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The District of Columbia-based U.S. Court of Appeals issued a rare, scathing order to the nation's largest for-profit hospital chain, Tennessee-based Community Health Systems, requiring it to repay all of a union's costs incurred in efforts to bargain a contract for registered nurses at a San Diego hospital.
The District of Columbia-based U.S. Court of Appeals issued a rare, scathing order to the nation's largest for-profit hospital chain, Tennessee-based Community Health Systems, requiring it to repay all of a union's costs incurred in efforts to bargain a contract for registered nurses at a San Diego hospital.
Writing for the court May 8, Senior Judge Harry Edwards, the court's former Chief Judge, rejected CHS' Fallbrook Hospital's appeal of an April, 2014, National Labor Relations Board (NLRB) ruling that Fallbrook acted in an "obstinate and pugnacious" manner in unlawfully refusing to bargain with nurses represented by the California Nurses Association/National Nurses United.
The hospital's behavior was found to be so egregious, it was not only directed to negotiate in good faith, but also to repay what Judge Edwards termed "economic resources wasted by the Union in a futile pursuit of a collective bargaining agreement" as a result of CHS' "willful defiance of its statutory obligations."
CHS and Fallbrook showed their contempt for the court, says CNA, by taking the draconian step of closing the hospital. Instead of respecting the rights of the RNs and accepting their democratic choice to form a union, CHS and Fallbrook terminated all staff, and then appealed the decision ordering them to repay the RNs' bargaining costs.
Judge Edwards blasted CHS' arguments against paying negotiating costs as "not only meritless, it reflects real chutzpah," a Yiddish term which Edwards noted, in legal terms, is the equivalent of "a young man, convicted of murdering his parents, who argues for mercy on the ground that he is an orphan."
Ultimately, Judge Edwards noted, Fallbrook had "cherry-picked the record" to present its defenses. In fact, the NLRB's 2014 decision "rests on the Hospital's entire record of unfair labor practices which in this case is quite extensive. The Board found that the totality of Fallbrook's misconduct justified the remedy."
"CHS is probably the most arrogant, and lawless employer in the healthcare industry," said NNU co-president Karen Higgins, RN, today. "This welcome decision, along with a recent NLRB decision and jury verdict for a heroic Ohio CHS RN, Ann Wayt, illegally fired by another CHS hospital, are an indication of what RNs seeking to improve patient care standards in CHS hospitals have had to endure. NNU will never stop fighting for RNs' ability to advocate for their patients and their own rights."
In a striking parallel to the Fallbrook case, on April 30, the National Labor Relations Board affirmed a labor board law judge's decision ordering CHS' Affinity Medical Center to reimburse Wayt for expenses she incurred responding to Affinity's unlawful attempt to have the Ohio Board of Nursing revoke her RN license after she was fired by Affinity for supporting union organizing efforts by NNU's Ohio affiliate, National Nurses Organizing Committee-Ohio. Wayt subsequently won a $2 million court judgment against Affinity-CHS for its brazen defamatory attacks on her.
Further, the NLRB took the additional unusual step of ordering a top Affinity official to actually read aloud to assembled employees, in the presence of an NLRB official, the Board's order to cease and desist its multiple violations of labor law and the RNs' rights, including threats of physical violence and discipline against union supporters.
And, the Board issued a stern warning to the high-handed CHS lead attorney Donald Carmody, as well as other CHS lawyers, that they faced potential disciplinary proceedings if they continued submitting non-meritorious defenses to justify lawless CHS behavior in flagrant disregard of employee rights.
CHS has also been reprimanded for violations of federal labor law at other hospitals represented by NNU affiliates in California and West Virginia.
CHS' Barstow Community Hospital, in Barstow, Ca., has also petitioned the DC Court of Appeals for review of an NLRB decision mirroring the Fallbrook case that also ordered the hospital to repay nurses and the union for negotiating expenses in the face of similar willful refusal to bargain in good faith and other violations of labor law. The case is pending and may be set for argument in the fall.
Meanwhile, in Fallbrook, the Fallbrook Hospital District still owns the vacant building, while two nearby district hospitals have examined ways to restore an acute care facility to the rural northern San Diego County community. CNA still has other charges of violations of labor law pending against Fallbrook/CHS.
National Nurses United, with close to 185,000 members in every state, is the largest union and professional association of registered nurses in US history.
(240) 235-2000Iran's chief negotiator accused the Trump administration of giving the Israeli government a "green light" to continue attacking Lebanon and undermining diplomatic talks.
