Nurse, Union Activist Running for 1st Congressional District

Enrique Casiano addresses a rally at the Wisconsin State Capitol on Sept. 4, 2025, during a strike by UAW-represented employees against Mercyhealth East Clinic in Janesville. (Photo courtesy of Enrique Casiano)

Among the Democrats running for the chance to challenge the Republican incumbent in Wisconsin’s 1st Congressional District are a nurse, a union leader, a working class activist and a Hispanic professional.

A fifth candidate, Enrique Casiano of Janesville, happens to check all four of those boxes. A 47-year-old registered nurse, Casiano said his decision to join the Democratic field of hopefuls for the 1st District seat arose during a four-month strike at the Mercyhealth East Clinic in Janesville, where he is a leader in United Auto Workers Local 95.

The walkout of UAW-represented nurses, physical therapists, medical assistants and maintenance employees at the clinic started July 2, centered on health care costs, wages and security for employees.

“When September came around we were still on strike,” Casiano recalled. “I was thinking to myself, What in the world is going on? Why would a company do this to their employees? Why would this even be allowed?”

He and fellow union members blamed federal labor laws. Casiano said they have “no teeth” and don’t hold employers accountable.

“That has to be changed at a national level,” Casiano said. “That’s what motivated me to get out there and run for Congress.”

The strike ended Nov. 3, when the clinic management and the union ratified a new contract. The agreement led to raises that were higher than nonunion employees received elsewhere in the Mercyhealth system, Casiano said, although still less than what the union had originally sought. Health care costs for employees will be “basically three times” what they were previously, he added.

“This was a big concession,” Casiano said. “Something I told the membership, this should be a wake-up call for everybody to vote for someone who’s going to do something about the health care crisis in our nation.”

Casiano argues that health care is a human right and government should do more to prevent health care costs from leaving people in debt or sending them into bankruptcy.

“If you have the money, you’ll get care,” he said. “If you don’t have the money, I’ve seen how many people end up being homeless or go into great debt because of their health.”

He supports Medicare for All, but also favors giving states greater freedom to regulate the health care systems. He opposes consolidation among health care groups and favors breaking up large hospital and health care systems, as well as keeping for-profit businesses, including private equity and venture capital firms, out of health care.

“The current system rewards profiting from people’s health care crisis,” Casiano said. “It is not a system of prevention and rewarding the best health care outcomes and practices.”

Casiano said that updating the 1930s-era National Labor Relations Act with laws that would strengthen the rights of workers to union representation is a top priority of his. If elected he would also seek to enact stronger federal laws against wage theft and against misclassifying workers as independent contractors with fewer protections. He said that he also wants “real tax relief to the working class” instead of the wealthy.

Casiano is one of five Democrats vying for the chance to challenge U.S. Rep. Bryan Steil, the Republican incumbent in the 1st District now in his fourth term.

“I’m part of the working class. I’m not a lawyer. I’m not a politician,” Casiano said — although he readily acknowledged that every other Democrat competing for the nomination could make the same claim.

“Pretty much everybody running this time around, we’re all just working class people who want to see a change in the 1st District,” he said.

The rest of the Democratic field includes ironworker Randy Bryce, emergency room nurse Mitchell Berman, Racine community activist Gage Stills and university administrator Miguel Aranda.

As he shapes his campaign, Casiano is leaning into his background as a health care professional, a union activist and also a member of the Hispanic community.

He said the Trump administration’s round-ups of immigrants — which has caught up U.S. citizens in addition to people without legal immigration status — has a personal dimension.

“It’s sad that I, when I go to Milwaukee, can be stopped [by police] just because of the way I look and the way I talk,” he said. “At the national level, we’re attacking specific [ethnic groups of] people, which we’ve never done before.”

The 1st Congressional District has been solidly Republican since the mid-1990s. Steil succeeded Paul Ryan in the office when Ryan stepped aside in 2018 after a 20-year tenure. A corporate lawyer and former Ryan aide, Steil won with margins of 9 to 10 points in 2022 and 2024.

The Cook Political Report has rated the district as likely Republican in 2026, and gives the GOP a 2-point advantage based on past presidential elections.

Casiano contends political apathy accounts for Steil’s success. “In the last election, many of my coworkers, they just did not go out to vote,” he said. “It’s not winnable, somebody told me [because] it’s all about the money.”

He contends that 2026 can be different.

“What’s changed now is the Trump administration and how messed up everything is going,” Casiano said. “Only people that have blinders on will say everything is OK, because it’s not.”

Casiano said he knows he’s a long-shot candidate, but he believes Steil is vulnerable and that people can be motivated to vote if candidates reach out to them.

“I know he has let down a lot of his constituents,” Casiano said. “We know he’s not out there for the farmers, or some of the small businesses” in the district, he added. “That’s the big message we’ve got to bring forward.”

He believes enough people have stayed away from the polls in the past to make a difference in the outcome for 2026.

“We have to go and start talking to Black and brown people in our community and get them out to vote,” Casiano said. “This is what I’m going to be fighting for.”

Nurse, union activist says strike frustration sparked his 1st Congressional District bid was originally published by the Wisconsin Examiner.