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The Canadian Union of Public Employees (CUPE) hospital sector in Ontario has had centrally coordinated bargaining since approximately 1975. At this time, participating hospital unions paid a modest per capita that sustained Their central negotiating team. In 1981, the central bargaining team representing CUPE hospital workers signed a Memorandum of Settlement that was considered concessionary. A minority of the bargaining team and most of the local presidents campaigned to have the memorandum rejected. 98% of members voted against it. Regardless, the Ontario Hospital Association (OHA) refused to bargain any revisions to the Memorandum. At this time, CUPE hospital members took the unprecedented step of striking illegally in 65 locals across the province.