This paper sets out to explore how trade unions are responding to the changes in deregulation and liberalisation of health services in Europe. Starting with an outline of some of the changes taking place in public health care services that can be characterised as the commercialisation of health care, the paper outlines some of the effects of these changes on health workers. Recent trade union responses are analysed in terms of the different alliances made by health worker trade unions. The paper concludes with a series of recommendations for lobbying and action.
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