The union's policy positions include the enactment of safe nurse-to-patient ratios, patient advocacy rights at the Executive and State level, and legislation for single-payer health care to secure "quality healthcare for all, as a human right."[6] The executive director of the national organization, which is affiliated with the AFL–CIO, is labor leader Bonnie Castillo, who also heads the 90,000-member California Nurses Association.NNU supports a tax on financial transactions, which the organization says could raise at least $350 billion a year.[10] In The New York Times on January 28, 2016, Nicholas Confessore reported, "According to Federal Election Commission records [NNU's] 'super PAC' has spent close to $1 million on ads and other support for Democratic presidential candidate Bernie Sanders.[11] The NNU spending was classified as "Expressly advocating the election or defeat of a clearly identified candidate.