are on the Allina standoff will come as no shock to anyone familiar with his approach to labor relations on campus. Two years ago, with Rosenberg at the helm, the school refused to stay neutral as contingent faculty members attempted to organize a union.

“Last year we organized a protest against Café Mac workers being paid minimum wage,” Koch-Gallup said. “We tried to get Macalester to give them a livable wage, and (Rosenberg) shut that down.”

Rosenberg, meanwhile, was paid $10,000 for his service on Allina’s board in 2014, according to the non-profit’s most recent IRS filings.

[Paying board members is a rare practice in the not-for-profit health care world, according to an article published by Modern Healthcare in June. But Allina paid out $190,959 to 15 board members in 2014 for a job that, on average, requires two hours of work per week.]

Nurses and students plan to continue working together to hold Rosenberg accountable as the strike, now in its second week, continues. Alumni, too, “will want to make their voices heard on this issue,” according to Leewana Thomas, a member of the school’s 2014 graduating class.

“If Brian Rosenberg continues to turn the other cheek on a major crisis happening right under his nose while preaching the merits of global citizenship, I know that the Macalester alumni will make their voices heard,” Thomas said.

With Red Cross blood drive, striking nurses continue to care for community

Striking United Hospital nurses Jennifer Mlodzik (L) and Linda Clute give blood at a union-sponsored blood drive near their picket line.

Striking United Hospital nurses Jennifer Mlodzik (L) and Linda Clute give blood at a union-sponsored blood drive near their picket line.

Jennifer Mlodzik of Cottage Grove was among the first in line for a blood drive today near the United Hospital picket line, but she probably won’t be the last striking nurse who offers a little gallows humor to the Red Cross technicians.

“Are you guys hiring?” Mlodzik asked the woman about to draw blood from her vein.

As their open-ended strike at five Twin Cities facilities extended into its fifth day, Allina nurses are finding creative ways to keep their spirits up – and to continue to care for their communities.

The blood drive, co-sponsored by the Minnesota Nurses Association and the St. Paul Regional Labor Federation, will run from 10 a.m. to 4 p.m. inside the new St. Paul Labor Center, located a block from United Hospital at 353 W. 7th St. Organizers, including United nurse Kelsey Swenson, expect a full slate of donors.

“Doing things to give back to the community helps nurses feel like we’re still taking care of patients while we’re on strike,” said Swenson, who took the lead in arranging the blood drive. “Even though I’m not at the bedside hanging the blood, I’m helping to collect and donate blood on behalf of the nurses. We’re donating and giving back.”

Of course, nurses would rather be at the bedside, but Allina Health has shown it does not share nurses’ commitment to care – or to compromise at the bargaining table.

The provider is spending millions of dollars on wages, travel expenses and lodging for replacement nurses to break the union’s strike. It’s estimated Allina will spend $20 million each week the nurses are on strike, even though the two sides are only about $2 million apart in negotiations, after nurses agreed to steep concessions in their health insurance benefits.

“While nurses are out on strike we are still taking care of our community by donating blood,” United nurse Bunny Engeldorf, a member of MNA’s bargaining team, said. “We are committed to caring for people even when we can’t be at the bedside, where we prefer to be.”

Linda Clute, a post-surgical nurse at United, said the blood drive was a silver lining to an otherwise difficult situation for herself and her colleagues.

“This is a treat for me because bedside nurses don’t get time to give at the hospital blood drives,” Clute said. “We’re too busy.”

On Labor Day, nearly 5,000 Allina nurses begin open-ended strike (photos & video)

Picketers walk the sidewalk outside United Hospital in St. Paul shortly after MNA's strike began on Labor Day.

Picketers walk the sidewalk outside United Hospital in St. Paul shortly after MNA’s strike began on Labor Day.

Thousands of Allina nurses and their supporters are spending Labor Day on the picket line, as members of the Minnesota Nurses Association today began an open-ended strike at five Twin Cities facilities.

For the second time this summer, union nurses at United, Abbott Northwestern, Mercy and Unity hospitals and Phillips Eye Institute walked off the job and onto the picket lines, this time in an open-ended strike. Allina nurses staged a seven-day strike at the same facilities in June.

Negotiations on a contract covering nearly 5,000 Allina nurses began in February, and since then the health provider has refused to budge from its demand for steep concessions from nurses on the issue of health insurance. Nurses say Allina negotiators will not even discuss their top priorities – issues like workplace safety and staffing for quality patient care – until they give up their quality, affordable insurance.

At a federally mediated, 22-hour bargaining session that stretched into the early-morning hours Saturday, nurses agreed to phase out their insurance and enter Allina’s preferred plans. But Allina balked at language guaranteeing nurses’ health benefits would not be cut or diminished during the life of the contract, as well as the union’s request to verify the value of Allina insurance plans with independent accountants.