Update:
US President Donald Trump, Pakistan's prime minister, and the Iranian Foreign Ministry said Sunday that the US and Iran have reached an agreement on a framework to end the war that Trump launched in late February.
Iran's deputy foreign minister, Kazem Gharibabadi, said the terms of the deal will be made public after the memorandum of understanding is signed on Friday in Switzerland. Pakistani Prime Minister Shehbaz Sharif wrote on social media that "both sides have declared the immediate and permanent termination of military operations on all fronts, including in Lebanon."
The memorandum of understanding is expected to extend the current ceasefire agreement by 60 days while detailed negotiations take place.
Gharibabadi said the start of the 60-day negotiations will be contingent on the US lifting its naval blockade of Iranian ports, "ending the state of war and military operations," and "releasing Iran's frozen funds."
Earlier:
The Israeli military bombed the southern suburbs of Beirut on Sunday just as Iranian and US officials voiced optimism that a diplomatic agreement is in reach, prompting accusations that the government of Prime Minister Benjamin Netanyahu is trying to derail the negotiations.
Israel's strikes reportedly targeted a five-story apartment building, killing at least three people, according to Lebanese authorities. Netanyahu said the bombing was a response to Hezbollah rocket fire into northern Israel.
The latest bombing of Beirut came hours after US President Donald Trump said he expected a memorandum of understanding (MOU) to be signed as early as Sunday, potentially setting the stage for negotiations to end the illegal war Trump started in late February. Iranian officials have pushed back on the US president's claim that the MOU will be signed Sunday, but Iran's foreign minister said Friday that an agreement had "never been closer."
The Associated Press reported Sunday that Israel's new strikes on Beirut "threatened to hamper negotiations over a deal, which in its current form is a deep disappointment to Israel’s government."
"The last time Israel struck the Beirut suburbs a week ago, it set off the most serious escalation of fighting between Iran and Israel since the tenuous ceasefire took hold April 7," AP added.
Kenneth Roth, former executive director of Human Rights Watch, wrote on social media that "as a US-Iranian deal seems like it might be closer, Israel predictably bombs the Beirut suburbs, evidently hoping to sabotage the deal."
"Why does Trump put up with this and continue to arm and fund such obstructionism?" Roth asked.
Mohammad Bagher Ghalibaf, Iran's chief negotiator and speaker of parliament, said Israel's strikes indicate that the US "either does not have the will or the ability to fulfill its obligations."
"You cannot gain concessions by giving [Israel] a green light," he added. "The good cop, bad cop routine has become old. If you do not have the will or the ability to fulfill your commitments, then there is no basis for talking about continuing down this path."
As the US & Iran reportedly near a deal that includes ending the war in Lebanon, Israel is attacking Beirut again.
Either Trump can't restrain Netanyahu, or the deal is already being violated before it's signed.
Either way, it undermines the deal's value for Iran. pic.twitter.com/v08c21i7wa
— Sina Toossi (@SinaToossi) June 14, 2026
While the MOU that's reportedly under consideration has not been released in full, its broad outlines have been reported in media outlets and divulged by Iranian and US officials in recent days. Reuters reported Sunday that "a final draft of the memorandum of understanding with the US covered a range of issues, from Tehran’s nuclear work to reopening the Strait of Hormuz and US waivers on oil sanctions, with a final deal to be discussed in the 60 days following agreement by the two sides."
Under the MOU, Iran would immediately reopen the Strait of Hormuz and the US would end its illegal blockade of Iranian ports, according to Reuters. The US would also agree to waive oil sanctions on Iran and release $25 billion in frozen Iranian assets, while Iran would agree to "maintain the current status of its nuclear program, refraining from further uranium enrichment and expansion of nuclear facilities."
Abbas Araghchi, Iran's foreign minister, said in a television interview on Friday that the MOU's proposed 60-day ceasefire extension would include Lebanon.
Axios reported that Netanyahu has "found himself in the dark" as US-Iran negotiations have progressed in recent days, "calling allies close to the Trump administration to try and gather information."
Following Sunday's strike on Beirut, Trump told Axios' Barak Ravid that Netanyahu "has no fucking judgment."
"I passed this message on to him—that I am very unhappy with the attack in Beirut," said Trump, whose administration has approved billions of dollars worth of weapons sales to the Israeli government.
Trita Parsi, executive vice president of the Quincy Institute for Responsible Statecraft, warned that "Israel will do more sabotage unless Trump imposes a cost on Israel."
"Netanyahu knows exactly what he is doing and is judging that an attack on Beirut—rather than southern Lebanon—is exactly what's needed to derail the pending US-Iran deal," Parsi argued.
"Now in its third consecutive year of famine, Sudan received nothing."
