On Friday, October 13, 2023, physicians, physician assistants, and nurse practitioners at Allina Health, a large nonprofit health system in Minnesota and Wisconsin, took a big step towards unionization as 325 voted for unionization and only 200 voted against. The vote must now be certified by the National Labor Relations Board (NLRB), and, if it is, Allina health would have to recognize the union. The national organizing director for the Doctors Council, an affiliate of the Service Employees International Union, hopes initial contract negotiations will begin as early as November. Talks of unionization began after frustrations grew around staffing, administrative burdens, and a lack of support that was exacerbated by the COVID-19 pandemic. The physicians worry that their burnout could compromise patients’ safety. If the Allina Health providers are successful in their unionization efforts, they would likely become the largest union of private-sector physicians in the United States.