Abstract

This paper examines factors contributing to the environment within which reform of New Zealnnd's public health care and its industrial relations system occurred. These include radical state sector; health and labour law reforms that marketised the health sector, decentralised bargaining, the ending of compulsory union membership and the elimination of the requirement that employers bargain 'in good faith'. The paper examines the implementation of these changes and their impact on various unions. Domestic service workers have fared poorly, while medical specialists have benefited from the reforms. The impact on nursing and support staff unions has varied according to regional and market pressures for different occupations. Various union strategies and structures are examined. The paper concludes that reform has ended the exceptionalism of labour relations in New Zealand.

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