
Leadership Density Over Card Counts: Why Union Authorization Metrics Fail and What Actually Predicts Organizing Success
Authorization cards measure interest, not resilience.
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Authorization cards measure interest, not resilience.

Hospital and clinic networks run some of the most sophisticated internal surveillance systems of any employer in the country, and that infrastructure, originally justified by HIPAA compliance and patient safety, gives healthcare management an unusual capacity to monitor the very same digital channel

Across U.S. hospitals, nursing homes, and home care agencies, newly organized worker groups are declining affiliation with established national unions at a growing rate, opting instead to form independent unions with full local union autonomy over dues, governance, and contract negotiations.