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Unions Accuse UPMC of Wielding Market Power Against Workers

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Unions Accuse UPMC of Wielding Market Power Against Workers

A coalition of labor groups on Thursday filed an antitrust complaint with the Justice Department against UPMC, the giant Pittsburgh-based hospital employer, accusing the system of using its enormous clout to depress wages and harm workers.

In its complaint, the group, which includes S.E.I.U. Healthcare Pennsylvania, claims UPMC workers are subject to a “wage penalty” because of the health system’s dominance in local markets. The complaint describes nurses who are given heavier workloads than nurses at other hospitals, creating concerns over patient safety, and catalogs what the coalition considers to be labor law violations that it says illustrate the powerlessness of employees to improve working conditions.

“We have watched UPMC grow and amass power,” said Matthew Yarnell, the president of the S.E.I.U. group there, which has long sought to organize workers at the health system, which is largely not unionized. After a series of acquisitions, it is Pennsylvania’s largest private employer with more than 40 hospitals, 800 doctors’ offices and clinics, and a health plan. With operating revenue of $26 billion last year, it employs about 95,000 people.

While antitrust cases frequently address how powerful organizations can operate as monopolies and unfairly raise prices, a company can also be accused of operating as a monopsony in which it exerts unfair leverage over suppliers, including employees.

Health care and legal experts say this is a novel legal approach to consider the effects on workers of widespread consolidation in the health industry.

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In the complaint, the unions claim that UPMC’s monopsony power has also prevented workers “from exiting or improving these working conditions through a draconian system of mobility restrictions and widespread labor law violations that lock in sub-competitive pay and working conditions.”

Reached for comment, a spokesman for UPMC did not directly address the unions’ claim that it violated antitrust law, but defended its treatment of employees. The system “is among the best places to work in all the regions we served,” Paul Wood, UPMC’s chief communications officer, said in an email. He said the system’s average wage was more than $78,000 annually.

“There are no other employers of size and scope in the regions UPMC serves that provide good paying jobs at every level and an average wage of this magnitude,” he added.

He also said that the health system assigned nurses based on patient need and that there was no policy that would prohibit an employee who left one facility from being rehired at another one.

But federal regulators have signaled an increased willingness to look at the effects of an employer’s market power on workers, and concern about how consolidation affects labor markets “is gaining a lot of momentum and attention,” said Jaime King, a law professor at the University of Auckland and an antitrust expert.

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“The problem is much bigger than a single merger in a single market,” said Marka Peterson, legal director for Strategic Organizing Center, a labor coalition formerly known as the Change to Win Federation, which is also filing the claim.

The Justice Department could decide whether to undertake its own investigation and whether any charges would be warranted.

The Biden administration highlighted its concerns about the impact of concentration on labor markets in a 2021 executive order, and the Federal Trade Commission recently issued a proposed rule that would ban the use of noncompete agreements.

Increasing consolidation in the health care industry has also focused some attention on fallout among the work force. Some research into hospital mergers has shown a reduction in nurses’ wages. “Health care stands out as being concentrated on both sides,” said Kate Bahn, an economist and research director at the Urban Institute.

And health care workers, many of whom suffered severe burnout during the pandemic, are in short supply across the industry. The high workloads led to numerous strikes by nurses, including recent walkouts at New York City hospitals.

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UPMC has often been criticized for what some describe as anticompetitive conduct, and a report released earlier this year echoed some of the issues raised in the complaint.

But whether the Justice Department will pursue action against the health system remains to be seen. While federal regulators may appear sympathetic to the theory underlying the unions’ complaint, these cases are challenging. “Monopsony cases are not new, but they are very hard to prove,” said Matthew L. Cantor, an antitrust lawyer and partner at Constantine Cannon.

This would be the first case to rely primarily on the argument that a powerful health care employer is using its clout in ways that harm workers, and prosecutors must decide whether they have strong enough evidence to take action. “They’re not going to want to fight a case they don’t think they can win,” said Elena Prager, an economist at the Simon Business School at the University of Rochester who has served as a visiting scholar with the Justice Department.

