•••
The nurses' strike exposes a salary conundrum that runs deeper than one might think ("Twin Cities, Duluth nurses begin strike," Sept. 13). On the surface, it appears that salaries of health care executives are grossly overpaid at the expense of the salaries of nurses and likely other health care employees, which is a reasonable observation. However, it's worthwhile to dig deeper to better understand how and why those executive salaries are as high as they are. If you happen to work in the human resources department of just about any industry in this country, you'd understand that a basic task of that department is to ensure employee retention, and that is typically dependent on providing competitive salaries, which includes the salaries of executives. The process of setting competitive salaries requires market comparison research. Focusing strictly on executive salaries, that research/data tends to produce unreasonably high salary levels, but one needs to recognize that the reason they're as high as they are is that they've been driven by years of competition among executives who are ready and willing to jump from industry to industry in order to grow their income. And, if their own motivation isn't enough incentive, there's always the headhunters who are lurking out there offering added incentives.
I definitely feel the pain of the nurses and can only hope that their respective human resource representatives find a way to bring the nurses' salaries to a level that matches the value they bring to their work, across the entire health care industry.
Patrick Bloomfield, Chisholm, Minn.
•••
The nursing strike will certainly send a message to hospital managements that nurses are most serious about their demands for adequate staff and 30% wage increases, as hiring short-term replacements will be quite costly and somewhat disruptive to operations. But what will happen after these three days if contract negotiations won't budge, and management still "can't afford" paying for full staffing at 30% higher wages?
Say the average nurse makes $42 per hour. Times that by 15,000 nurses and you get $630,000 per hour, at 40 hours a week for 52 weeks — it would be some $1.3 billion per year. To add 30% to that would be another $393 million per year, plus more to add staffing beyond the current levels. Either way, taxpayers and patients will eventually pay higher health insurance premiums and government services costs. This certainly does not bode well for any cost improvement to the costliest health care in the world.