The nationwide shortage of PPE for health care workers has been well documented. Reporting on this issue has been complicated by hospitals’ imposition of gag orders on physicians and health care workers. There are harms that result from imposing these gag orders that go beyond the obvious harms to public and employee health and safety. Using Hirschman’s Exit, Voice, and Loyalty (1970) as a framework demonstrates that these orders represent a dangerous concentration of power in employer hands — health care workers are reduced to functionaries. Hirschman’s argument, in part, is that organisations should seek to balance the availability of exit, voice, and loyalty for employees. Restricting employee options in morally untenable situations to exit only leads to direct and indirect harms. These gag orders are a pernicious practice, and bring with them long-term negative implications for employee morale, employee effectiveness, and public service. Abstract

中文翻译：

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仅退出：沉默员工声音会带来危害

全国范围内医护人员的个人防护装备短缺已经有充分的文件证明。由于医院对医生和医护人员施加了插科打orders的命令，因此对该问题的报告变得非常复杂。施加这些禁令令所带来的危害超出了对公众和员工健康与安全的明显危害。使用赫希曼的《退出，声音和忠诚》（1970）作为框架，可以证明这些命令代表着雇主手中危险的权力集中—医护人员沦为工作人员。赫希曼的观点部分是，组织应寻求平衡员工离职，话语权和忠诚度的可用性。在道德上站不住脚的情况下限制员工的选择权只会导致直接和间接伤害。这些插科打orders的命令是有害的做法，并带来对员工士气，员工效率和公共服务的长期负面影响。抽象