Unionizing The E.R.

To combat managed care, doctors want to organize. But it's no magic elixir

With a thriving Ob-Gyn practice in Dallas, Dr. Robert Gunby never expected to complain about his working conditions. But then he never expected that managed care would transform his life. Gunby's salary has dropped 10% in the past four years, and he's had to dip into his personal savings just to pay his staff. And while he's used to nights spent in the delivery room, he says his workweek now clocks in at nearly 100 hours--up to 20 of them, he estimates, spent haggling with insurance companies over approval for drugs and treatments for his patients. "I used to take time...

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