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Pregnancy-related deaths back down to pre-pandemic levels, CDC data says

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Pregnancy-related deaths back down to pre-pandemic levels, CDC data says

U.S. pregnancy-related deaths have fallen back to pre-pandemic levels, new government data suggests.

About 680 women died last year during pregnancy or shortly after childbirth, according to provisional CDC data. That’s down from 817 deaths in 2022 and 1,205 in 2021, when it was the highest level in more than 50 years.

COVID-19 seems to be the main explanation for the improvement, said Donna Hoyert, a Centers for Disease Control and Prevention maternal mortality researcher.

US BIRTHS SAW NOTABLE DECREASE IN 2023, MARKING END TO LATE PANDEMIC REBOUND, EXPERTS SAY

The coronavirus can be particularly dangerous to pregnant women. And, in the worst days of the pandemic, burned out physicians may have added to the risk by ignoring pregnant women’s worries, experts say.

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Fewer death certificates are mentioning COVID-19 as a contributor to pregnancy-related deaths. The count was over 400 in 2021 but fewer than 10 last year, Hoyert said.

The agency on Thursday released a report detailing the final maternal mortality data for 2022. It also recently released provisional data for 2023. Those numbers are expected to change after further analysis — the final 2022 number was 11% higher than the provisional one. Still, 2023 is expected to end up down from 2022, Hoyert said.

A room in a Mississippi hospital maternity ward is seen on Oct. 11, 2012. In 2023, U.S. pregnancy-related deaths fell back to pre-pandemic levels, according to data released by the Centers for Disease Control and Prevention on May 2, 2024. (AP Photo/Rogelio V. Solis, File)

The CDC counts women who die while pregnant, during childbirth and up to 42 days after birth from conditions considered related to pregnancy. Excessive bleeding, blood vessel blockages and infections are leading causes.

There were about 19 maternal deaths for every 100,000 live births in 2023, according to the provisional data. That’s in line with rates seen in 2018 and 2019.

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But racial disparities remain: The death rate in Black moms is more than two-and-a-half times higher than that of white and Hispanic mothers.

“In the last five years we’ve really not improved on lowering the maternal death rate in our country, so there’s still a lot of work to do,” said Ashley Stoneburner, the March of Dimes’ director of applied research and analytics.

The advocacy organization this week kicked off an education campaign to get more pregnant women to consider taking low-dose aspirin if they are at risk of preeclempsia — a high blood pressure disorder that can harm both the mother and baby.

There are other efforts that may be helping to lower deaths and lingering health problems related to pregnancy, including stepped-up efforts to fight infections and address blood loss, said Dr. Laura Riley, a New York City-based obstetrician who handles high-risk pregnancies.

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But there’s a risk that those kinds of improvements are being offset by a number of factors that may reduce the ability of women to get medical care before, during and after a birth, she said. Experts say the list includes the closure of rural hospitals and a 2022 U.S. Supreme Court decision that did away with the federally established right to abortion — and contributed to physician burnout by causing doctors to feel constrained about providing care during pregnancy-related medical emergencies.

“I think there’s good news. We’re making strides in certain areas,” said Riley, head OB-GYN at Weill Cornell Medicine. “But the bad news and scary news is … there are these other political and social forces that make this (reducing maternal deaths) difficult.”

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Eating one type of fruit regularly could reduce diabetes risk in women, study suggests: 'Incredibly healthy'

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Eating one type of fruit regularly could reduce diabetes risk in women, study suggests: 'Incredibly healthy'

Eating avocados could be helpful when it comes to avoiding diabetes.

A new study published in the Journal of the Academy of Nutrition and Dietetics identified a link between eating avocados and reduced diabetes risk in some Mexican adults.

Researchers studied the dietary habits and diabetes diagnosis data from the Mexican National Survey of Health and Nutrition in the years 2012, 2016 and 2018.

BROWN SEAWEED CONSUMPTION COULD HELP MANAGE AND PREVENT TYPE 2 DIABETES, STUDY SHOWS

Of the 25,640 qualified respondents aged 20 and older, approximately 59% were female and more than 60% had abdominal obesity.

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About 45% of participants reported eating avocados daily — 34.7 grams on average for men, and 29.8 grams for women.

