The push to unionize the Medicare call center contractors has led to unrest among workers, with some in right-to-work states going on strike. Former Wisconsin Gov. Scott Walker has criticized labor harmony agreements as a tactic by unions to pressure businesses into project-labor agreements. Critics believe that this action will raise costs and slow down service. The National Right to Work Committee has labeled the move as a political giveaway to union bosses, with President Mark Mix accusing President Biden of attempting to secure union support for his reelection bid.