Bunny Engeldorf, a nurse at United Hospital and member of the MNA negotiations team, called Allina’s refusal to compromise disrespectful to nurses.

“It seems like money and control are the only two issues they care about,” Engeldorf said. “We went to the table to talk about staffing and workplace safety, and they went to the table to talk about taking away our health insurance.”

No new negotiation dates have been set, and nurses say they will picket all five Allina facilities, from 7 a.m. to 7 p.m., until a settlement is reached. [Click for a list of ways you can support Allina nurses in their open-ended strike.]

Angela Becchetti, a nurse at Abbott Northwestern Hospital and union spokesperson, said she thought the two sides were close to a settlement before Allina walked away from the table, noting progress on issues like 24-hour security in emergency rooms and allowing new nurses into the union health plans for a limited time.

“Just like a bully, Allina demanded nurses give up their affordable health insurance plans, and when we agreed to phase them out, they wanted more,” Becchetti said.

Teachers, clergy, public employees, elected officials and other supporters walked the picket line alongside nurses at United Hospital this morning. Several unions have delivered notice to Allina of their intent to picket, and delivery drivers reportedly were refusing to drive their vehicles past nurses’ picket lines.

“Nurses are fighting for their own health care, and it’s important that the people who take care of us have the best health care available,” Rep. Tim Mahoney, a retired member of St. Paul Pipefitters Local 455, said from the picket line. “After learning how far the nurses have moved (in negotiations), for Allina to say no to those particulars and force these people out on strike is unconscionable.”

Several picketers, including Rep. Erin Murphy, said the outpouring of solidarity was a poignant reminder of the true meaning of Labor Day.

“Labor Day recognizes all those who came before us who fought for fair working conditions,” said Murphy, who is a registered nurse. “But this is not a fight in our history, it’s a fight that continues into the future, and it’s appropriate that we’re here today on Labor Day.”

Four ways to show support for Allina nurses in their open-ended strike

Allina nurses rallied with RNs from other Twin Cities hospitals and supporters across the labor community Thursday in Minneapolis.

Allina nurses rallied with RNs from other Twin Cities hospitals and supporters across the labor community Thursday in Minneapolis.

 

Last-ditch talks between Allina nurses and management broke off early this morning after a marathon, 22-hour negotiating session failed to yield agreement on a new contract. As a result, nearly 5,000 members of the Minnesota Nurses Association plan to begin an open-ended strike Monday morning.

If picket lines go up on Labor Day, nurses will count on broad support from the community. Supporters can take action in several ways:

  • Join nurses on the picket lines. Sign up for a shift at allinastrike.com.
  • Donate to the nurses’ strike fund. Allina has already spent more fighting nurses than the $10 million it’s seeking to save annually by eliminating their insurance. To stand up to Allina and stay on the picket lines, nurses and their families will need financial support. Donate at mnnurses.org/donatestrikefund.
  • Send food, drink and other necessities to the picket lines. MNA’s point person coordinating food donations during the strike is Geri Katz. Contact her at 651-252-5510 to direct your contribution where it’s needed most.
  • Call out Allina and its corporate leadership. Take action online by tagging Allina at @allinahealth and using the hashtags #MN4RNs, #nursesneedcare2, #allinacuts and #1u. Also, use the list below to contact members of Allina’s not-for-profit board of directors, by phone or e-mail.

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Nurses and supporters signed onto an appeal for Allina to reach an agreement that works for both sides, but security at Allina's corporate headquarters refused to allow delivery.

Nurses and supporters signed onto an appeal for Allina to reach an agreement that works for both sides, but security at Allina’s corporate headquarters refused to allow delivery.

At a rally earlier this week, nurses from other Twin Cities hospitals pledged solidarity with their Allina colleagues for as long as it takes to get the contract they deserve.

“We get that this is for all of us,” HealthEast nurse Lisa Buesgens said. “This is union busting … and we’ll be next.”

“We’ll be on the line with you through thick and thin,” Methodist nurse Mary McGibbon said.

In addition to support from other nurses, several large Minnesota unions, including SEIU Healthcare, AFSCME Council 5 and Education Minnesota, have delivered notice to Allina Health that their members intend to picket alongside MNA members.

“Educators care for nurses just like you care for us,” Education Minnesota President Denise Specht said. ” We are with you as long as it takes.”

 

Allina management and nurses made some progress during the 22 hours they spent in negotiations, according to a press release issued by MNA today. Allina gave some ground on nurses’ demand for security officers in emergency rooms, but the provider refused to budge from its demand nurses give up their union-sponsored, low-cost health insurance plans before 2020.

