This expanded second edition of Upheaval in the Quiet Zone updates the dramatic story of an insurgent labor union that by the end of the 1980s had established itself as a vital force in the modern labor movement. But even bigger changes were on the way. Overcoming internal divisions that originated in its 1930s-inflected and civil rights-era militancy, 1199SEIU adopted a new strategy of labor-management cooperation to emerge as a key player in state and city politics. When SEIU president Andrew Stern laid plans in 2006 for a new national health care workers union that would simultaneously reach out to the unorganized and campaign for universal, national health insurance, he turned to 1199 president Dennis Rivera--and the 1199 political model--to lead the effort. With new material that updates the union's history since the 1990s, this book conveys the promise and problems of movement-building in the twenty-first century health care industry.