More Legacy APPs Announce Solidarity Strikes As Labor Unrest Grows Across Healthcare System (Photo) - 12/09/25
Two new groups of healthcare providers declare strikes against Legacy and pledge to join APPs on the picket line
PORTLAND, Ore. — In a major escalation, advanced practice providers (APPs) from Legacy Go Health clinics and Legacy Pediatric have voted to launch solidarity strikes to join the 140 APPs from Legacy’s hospitals and clinics already on strike. The 80 members launching the solidarity strikes are also represented by the Oregon Nurses Association (ONA).
Late last week, the two APP groups at Legacy Go Health and Legacy Pediatric APPs—representing nurse practitioners and physician associates across the Portland Metro area and SW Washington—voted overwhelmingly to stand with their striking colleagues.
Both groups cited concerns about patient care, staffing, equity across the healthcare system and Legacy management’s refusal to bargain fairly as key reasons for joining the strike line.
“We didn’t take this vote lightly,” said Sara Lopez, a physician associate (PA) at Legacy Go Health clinics. “Our patients rely on us every day, but we also rely on a system that treats providers fairly and ensures care is safe and sustainable. Standing with our colleagues is the only way to move Legacy toward a solution that supports both providers and patients.”
“APPs across Legacy provide excellent medical care to Legacy patients but many of us feel that our contributions go unrecognized. We unified to address compensation that is below market value, inadequate staffing, and workload demands that impact patient safety and provider well-being,” said Jordyn Luttrell, DNP, a Legacy Pediatrics APP. “We’re joining the strike because the problems affecting our colleagues today will affect all Legacy APPs tomorrow unless something changes.”
Striking APPs at Legacy’s hospitals and clinics welcomed the show of unity from APPs at Go Health and Pediatrics.
“This is what solidarity looks like,” said April Callister, a physician associate who is currently on strike. “Legacy has been counting on divisions between clinics and specialties to maintain the status quo. By standing together, we are sending a clear message: we want a fair contract, safe staffing, and a system that respects the work we do.”
What is a solidarity strike?
A solidarity strike is a legally-protected work stoppage in which a group of employees refuse to work in order to support another bargaining unit engaged in a labor dispute.
Background
Legacy Go Health APPs won their NLRB election in January 2025. The ONA-represented bargaining unit includes about 50 nurse practitioners and physician associates working in immediate care clinics across the state. The Legacy Pediatric APP bargaining unit, which unionized in August 2025, represents about 30 nurse practitioners and physician associates delivering specialized pediatric care in the Portland area and SW Washington.
ONA leaders say the expanding strike reflects widespread frustration with Legacy’s bargaining approach and with APPs' working conditions systemwide. When Legacy management finally returned to the bargaining table on Monday, December 8, they showed little interest in meaningful mediation and announced they would not meet again with striking APPs until December 18.
No notice has been given, and the length of the strikes has not been determined. The work stoppages will coincide with the strike already underway by 140 APPs represented by the Oregon Nurses Association (ONA).
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Interviews available upon request.
Contact Peter Starzynski - 503-960-7989, starzynski@oregonrn.org to schedule interviews