“We gave it our all,” Abbott Northwestern nurse and union spokesperson Angela Becchetti said. “Nurses have offered to eventually end their two remaining healthcare plans and move into the higher cost Allina health plans with bigger out-of-pocket costs. It wasn’t enough.”

The sticking point, according to nurses, remains Allina’s refusal to give them a safety net against high-cost medical bills, as well as management’s demand for language allowing Allina to change health care plans without bargaining with nurses again.

“Nurses have been negotiating for seven months,” Becchetti said. “Nurses have gone on strike. Nurses have been willing to compromise to create an agreement that would benefit the hospitals as well as the nurses. Allina didn’t make efforts to work with us.”

Allina nurses announce Labor Day strike deadline, as unions statewide pledge support

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MNA Executive Director Rose Roach announces nurses have notified Allina that their open-ended strike will begin on Labor Day.

 

Standing with leaders of unions representing workers across Minnesota, members of the Minnesota Nurses Association today announced they have delivered notice to Allina Health of their intent to begin an open-ended strike on Labor Day at five Twin Cities facilities.

The two sides “regressed” in mediated talks earlier this week, MNA director Rose Roach said during a State Fair press conference at the Minnesota AFL-CIO Labor Pavilion. Allina’s 4,800 union nurses feel “disrespected and devalued” by their employer, which has refused to discuss any of nurses’ top concerns – including workplace safety and staffing – until they agree to give up their preferred health insurance plans.

“Nurses engaged in the mediation process; Allina did not,” Roach said. “It was more of the same: concede on our issue, then maybe we’ll talk about yours.”

United Hospital nurse Bunny Engeldorf, who serves on the the MNA’s bargaining team, said Allina’s hard-line stance in negotiations serves only one purpose – and it isn’t patient care.

“This is an attack on our union,” Engeldorf said.

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AFSCME Council 5’s Eliot Seide pledges support for nurses if they go on strike at five Allina facilities next month. His union also announced a $10,000 contribution to MNA’s strike fund.

 

“Today (Allina’s) telling us we don’t need staffing or training on how to protect ourselves from violence in the hospital,”Engeldorf added. “Tomorrow, they’ll be telling us we don’t need a pension.”

Union leaders pledged support for striking nurses from workers across Minnesota. Educators, public employees and other health care workers said they were filing the necessary paperwork to join nurses on the picket line outside Abbott Northwestern, Mercy, United and Unity hospitals, as well as Phillips Eye Institute.

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“Allina has said this isn’t about money,” Minnesota AFL-CIO President Bill McCarthy said. “Make no mistake, brothers and sisters. This is about power.”

“We stood with them in June, we stand with them now and we’ll stand with them in the future as long as it takes,” Education Minnesota President Denise Specht said.

Allina nurses, who have been in negotiations with the provider since February, ended a week-long strike June 25 that drew thousands of people to the picket lines, including elected officials, patients and members of other unions.

In talks following the strike, nurses unveiled a compromise that would eliminate two of their quality, affordable insurance plans, but management continued to insist on language that would effectively eliminate all four plans – and refused to consider any other issues related to the contract until nurses bowed to its demand.

MNA members responded by overwhelmingly rejecting Allina’s offer and authorizing a second strike, which will last as long as it takes to get a fair contract, MNA President Mary Turner said.

“We’re going to have the courage and the resources to do that because of these people behind me,” Turner said, turning to acknowledge leaders from the Minnesota AFL-CIO, AFSCME Council 5, SEIU Healthcare Minnesota and the St. Paul and Minneapolis regional labor federations. “We’re going to do this, and we will win.”

‘Angry and resolved to fight,’ Allina nurses authorize second strike

Nurses from United Hospital voted yesterday on Allina's contract proposal. (MNA photo)

Nurses from United Hospital in St. Paul voted yesterday on Allina’s contract proposal. (MNA photo)

Nurses may soon be back on the picket line outside five Allina Health facilities in the metro area. And unlike their seven-day strike in June, a second work stoppage would be open ended.

In balloting yesterday, members of the Minnesota Nurses Association voted to reject Allina’s latest contract proposal. Because a “supermajority” – at least two-thirds of voting members – voted “no” on the contract, it authorizes the bargaining committee to call a strike, the union said.

MNA, which represents about 4,800 nurses at Abbott Northwestern, Mercy, United and Unity hospitals, as well as Phillips Eye Institute, must notify Allina 10 days before a strike begins.

“Nurses know they might be out of a job for a while,” Abbott Northwestern nurse Angela Becchetti said. “They are prepared, and the communications that they’ve had with Allina since the last strike have only made the nurses more angry and more resolved to fight for a fair contract.”

Since ending their last strike June 25, nurses have sought a compromise with Allina on the biggest sticking point in negotiations that began in February: their affordable, union-sponsored health insurance plans.