Avocado eaters of both genders have an overall more nutritious diet, according to Medical News Today. (iStock)

“Among women, this study showed that compared to avocado non-consumers, avocado consumers had more than 20% lower odds of diabetes even after adjusting for various factors such as age, education level, body weight, physical activity and more,” said study author Feon Cheng, PhD, a nutrition epidemiologist at the Avocado Nutrition Center in Mission Viejo, California, in a statement to Fox News Digital. 

(Cheng noted that her affiliation with the Avocado Nutrition Center did not influence the research methods or analysis.)

TYPE 2 DIABETES A MUCH GREATER RISK FOR ‘NIGHT OWLS’ THAN FOR EARLY BIRDS, A ‘STARTLING’ NEW STUDY FINDS

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“This research is especially important considering that Hispanic adults are more likely to develop diabetes in their lifetime than U.S. adults overall and at a younger age,” Cheng said.

The same diabetes-reducing effects were not observed in men.

“It is interesting that there were differences between men and women, which may be attributed to different lifestyle factors,” Cheng noted. 

Sliced avocado on cutting board

Diabetes-reducing effects were observed in female study participants — but the same benefits were not found in men, per this research. (iStock )

“Although we did not compare lifestyle factors in this study, it warrants future research to explore whether they may help explain the difference seen between men and women.”

They also noted that avocados contain “numerous vitamins, minerals and phytochemicals, which can contribute to reducing the risk of metabolic syndrome and diabetes.”

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SPINACH VS. KALE: WHICH IS ‘BETTER’ FOR YOU? NUTRITIONISTS SETTLE THE GREAT DEBATE

Tanya Freirich, a registered dietitian nutritionist in Charlotte, North Carolina, was not involved in the study, but told Fox News Digital that avocados are “an incredibly healthy food choice.”

The fruit is “full of omega-3 fats, low in carbohydrates, and high in fiber, magnesium, potassium and vitamins C, E and K,” the nutritionist pointed out.

doctor shows patient blood glucose monitor

Diabetes is the second leading cause of death in Mexico, according to the National Institute of Health. (iStock)

Consuming avocados, however, will not completely negate unhealthy food and lifestyle choices, Freirich said.

“While it makes sense that this low glycemic index and nutritious food could be associated with a reduced risk of diabetes, I recommend that people also take into consideration the rest of their diet,” she advised.

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YOUR DIABETES RISK MAY DOUBLE IF YOU EAT THIS FOOD TWICE A WEEK, SAYS HARVARD RESEARCHERS

“To reduce your diabetes risk even further, in addition to adding avocados as part of your overall healthy eating pattern, also work on reducing added sugars, choosing high-fiber whole grains and consuming plenty of vegetables.”

woman eats poke bowl with avocado on a beach

People should adhere to a well-balanced diet to reduce diabetes risk, a nutritionist advised. (iStock)

Michelle Routhenstein, a New York-based preventive cardiology dietitian at EntirelyNourished.com, seconded the notion that avocados alone will not help lower diabetes risk. (She was not involved in the study.)

“We need to assess the whole diet, balance of meals and snacks, timing of eating, and other lifestyle factors like stress management, sleep quality and physical activity,” she told Fox News Digital.

MAKE IT: TOM BRADY’S FAVORITE AVOCADO ICE CREAM

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New Jersey-based registered dietitian Erin Palinski-Wade, a consultant for the HASS Avocado Board, shared with Fox News Digital that she is “not surprised” at the new study’s conclusions about reduced diabetes risk and consumption of fresh avocado.

“Unlike most other fruits, avocados contain zero grams of naturally occurring sugar per serving and do not affect the glycemic response,” she said. 

an avocado in half

Avocados are a source of “good fats, fiber and a variety of vitamins and minerals,” according to a nutritionist. (iStock)

“A serving of avocado (one-third of a medium avocado or 50 grams) also provides a good source of fiber, which helps manage blood sugar levels,” Palinski-Wade added.

Previous research has shown that adding avocados to a meal could offer a “variety of benefits, such as lower post-meal glucose levels and improved satiety,” the nutritionist told Fox News Digital.

