• Nurses using gig-work platforms like CareRev often face conflicting expectations, expected to follow hospital protocols like employees but lacking employee benefits and protections.
• The classification of gig workers as independent contractors is legally complex, with factors like control over work, finances, and the nature of the relationship determining employment status.
• Critics argue that classifying nurses as independent contractors creates a "race to the bottom" in wages and working conditions, potentially jeopardizing patient safety.
• While some states have implemented specific regulations regarding independent contractors in healthcare, Delaware's stance remains unclear, leaving both hospitals and workers in uncertain legal territory.

When registered nurses Dariane Turner and Eva Hardy took jobs at Beebe Healthcare through the CareRev app in 2024, they expected the freedom of true independent contractors.

Instead, they found themselves in a gray area: They were required to follow hospital protocols like employees while losing basic workplace protections due to their contractor status.

Their experience reflects a controversial transformation in American health care, where hospitals are increasingly using gig-work platforms to staff their facilities. Although these apps classify nurses as independent contractors, the reality of their work often resembles that of traditional employees – raising legal and ethical questions.

Gig nursing disguised as independent...

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