On Aug. 1 nurses agreed to eliminate two of the four insurance plans and raise the deductibles and out-of-pocket costs for 4,000 nurses.

Allina responded with a proposal that would cap the company’s contribution toward premiums and puts the burden of cost increases almost entirely on the nurses. Allina also insisted that the two remaining plans be terminated if enrollment dips below 1,000 participants.

Nurses viewed those conditions as a “poison pill” that would ultimately kill the two remaining insurance plans.

“Nurses weren’t happy with this offer by any means,” Becchetti said. “We know that forcing nurses to shoulder the costs of insurance that Allina manages means the company will put our insurance in a death spiral. The costs will get so high nurses will have to leave our plans.”

Nurses also said Allina’s proposal contained no guarantees of training to deal with workplace violence or safe staffing to care for patients.

Nurses said their negotiating committee will begin planning for an open-ended strike, but they anticipate being called back to the bargaining table with Allina Health at least once more by the Federal Mediation and Conciliation Service.

Nurses prep for second strike vote after Allina won’t budge in negotiations

Nurses rallied outside United Hospital in St. Paul during a seven-day strike at Twin Cities Allina Health facilities in June.

Nurses rallied outside United Hospital in St. Paul during a seven-day strike at Twin Cities Allina Health facilities in June.

Allina nurses came to contract negotiations today ready to compromise. Unfortunately, Allina executives had a very different agenda.

The two sides cut off talks today without making progress on a new contract covering about 4,800 members of the Minnesota Nurses Association who work at five Twin Cities facilities.

Allina Health rejected nurses’ compromise offer that would phase out two of four health insurance plans sponsored by MNA. Since talks began in February, Allina has refused to compromise on its demand that all four plans be eliminated.

“We met Allina halfway, and that’s as far as nurses will go,” Abbott Northwestern nurse Angela Becchetti said. “We’ve bargained in good faith with Allina for six months now, even when they haven’t.”

Becchetti and other members of the nurses’ bargaining team said they would ask members to vote on Allina’s offer later this month. A vote to reject the offer is also a vote to authorize another strike, which would require a super-majority, according to the union.

“Nurses don’t want to strike again, but they’re angry over how Allina has treated them during these negotiations,” Becchetti said. “Now, they just want an offer to vote on.”

MNA says Allina has continually refused to provide critical data for negotiations, including information about the cost of health plans Allina is seeking to eliminate. The prompted MNA to file charges of unfair labor practices with the National Labor Relations Board, resulting in a seven-day strike in June.

The negotiations cover nurses at Allina’s five metro facilities: Abbott Northwestern, Mercy, United and Unity hospitals, as well as Phillips Eye Institute.

“The strike brought nurses together,” Becchetti said. “And everything Allina has told us has only unified us even more. Nurses are prepared to protect their benefits.”

As strike ends, Allina nurses say they’re stronger, more unified than ever

United nurses kept the energy level high during the final hours of picketing in downtown St. Paul.

United nurses kept the energy level high during the final hours of picketing in downtown St. Paul.

Union nurses at five Allina care centers in the Twin Cities lowered their picket signs at 7 p.m. tonight, marking the end of an historic, seven-day strike that energized and unified members of the Minnesota Nurses Association.

At United Hospital in St. Paul, organizers expanded the picket line to accommodate an influx of supporters eager to see strikers to the finish. In the strike’s closing minutes, picketers huddled together and listened as nurses reflected on the strike and what lies ahead.

“You know this is going to come up again,” United nurse Darla Lowell said into a bullhorn. “Encourage each other, because this is going to be one thing after another.”

MNA members are scheduled to resume staffing Allina’s four metro hospitals – Unity, United, Mercy and Abbot Northwestern – and Phillips Eye Institute at 7 a.m. tomorrow. United nurse Barb Forshier, a member of the union’s bargaining team, said she anticipates some “hard feelings” on the hospital floor in the coming days.

“Now the nurses are angry, and they’re ready to force action,” Forshier said. “We hope that this strike sent a strong message that it’s time to go back and bargain in good faith.”

Nurses are standing together to defend their affordable, quality health insurance plans. Since contract talks began in February, Allina has refused to budge from its demand that nurses give up four union-sponsored insurance options and transition into “core” plans that cover most of Allina’s other employees.

Nurses’ picket lines saw an average attendance of about 2,000 people per day, according to the union. But Allina executives, including CEO Penny Wheeler, have remained unmoved, continuing to insist that nurses give up their high-quality, affordable health insurance as a starting point for negotiations.

“They don’t know who we are,” United nurse Sarah Lake said. “They don’t know how strong we are. They don’t know how much solidarity we have.

“I’ve never been prouder to be a nurse in my life.”