Consuming avocados will not completely negate unhealthy food and lifestyle choices, experts warned.

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Scientists in a clinical trial supported by the Avocado Nutrition Center found that including a half or whole avocado at breakfast “decreased the participants’ glucose and insulin,” according to Palinski-Wade.

“That shows how adding avocado to a meal may support blood sugar management,” she noted.

“The body of evidence on avocados and diabetes is encouraging, and this new study adds to the evidence supporting avocados’ role in diabetes care and prevention.”

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Although the findings are positive, Palinski-Wade emphasized that the research has its limitations, as it does not generalize the results for all people.

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“More research is still needed in certain areas,” she said. 

woman eats avocado toast

Scientists in a clinical trial supported by the Avocado Nutrition Center found that including a half or whole avocado at breakfast decreased glucose and insulin. (iStock)

“Avocados can be a great way to add more variety to your plate while increasing your intake of good fats, fiber and a variety of vitamins and minerals, all nutrients that help to reduce the risk of chronic illness, including type 2 diabetes.”

The study did have some limitations, the researchers noted.

“Although the food-frequency questionnaire is validated and used to assess how often study participants consumed avocados in the past seven days, self-reported avocado consumption may overestimate or underestimate actual intake,” Cheng told Fox News Digital. 

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“Additionally, the cross-sectional nature of the study cannot establish causation.”

For more Health articles, visit foxnews.com/health

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Anger can increase heart attack risk, study finds: ‘Chronic insult to arteries’

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Anger can increase heart attack risk, study finds: ‘Chronic insult to arteries’

Seeing red could spike your heart disease risk, experts are warning.

Feeling angry for as little as eight minutes a day could raise your chances of experiencing a cardiac event, according to a study published in the Journal of the American Heart Association (AHA).

The study included 280 healthy young adults with no history of heart disease, stroke, serious mental health conditions or other chronic illnesses, according to an AHA press release.

HEART HEALTH RISK FACTORS FOR WOMEN OVER AGE 50

The participants first spent 30 minutes in a relaxed state, while doctors gauged their blood pressure, blood vessel health and other cardiac measurements.

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Next, the participants were randomly assigned eight-minute tasks, while the heart-related measurements were tracked.

Feeling angry for as little as eight minutes a day could raise your chances of experiencing a cardiac event, according to a new study. (iStock)

One group was told to think about anger-inducing experiences.

A second group was asked to recall memories that triggered anxiety.

ANGER CAN MOTIVATE PEOPLE TO ACHIEVE THEIR GOALS, NEW STUDY SUGGESTS: ‘SHARPENED FOCUS’

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A third group was tasked with reading passages that made them feel sad — and the final group was told to simply count out loud to achieve a neutral mindset.

Among those who were told to recall anger-inducing memories, their blood vessel dilation was reduced by 50% within 40 minutes of the task — which put them at a greater risk of heart attack or stroke.

The restricted dilation was temporary, but experts expressed concern that a longer duration of anger could have more adverse effects.

Man yelling

“Anger likely increases cortisol levels, which, in turn, raises blood pressure and could likely decrease vascular dilation,” an expert warned. (iStock)

“We showed that if you get angry once, it impairs your ability to dilate,” said lead study author Dr. Daichi Shimbo, a cardiologist and co-director of the hypertension center at Columbia University Irving Medical Center in New York City, in the release.

“But what if you get angry 10,000 times over a lifetime? This chronic insult to your arteries may eventually lead to permanent damage.”

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Anxiety and sadness did not have this same effect.

FORGIVENESS COULD LEAD TO BETTER MENTAL HEALTH, HARVARD STUDY REVEALS

Elizabeth Sharp, M.D., founder and director of Health Meets Wellness in New York, New York, was not involved in the study, but said the results were “not particularly surprising.”

“Anger likely increases cortisol levels, which, in turn, raises blood pressure and could likely decrease vascular dilation,” she told Fox News Digital.

Angry woman driving

“This study showed that anger can cause acute, measurable changes in blood vessel function, which could be detrimental to cardiovascular health in the long run,” a doctor said. (iStock)

“It’s a well-known adage that ‘stress is a killer,’ and there are numerous physiological explanations for this,” she went on. 

