Summary: This week we are joined by Natalie Spicyn, an internist and pediatrician at Chase Brexton, a Federally Qualified Community Health Center in Baltimore. Like all FQHCs, Medicaid patients are a large portion of the Chase Brexton payor mix, but the clinic also provides specialized care for a large and active LGBT and HIV positive community in the city. Last year, caregivers and administrators faced conflict regarding proposed workflow, volume, and compensation restructuring. Several employees were <a href="http://www.baltimoresun.com/health/blog/bs-hs-chase-brexton-labor-issues-20160810-story.html" target="_blank" rel="noopener noreferrer">terminated</a> during early efforts at unionization; ultimately, clinicians voted to <a href="http://www.baltimoresun.com/health/bs-hs-health-clinic-union-vote-20160824-story.html" target="_blank" rel="noopener noreferrer">unionize</a> and attempt <a href="http://www.baltimoresun.com/health/blog/bs-hs-chase-brexton-bargaining-20160902-story.html" target="_blank" rel="noopener noreferrer">collective bargaining</a>. Natalie <a href="http://www.baltimoresun.com/news/opinion/oped/bs-ed-chase-brexton-20160818-story.html" target="_blank" rel="noopener noreferrer">published</a> an op-ed in the Baltimore Sun during this tumultuous period, and joins us to talk about her experiences with unionizing, fair compensation practices in primary care, and how all of this affects patient care.<br> Photo: Rally outside Chase Brexton Health Care in Baltimore, Maryland, on Aug. 19, 2016. Photo: Jay Mallin, jay@jaymallinphotos.com, Courtesy of 1199 SEIU<br>
