On Disaster's Front Lines: Registered Nurse Response Network

This Q&A is part of Sarah Jaffe’s series Interviews for Resistance, in which she speaks with organizers, troublemakers and thinkers who are doing the hard work of fighting back against America’s corporate and political powers. This interview has been edited for length and clarity.

Dotty Nygard and Rhonda Risner are registered nurses, members of National Nurses Unitedand activists for single-payer health care and climate justice. Their work has taken them across the country and the world, where they’ve seen firsthand the impact of storms worsened by climate change and the lack of consistent health care. Nygard is an emergency room nurse at Sutter Tracy Hospital in Tracy, California, and is a member of the Registered Nurse Response Network (RNRN). Risner is a registered nurse from Dayton, Ohio, and after more than two decades in the private sector, she now works in the emergency department at the Veterans Administration hospital in Dayton, Ohio.

Sarah Jaffe: I understand both of you have been doing Hurricane Harvey relief as part of the RNRN Network?

Dotty Nygard: There’s an early start of flu. This wasn’t just a little viral bug going around, it was actually confirmed flu. This is something that happens when you are in confined quarters and have a lot of different people with different immune systems present.

SJ: Tell us a little background on the RNRN program.

DN: It is a national volunteer network that started after the South Asian tsunami. To date we have over 20,000 volunteer RNs that are actually powered by National Nurses United. I think about 2,000 are on standby and ready to be deployed if there is a need.

SJ: I have been saying to people for the last few weeks that it feels really apocalyptic right now because there is so much going on. I imagine right now you have a lot of places on your minds.

DN: I traveled up in December with a small deployment of nurses. It was actually the same time when we had the veterans also coming up to support them. It was a game changer for me — when you have corporations that come in to try and gain control over your well-being, your land rights and your water access without any say.

The solidarity was amazing. We hit right when a blizzard came in. We saw a lot of frostbite and a lot of chronic illness, people that did not have access to their medications. Some of it was basic chronic illnesses — especially with the Native Americans — their access to medical care is very fragmented and limited. We are all saddened with the outcome, but that is what solidarity is about, when voices speak up we can change things.

SJ: It is really something that we don’t talk enough about, that a lot of people don’t get consistent care for many reasons, not just because there is a hurricane.

DN: It plays on the fact that our health care system is broken and we have very fragmented care. We have many that can’t afford insurance. There are still millions of people that are not insured in this great nation of ours, and we have people that are insured but are afraid to use it because their copays and their deductibles are so high. It hinders those that do want to seek care and only perpetuates illnesses and whatever is ailing them at the time becomes even more of a problem. We see people sicker in the ERs now. Preventative care is very minimal. It’s not an emphasis or a priority. It speaks loudly of how we really have to fix the system first before we can really help our communities heal.

SJ: I want to switch gears a little bit and ask about the climate justice work you are doing.

DN: We have brought a lot of awareness with marches and rallies to bring attention to the fact that the climate crisis we are facing right now is all science-based. We see the evidence.

SJ: One of the organizers that I know from the South Bronx would always say, “We see the first line of climate change right here through our breathing because the air is polluted right away. Before you even see massive storms from climate change, you see the highest rates of asthma in the country.” I imagine you both have seen a lot of the immediate effects of our energy system.

DN: Yes, I live in the Central Valley [in California]. We have the highest incidence of children’s asthma [in the state]. The air from the Bay Area gets blown in and trapped in the Central Valley, and we have two large interstates that drive right up and down to the Central Valley.