The outsourcing of housekeeping, laundry and food services in Vancouver’s health care sector has created a new tier of low-paid, precariously employed workers in the private sector, the majority of whom are immigrants and women of colour. Through an in-depth case study of the Hospital Employees Union (HEU), this article examines how movement-oriented union strategies, such as living wage campaigns (LWCs), enable unions to challenge the nexus between social and economic disadvantage. My findings show that alternative union models promote inclusive forms of class solidarity; however, unions must contend with internal conflicts that divide workers along racial–ethnic boundaries and employment status.
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