You know, it's funny because I worked for two years for one of those 'avoid at all costs' type companies and I never had any serious problems with upper management, despite having a handful of major incidences (including one time when I got in a yelling match with a crew chief). One of the few reasons that I can credit not being fired was the fact that I always tried to work with management and not against them. Working with management is simple too. If you have problems, bring them up early while they're small. Don't try to hide things. Most importantly (and the problem I saw with a lot of my coworkers) is to show up and actually work. I completely agree with Mike Rowe that we, as a society, has
declared war on work (skip to the 16 minute mark). If you show up to work and expect to do the bare minimum for a lot of money, then yea. You're going to have problems and problems that no union will fix. Of course all of this changes with a union. After all, why introduce a new piece of equipment, more CEs, or give someone a merit based raise if you could hold out till the current contract expires and use it for leverage?
Furthermore, the only way that they can rip you off is if you let them. Work hard, get noticed, and then negotiate a higher wage. If conditions are truly that atrocious, then find another job and get the hell out of dodge.
Union fixes things - the union is not just there to earn workers more money. That is true yes, but the motivation is to earn the money that the workers deserve. And they deserve it just as much as the supe or HR lady who comes in at 9, has a sit down lunch 12 - 2, and leaves at 4:45. The union stewards, lawyers, and labor reps are there to protect employees from dirty mgmt behavior. Negotiaiting better contracts is a part of that.
Work hard and get noticed?? All the EMTs and Medics I know already work hard. Do you think that will get you a raise if the shareholders or bosses decide that its time to increase UHU's or productivity? Americans have not declared a war on work, they are sick of the constant competition for decent wages and work conditions. How can you sincerely care day in and day out about that junky or drunk who abuses 911 constantly, or that sweet old lady, or that biker who got hit by the DWI, when you can not even get the hours you need to pay rent and bills because your company just took two cars off the street?
As far as relations with mgmt goes, the union stance is "work to the rule", no more no less. It is not up to the one getting taken advantage of to extend themselves to those getting paid more, for doing less. If a union is strong and cohesive, mgmt will come to them, not the other way around as you suggest.
Also, I think that there is a real misconception about EMTs looking for quick money. That seems to me to be a myth. From my own experience everyone I work with - including at my company, other companies in town, ex-employees now with fire, ridealongs, etc. - all are fully aware of the amount of effort involved in making a career in EMS. Of the 80 or so people in my company, there are only a handful who are not also in school, or also an ER tech, or doing a medic internship, or union stewards, or single parents, or vol. fire, or any number of other things. That is on top of an avg. 48 hr work week. The whole point is to stop bad mouthing EMS workers, young or old, and start helping them all out by organizing.
Last point: if you want to see why people really get into EMS, volunteer sometime at a first aid tent, or medical standby, or something similar. For example: San Francisco Pride Parade. Why else would someone spend an entire weekend wiping puke off of teenagers, splinting and swathing, transporting drunks, bleeding control, rehydrating old people, and getting sunburnt - for no pay?! Its the occupation first, and the company second.