Elon Musk's vault to trillionaire status following the public debut of his rocket company SpaceX came on the heels of an analysis showing the devastating impact of his destruction of the US Agency for International Development on millions of people in countries facing or on the brink of famine.
The analysis, authored by Council on Foreign Relations expert and longtime aid worker Sam Vigersky, noted that Musk's targeting of USAID during his tenure as head of the Department of Government Efficiency (DOGE) resulted in the transfer of the Food for Peace program to the US Department of Agriculture (USDA), an agency "without international humanitarian or disaster-response expertise."
Vigersky found that the USDA this year chose just seven countries to receive American grain under the Food for Peace program: the Democratic Republic of Congo, Ethiopia, Guatemala, Haiti, Kenya, El Salvador, and Rwanda. The latter two countries, Vigersky noted, "do not meet an emergency threshold" for assistance.
"Meanwhile, the country facing the largest hunger crisis in the world—Sudan—did not make the list. Now in its third consecutive year of famine, Sudan received nothing. In fact, more than 40% of Sudan’s community kitchens, a lifeline for the displaced, have closed in the past six months as funding dried up, according to Islamic Relief," Vigersky reported. "Afghanistan, Lebanon, and Yemen were also passed over. Millions of people in those countries live one step from famine, according to the Integrated Food Security Phase Classification (IPC), the UN-backed monitoring system that uses a standardized five-point scale (five being famine) to measure the severity of food insecurity."
Experts assessing the global impact of USAID's decimation at the hands of billionaire US President Donald Trump and the world's first trillionaire, who bragged publicly about "feeding USAID into the wood chipper," estimate that hundreds of thousands of people have already died as a result of the large-scale loss of humanitarian assistance—and millions more will die in the coming years if swift action is not taken to restore aid.
"The impacts of the cuts were immediate and tragic," Nicholas Enrich, a former USAID employee who became a whistleblower, wrote in The Boston Globe on Friday. "Health clinics and emergency ambulance services shuttered overnight. Clinical trials were deserted. Thousands of healthcare workers lost their jobs. Lifesaving food and medicine was left to expire in warehouses. According to conservative estimates, in the year since USAID was dismantled, 750,000 people have died as a result of the cuts. For the first time in a generation, more children died in one year — 2025—than in the previous year."
Oxfam has estimated that a 10% tax on Musk's $1 trillion fortune would generate enough revenue to end extreme poverty worldwide for a year.
Trump claimed on social media that a diplomatic agreement would be signed on Sunday, but Iran's Foreign Ministry pushed back on that timeline.
President Donald Trump claimed Saturday that the US and Iran are on track to sign a diplomatic agreement this weekend, but added that "we have the ultimate alternative" if the process doesn't "work out."
"The 'ultimate alternative' sounds a lot like a nuclear threat," Sina Toossi, a senior fellow at the Center for International Policy, wrote in response to the president's Truth Social post. "Not the first time Trump has hinted at it."
The agreement Trump referenced is believed to be "memorandum of understanding" that's expected be fleshed out in "technical talks" that could begin next week, according to Pakistani Prime Minister Shehbaz Sharif, who is mediating the negotiations.
"We are closer to a peace deal than ever before," Sharif wrote on social media, echoing Iranian Foreign Minister Abbas Araghchi, who said on Friday that "the Islamabad Memorandum of Understanding has never been closer."
"Pending its finalization, the media should refrain from entering speculation about its content," Araghchi added. "In line with our responsible and transparent approach, all details will be shared with the public in due course."
On Saturday, a spokesperson for the Iranian Foreign Ministry cast doubt on the timeline put forth by Trump and Sharif.
"We will have to wait and see about the exact date of the signing of the memorandum of understanding, although it will not be tomorrow,” said Esmaeil Baqaei, as reported by Iranian state media. “The possibility of this happening in the coming days cannot be ruled out. However, due to the hesitation of the other side, we must be cautious in making any comments about this process.”
In his Truth Social post on Saturday, Trump declared that the Strait of Hormuz will be "OPEN TO ALL" immediately after the deal is signed—a condition that Iran has not confirmed.
"We look forward to working with Iran, and the entire Middle East, long into the future," Trump added. "Hopefully, this process will all work out quickly, easily, and smoothly. If it doesn’t, we have the ultimate alternative, hopefully never to be used again!"
Trump has repeatedly issued genocidal threats against Iran since launching the illegal war in late February, openly declaring his intention to target Iran's civilian infrastructure and wipe out its "whole civilization." Experts say such threats, even if they aren't acted on, constitute war crimes under international law.