Local healthcare union activists charge that the Service Employees International Union (SEIU) is run by unelected, out-of-town bureaucrats who negotiate sweetheart deals behind closed doors with corporate CEOs. Organizers and members of the National Union for Healthcare Workers (NUHW) believe labor unions should be militant, member-driven organizations that fight for better pay and benefits for their members. They are in a David-and-Goliath-like struggle with SEIU (aka Goliath), which has everything money can buy, but NUHW (aka David) has a secret weapon - the support of the workers.

Fresno is ground zero in this struggle over the future of the union movement because more than 10,000 home care workers will vote in June to decide which union will represent them. This is the first major election in the country where workers will get to chose between NUHW and SEIU. The outcome of this election will determine whether home care workers will have a grassroots democratically elected union or one that imposes leadership from the top down.

SEIU, which is based in Washington D.C., took over the local home care workers union in a trusteeship that took place on Jan. 27, 2009. As a result of the trusteeship, the elected leadership of SEIU-United Healthcare Workers-West (SEIU-UHW) was removed, members and their supporters were forced out of their own union hall and SEIU appointed new "leaders" for SEIU-UHW. When the takeover happened, most of the staff of SEIU-UHW left and, along with thousands of healthcare workers, formed NUHW.

Read more and view photos