For at least the last decade, people have been half heartedly making the occasional comments about unionizing the IT workforce.
I hope that the EmblemHealth employees are successful. It is tough to compete in a global economy, but IT is one of the few professions where there is a serious shortage of qualified talent. If the qualified talent refuses to train their replacements, then those replacements are worthless.
Of course, over the next few years a good portion of the sysadmin skill set is going to be automated so this is very much too little, too late. When you have a team of half a dozen people who can manage thousands or tens of thousands of VMs in AWS or Azure, those 100+ person IT departments start looking bloated.
Also putting pressure on the traditional IT skill set is the continuing downward pressure on hardware costs, BYOD and VDI. There is no need to have a legion of desktop monkeys doing end user support when an organization can rapidly re-deploy hardware and shift applications in real time via virtualized desktops.
As more and more application vendors outsource their support functions and take on the support burden as part of the yearly maintenance cost, the need for in house IT staff will continue to shrink.
There is a lot of M&A activity in the healthcare field right now, and a couple of key vendors are bubbling up to the top of the pile. Within a decade I think we are going to see standardization around a couple of SaaS type platforms. Given all of the data breaches that are going on, individual hospitals and healthcare organizations cannot continue to eat the risk of storing all of that data in house.