Health care providers in North Carolina demand better patient support as they attempt to unionize.
By Tina Vásquez, Prism
Health care providers employed by North Carolina’s Piedmont Health Services (PHS) are awaiting the results of their union election, a pivotal step that is part of their larger push to address challenges that impact their ability to properly care for their patients. Their efforts are part of a larger trend. For health care workers nationwide, the pandemic has fueled a wave of labor organizing that seeks to address longstanding workplace issues that were exacerbated by COVID-19.
In an overwhelming show of support, over 70% of PHS’ eligible voters signed union cards. Many of the providers behind the organizing efforts are women in family medicine and sexual and reproductive health care whose patients come from marginalized communities and experience far better health care outcomes when they receive continuity of care. Six providers who spoke to Prism say that PHS’ “systemic inefficiencies” push talented and passionate providers out and hinder existing providers from delivering on PHS’ mission to provide high-quality health care to low-income and uninsured residents, including undocumented patients with few other health care options in central North Carolina.

Filling crucial health care gaps
PHS is a Federally Qualified Health Center, which the Health Resources and Services Administration defines as a community-based and patient-directed organization that “deliver[s] comprehensive, culturally competent, high-quality primary health care services to the nation’s most vulnerable individuals and families.” For more than 50 years, PHS has provided some of the most comprehensive health care in Alamance, Caswell, Chatham, Lee, Orange, Person, and Randolph counties—regardless of a person’s ability to pay, their insurance status, or their citizenship status.
Recent Posts
ICE Sent 600 Immigrant Kids To Detention In Federal Shelters This Year. It’s A New Record.
November 24, 2025
Take Action Now This year ICE has sent more immigrant children into the federal shelter system than in the previous four years combined. New data…
The Return Of Nuclear Proliferation
November 24, 2025
Take Action Now A recent article in the establishment security journal Foreign Affairs makes the case for nuclear proliferation among America’s…
Are Zohran Mamdani and Katie Wilson Democratic Socialists or FDR Democrats? They Are Both
November 23, 2025
Take Action Now This is fitting: For more than a century, socialism has been integral to American progressivism, championing early many of the…
Leaders Across EU Deliver Unified Message to the US: ‘No War on Venezuela’
November 22, 2025
Take Action Now “We condemn in the strongest terms the military escalation against Venezuela,” said progressive leaders from countries including the…