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“However, I would argue that it’s more about chronic stress, or that a stress response might reveal an underlying condition, such as coronary artery disease (CAD), which was already present.”

“There are three major ways to deal with anger: express it, suppress it or calm it.”

Dr. Jim Liu, a cardiologist at The Ohio State University Wexner Medical Center, also offered external input on the study.

“Psychosocial factors play an important role in cardiovascular disease, because the body’s nervous system provides a lot of input in regulating the heart and blood vessels,” he told Fox News Digital. 

“This study showed that anger can cause acute, measurable changes in blood vessel function, which could be detrimental to cardiovascular health in the long run.” 

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man angry at laptop

People can reduce their heart attack risk by finding healthy ways to manage anger, experts say. (iStock)

The findings serve as a reminder that there are many factors that influence heart health, Liu noted. 

“We all know about the traditional risk factors, such as smoking, high cholesterol, diabetes and high blood pressure — and with this study, perhaps there should also be an increased emphasis on mental health and psychosocial factors.”

7 smart strategies to cope with anger

People can reduce their heart attack risk by finding healthy ways to manage anger, experts say.

“There are three major ways to deal with anger — express it, suppress it or calm it,” said Dr. Gary Small, chair of the psychiatry department at Hackensack University Medical Center in New Jersey.

5 WOMEN’S HEALTH TIPS TO PREVENT AND DETECT STROKES, ACCORDING TO CARDIOLOGISTS

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“When we suppress our anger, we hold it in and force ourselves to focus on something — often positive thoughts — to distract us,” he went on. 

“A potential pitfall of anger suppression is that it festers and can elevate blood pressure and lead to depression.”

Woman meditating

Research has shown that daily meditation will improve mood and cognitive function, according to a cardiologist. (iStock)

Dr. Small shared the following seven strategies to help people cope with anger.

1. Recognize your triggers

Try to develop an awareness of what triggers angry feelings, Small advised.

“For some people, being ignored ticks them off, while others have difficulty accepting criticism,” he told Fox News Digital.

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“When you identify what sets you off, you will be better equipped to gain control of your anger.”

2. Learn to relax

Research has shown that daily meditation will improve mood and cognitive function, according to Small.

“This strategy involves regulating our behavior when we are angry by controlling our internal physiological responses like muscle tension and breathing,” the doctor said.

DAILY MARIJUANA SMOKERS FACE HIGHER RISK OF HEART ATTACK, STROKE, SAYS AMERICAN HEART ASSOCIATION STUDY

“Recognizing your triggers gives you a heads-up of when to calm yourself and relax through deep, slow breathing, conjuring up serene mental imagery, and meditation.”

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3. Think twice before erupting

“Because of the negative health and social effects of uncontrolled expressions of rage, try to avoid outbursts,” Small advised. 

“Rather than exploding, take a pause and recall what triggered your aggression.”

4. Get physical

Engaging in regular physical exercise — maybe even hitting a punching bag at the gym — can help reduce anger-induced stress, Small said.

Group of people running

Engaging in regular physical exercise can help reduce anger-induced stress, a doctor said. (iStock)

5. Alter your thinking

“If you find yourself in a fit of rage, you may not be thinking clearly, because your brain’s amygdala (emotional control center) overtakes its frontal lobe (reasoning center),” Small said. 

Attempt to replace your angry thoughts with rational ones, the doctor suggested.  

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“Also keep in mind that your anger is not going to solve the problem or frustration at hand,” he added.

6. Learn to communicate your needs

Taking an anger management class can help those who tend to “fly off the handle,” Small said, while assertiveness training can help people who suppress their anger learn to communicate their needs to others.

Support group

Taking an anger management class can help those who tend to “fly off the handle,” a cardiologist said. (iStock)

7. Consider professional help

“Anger issues may reflect other underlying mental health problems, such as anxiety or depression,” Small noted.

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Seeing a mental health professional can help people identify underlying problems and cope with anger in a more constructive way.

Fox News Digital reached out to the study authors for additional comment on their findings.

For more Health articles, visit www.foxnews.com/health.

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