A band played. Speakers spoke. Crowds shouted. Big signs were brandished. The hot sun beat down on Pickett Park Saturday morning, making the couple hundred squinting onlookers look less than thrilled.

Or maybe it wasnโ€™t the hot summer sun. Maybe it was working conditions, pay rates or the absence of a contract at the hospital across the street that had the crowd so blue. They had, after all, gathered for a funeral. They were mourning the death of health care.

The funeralโ€™s eulogists included assemblywomen Debbie Smith and Vivian Freeman. After the speakers had finished, pallbearers marched a coffin, symbolizing health careโ€™s demise, across the street to Washoe Health System on Ryland Street as the band played its funeral march and mourners trailed behind. The coffin came to its resting place on the buildingโ€™s steps, surrounded by a mass of fed-up folks with a lot to shout about.

โ€œ[Washoe Health System] is the one that killed it. Theyโ€™re the ones who are gonna bury it!โ€

โ€œWeโ€™ve got the coffin where it belongs. Weโ€™re going to rescue health care!โ€

โ€œThis is an outrage, and all of us should be out on the streets yelling about this.โ€

And so they took to the street and yelled.

โ€œThe management staff makes conditions so deplorable that weโ€™ve lost half our nurses,โ€ said Lila Alabed, a registered nurse of 21 years who works in the cardiac intensive care ward. โ€œThey do nothing to keep us here except change the wallpaper. They need to sign our bloody contract.โ€

The nurses, whoโ€™ve gone on strike several times in the past year or so, complaining of unsafe nurse-patient ratios and low pay, say conditions have only gotten worse. Maureen Hoban, a registered nurse of 26 years who works in the cardiac special care ward, said she was suspended days earlier for objecting to her working conditions. She and two other registered nursesโ€”one of whom was unfamiliar with the wardโ€”had 29 patients to care for, a violation of Washoe Medโ€™s standard of one nurse for every five patients. Hoban complained to management that the ward wasnโ€™t meeting its safety standards. As a result of the conversation, she says she was suspended. โ€œI felt like I was blindsided,โ€ she said.

Have others been suspended as punishment?

โ€œI could give you a list as long as that notepad of nurses who were asked to leave,โ€ Hoban said, pointing to my reporterโ€™s notebook. โ€œYou donโ€™t leave a job for no reason, and some of [the nursesโ€™ reasons for leaving] are buried in secrecy and covertness. Sabotageโ€”itโ€™s the way of life at Washoe.โ€

Linda Dee Miley and Andi Wagner, both oncology RNs, were especially upset over the employment of traveling nurses to make up for the shortage of Washoe nurses.

โ€œWhen our nurses quit, they donโ€™t hire [new permanent nurses]; they hire traveling nurses, and thatโ€™s not OK,โ€ Wagner said. โ€œWe have lost over half our nurses.โ€

After the coffin had been deposited at the front door of Washoe Health System, Washoe officials began shooing folks off the steps. Anyone who happened to move from the sidewalk onto the buildingโ€™s lowest step was told, under no uncertain terms, to get off the premises.

But the nurses got a warmer reception on their way back to the park. Police officers were on hand to coordinate the flow of automotive traffic and funeral foot traffic. As one tanned, mustachioed officer directed funeral-goers across Ryland Street, he extended a sincere thank you to the nurses.

“I hope you get more money. You deserve it.”

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