LOL--they so badly need to unionize, it's pathetic. But it's not part of their artist/scientist/entrepeneurial mindset.
Penn has the distinction among states of steadily losing doctors, in real numbers. Every year, Penn educates docs who then leave the state. Docs retire and relocate and no one steps in to replace them.
But the statehouse is run by goons and thugs, pure and simple. No hope for reform.