AFSCME Local 420, Hospital Workers, represents a wide range of non-professional workers employed in the New York City municipal hospitals and health centers. Until the 1950s city hospital workers, many of them black or Hispanic, were among the lowest paid of municipal workers and remained outside the organized labor movement. Registered and practical nurses, aides, orderlies, clerical assistants, laundry workers, maintenance workers and truck drivers often worked in unsanitary even dangerous conditions, under intense pressure. Their concerns, when hospital organizing began, were not only with pay, benefits and opportunities for advancement, but also with issues of respect and dignity on the job. The city hospital system, consisting of 21 hospitals spread throughout the five boroughs, each of them a vast complex of wards, clinics and offices, offered daunting obstacles to union organizing. In 1955 the fledgling Local 420, recently consolidated from several older units comprising AFSCME, District Council 37's Joint Board of Hospital Workers, had fewer than 500 members citywide.

AFSCME District Council 37 director Jerry Wurf assigned several dynamic organizers to the Local, with a view to increasing its size and challenging Teamsters Local 237, which was then the most influential union in the city hospital system. One of the key organizers in the early years was James Butler. Despite determined opposition from administrators, the Local grew steadily and some basic improvements in working conditions were achieved. By 1964, the Local had grown to nearly 5,000 members, while the Teamsters claimed 6,500. New DC 37 head Victor Gotbaum stepped up the drive among hospital workers, and assigned his trusted assistant Lillian Roberts, to the campaign. Roberts promised on-the-job training programs to move workers into better-paying jobs, decent treatment from, supervisors, fair grievance procedures and tough and honest collective bargaining. Gotbaum, meanwhile, enlisted the support of A. Philip Randolph, Bayard Rustin, George Meany, the New York City Central Labor Council and a number of AFL-CIO union presidents on Local 420's behalf. By the fall of 1965 Gotbaum was ready to take on the Teamsters in a representation election, and in December 1965 city hospital workers, voting in the largest representation election in New York history, chose Local 420 as their union. The following year the Local negotiated an historic agreement with the City, providing for pay increases, welfare fund contributions by the City, and a dues check-off. The election gave DC 37 a majority in the hospitals and also among non-uniformed city workers; this success spawned new gains in organizing, and by the end of 1966 the Council represented more than 80,000 city employees. Over the next few years the Local continued to make steady gains through bargaining, but had continuing concerns over waste, inefficiency in management, understaffing and deplorable conditions at municipal hospitals, while city officials made more and more concessions to private hospitals. Steady pressure from DC37 blocked plans by the Lindsay administration to lease or fully privatize several hospitals. But this was only the first salvo in what was to become a continuing struggle to defend public hospitals and their unionized employees.

In 1972 James Butler was elected president of Local 420, and immediately took on the battle for better pay, benefits and educational opportunities, and against privatization and hospital closings. Butler led the Local through the trying times of citywide fiscal crisis in the mid-1970s and on to a period of greatly increased membership (reaching an estimated total of 14,000 in the early 1990s) and influence. He raised the public profile of the Local through rallies, marches, involvement in community affairs and a firm commitment to national, and even international, campaigns for civil rights and human rights. Butler's militant political agenda was furthered by Local officers such as Secretary-Treasurer (from 1984) Kendreth Smith, Executive Vice-President (from 1996) Sarah Kennedy, Vice-President Alejandro Ruiz, Political Action Chairman, and James Webb, among others.

Under Butler's administration the Local developed an effective newspaper, the City Hospital Worker; supported an award-winning choir, the Voices of Local 420; and participated in the Coalition of Black Trade Unionists, the New York State Black and Puerto Rican Caucus, the Coalition of Labor Union Women, Jesse Jackson's Operation PUSH, the NAACP, the National Urban League, the Southern Christian Leadership Conference's Labor Committee and other labor and civil rights organizations. The Local became a leading force in ASCME DC37's Hospitals Division and in AFSCME's Health Advisory Committee.

As a result of the staunch opposition of Local 420 and DC37, the Giuliani administration was prevented from selling off Coney Island, Elmhurst and Queens hospitals, as a first step toward dismantling the city hospital system. Despite the reluctance of other New York labor leaders to confront a popular mayor, President Butler organized rallies, prayer vigils outside homes of city officials, and a "Freedom Bus," that followed the mayor on the senate campaign trail. A landmark court decision blocked the sale of entire facilities, but Giuliani pushed ahead with drastic cutbacks in funding of the Health and Hospitals Corporation, reallocation of Medicaid funds to private hospitals, closures, and privatization of some hospital services, with the result that the Local's membership dropped to 7,500 and the number of municipal hospitals to 11 by 2001. Clashes between Butler and DC37 executive director Stanley Hill meant that the local could no longer count on firm Council backing in negotiations. In the late 1990s dissent began to grow within the Local, as members questioned lavish expenditures by the leadership, a burdensome dues increase, and plans for a lavish new local headquarters that never materialized.

In December local vice-president Carmen Charles, representing the opposition within the Local, challenged James Butler for the presidency and won, by a narrow margin. Despite repeated challenges to the election result by the Butler slate and inaction by DC 37, Charles's victory was finally confirmed by AFSCME's national Judicial Panel in May 2002. The new administration has embarked on a program of revitalization and reorganization, aimed at defending the some of the city's most vulnerable municipal workers in the chilly climate of the new millennium.

Sources:

Bernard and Jewel Bellush, Union Power and New York: Victor Gotbaum and District Council 37 (New York: Praeger Publishers, 1984).

Deirdre McFadden, "Butler's Last Stand," City Limits Monthly(on-line), November 2001.

Silver Anniversary Celebration of Jim Butler, October 11, 1997 (New York: AFSCME, Local 420, 1997).