For the first time in 15 years, 4,000 subcontracted hospital housekeepers and dietary workers in British Columbia have job security. They won that peace of mind by pulling off a series of escalating actions on the job. Between 2002 and 2005 the provincial government, headed by the Liberal Party, fired 10,000 hospital support service workers—mostly women and people of color—and subcontracted their jobs to multinational corporations including Aramark, Compass, Sodexo, and Acciona. In the years that followed, the workers who were hired back—less than half of those who’d lost their jobs—reorganized with the Hospital Employees’ Union (HEU) and bargained hard to regain what they’d lost. But without job security to protect against another change of contractor, all gains were precarious. … In an agreement bargained between HEU, the Ministry of Health, and the regional health authorities, now when commercial contracts are re-tendered, contracted support service employees in HEU will keep their jobs, their union, and their collective agreement.