Mealey's (November 9, 2017, 10:33 AM EST) -- BOSTON — A Puerto Rico hospital’s decision to fired its respiratory therapy technicians and replace them with subcontractors after rejecting an alternative cost-saving measure proposed by the technicians’ union violated the National Labor Relations Act (NLRA), a First Circuit U.S. Court of Appeals panel ruled Oct. 16 (Quality Health Services of P.R., Inc. v. National Labor Relations Board, Nos. 16-1556 and 16-1845, 1st Cir., 2017 U.S. App. LEXIS 20138)....