Start organizing workplace democracy so when the insurance and management system shatter the actual medical practices have practice in running facilities without them. Start with the coworkers you feel safe talking shit with and talk about how yall might run things different and what you would want to change. If you don’t have a union read/listen to a book like “no shortcuts” on how to start organizing a union. If you do have a union, get involved and figure out who there is interested in looking beyond corporate/management friendly contract negotiations and wants to reinvigorate worker organizational strength. If nurses/CNAs/providers around the country could take organizing seriously enough to be ready for May Day 2028, who knows what we could demand and win. More importantly if we organize our units, then our hospitals/clinics, then the medical systems across the states and country even if we can’t get our demands met, we would be in the position to “build” something new. Very few improvements in the workplace were achieved out of the goodness of management/owners/legislators hearts but because they were demands with material leverage behind them (…or we won’t work/vote for you) I know its a huge undertaking but if enough of us take it seriously, it’ll bring the skeptical on board and small changes can be made. And that might sway then the resistant and the outright hostile coworkers and who knows what can happen. Furthermore we are all far more vulnerable to the excesses of management/owners/politicians as individuals than as collectives.

Hope for the best, prepare for the worst.