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Find answers to frequently asked questions

Having a union means that we are responsible to ourselves and each other. When we stand together we can have power to make positive changes at Stroger/Cook County Health. It’s up to us to ensure that we take care of our patients, ourselves, and raise the standards for residents everywhere. That can only be done through collective bargaining, which gives us a seat at the table with top decision makers to negotiate for what we and our patients deserve. 

 

Although we know that residency should be hard work, we also know that it shouldn't mean cuts in staff wellness, and patient care. Throughout the country we have seen what other residents band together as union members and win huge improvements, such as:
 

  • Paid time off (holidays, vacation, sick, personal, bereavement)

  • Free union / legal representation on the job

  • Fair pay / negotiated raises

  • Health insurance benefits

  • Paid Family and parental leave

  • Paid time for Professional Conventions

  • Education allowance

  • Meal allowances 

  • Moonlighting pay

  • Bereavement Leave 

  • Patient Care Standards Committee

  • AND MORE

FAQs

What is a union?

A union is simply you and your coworkers coming together to make positive changes you couldn’t otherwise make alone.

 

How could joining HSA benefit me personally as a healthcare worker?

By joining HSA, you would gain the power to negotiate collectively for better pay, improved working conditions, benefits, and job security. Unions amplify your voice and provide the opportunity to make positive changes in your workplace. Plus, being part of a union means having access to resources and support when you need it.

 

What role do unions play in improving patient care and safety?

Unions understand the critical link between healthcare worker well-being and patient care. HSA actively works to improve patient care and safety by fighting for adequate staffing, necessary resources, and safer environments for our members. This ensures healthcare workers can provide high-quality care to their patients.

 

What are my rights as a union member?

Union members get to vote on their own leadership as well as what goes into their contracts. If you have any workplace questions or need representation for a disciplinary meeting you can contact a union representative where you work, the members at each workplace oversee their own union. The union is not an “outsider.” The union is you!

 

What are union dues and how much are they?

Your union dues are your power. They pay for the resources you need to win the things you want in your contract, and to enforce that contract once you bargain it. Union members set the price of dues through your democratic governance structure and every penny of it goes to fighting to win better working conditions and grow our members power. They are 1% of the PGY2 Salary.

 

How does collective bargaining work?

Your union contract is renegotiated every 4 years. The current contract however has been extended to 2025. Next year you will nominate a group of HSA representatives to bargain collectively for your wages, benefits, and terms and conditions of employment (starting from where we are at, not zero). As a group you decide what you want to bargain for and your bargaining team will draft proposals and sit down with management / decision makers to negotiate contract changes. Once both sides reach a deal, HSA members will decide whether or not to accept those changes/additions in a vote.

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Will my employer retaliate if I am in a union?

No! Employers cannot infringe on your section 7 workers rights. Meaning that employers cannot threaten you, they cannot spy on union activity - or create the impression of such surveillance, they cannot promise improvements/promotions (however if you were offered a raise your employer would only have to ask your union to ‘Okay’ it) - your employer cannot interrogate you about any union activity, and lastly, your employer cannot punish you for union activity - being involved, talking about your union at work, wearing HSA apparel or buttons, etc.

 

Will I be forced to participate in strikes if I join HSA?

No. People don’t choose to strike easily. To go on strike is a last resort that you and your coworkers decide on together through a democratic process when staying at work and accepting less is not an option for you and your families. The vote must show overwhelming support to strike (about 90%) for your bargaining team to be able to call a strike.

Your Legal Rights On The Job

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International Medical Graduates, Visas & Union Rights

Can international medical graduates join HSA?

Yes. International medical graduates who are interns, residents, or fellows at Cook County Health are part of the HSA bargaining unit and can become dues-paying HSA members.HSA represents housestaff regardless of where they attended medical school, what country they are from, or what visa status they hold.

 

Can J-1 or H-1B residents and fellows join the union?

Yes. Residents and fellows on J-1 or H-1B visas can join HSA, participate in union activity, attend meetings, vote if they are dues-paying members, and raise workplace concerns.

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Union activity is about improving wages, benefits, working conditions, training conditions, and patient care. Joining HSA does not change your visa status.

 

Can my program retaliate against me for joining HSA?

No. HSA members have the right to join together to improve working conditions and advocate for themselves and their coworkers. Retaliation for union activity is not allowed.

 

If you ever feel pressured, threatened, questioned, isolated, or treated differently because of union activity, contact HSA right away.

 

I am worried because my visa depends on my training position. Should I still contact HSA?

Yes. We understand that IMG residents and fellows may feel extra pressure because their training, employment, and visa status can feel connected.

 

If you are facing a workplace issue, remediation concern, discipline, non-renewal, scheduling issue, pay problem, leave issue, or concern about retaliation, contact HSA early. HSA can help you understand the workplace process, your contract rights, and what support may be available.HSA does not provide immigration legal advice, but we can help identify workplace issues and connect you with appropriate support when needed.

 

Does HSA handle visa sponsorship or immigration paperwork?

No. Visa sponsorship and immigration paperwork are handled through the appropriate institutional and immigration channels, such as GME, Cook County Health, ECFMG/Intealth for J-1 physicians, or the relevant immigration office or attorney.

 

HSA can help with workplace and contract-related issues, including if a workplace concern overlaps with training, employment, remediation, leave, or retaliation.

 

Can HSA help if I have concerns about remediation, non-renewal, or advancement?

Yes. HSA can help residents and fellows understand contract protections related to evaluations, remediation, discipline, due process, renewal, and advancement through training.

 

If you are placed on remediation, called into a meeting, asked to sign a document, or told your advancement or renewal may be at risk, contact HSA as early as possible.

 

Are IMGs protected if they speak up about patient care, safety, or working conditions?

Yes. Residents and fellows should be able to raise concerns about patient care, safety, scheduling, training, discrimination, harassment, retaliation, and working conditions.

 

If you are concerned about how to raise an issue safely, contact HSA and we can help you think through the best next step.

 

Who should I contact?

For workplace or contract questions, contact HSA:

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HSA Board: admin@hsacc.org

Grievance Support: grievances@hsacc.org

 

For immigration-specific legal advice, visa status questions, or individual immigration strategy, contact the appropriate immigration office or a qualified immigration attorney.

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