My husband works for a company that provides hospitals with revenue generating services. He tells me that its a very difficult time for many hospitals. From what I've seen, all the hospitals closing down around me is evidence of that.
The govt. isnt reimbursing all the costs that medicare/medicaid patients cost the hospital, the uninsured being serviced in the ER takes away revenue, medical coding isnt always the best so reimbursement is screwed up, insurance companies deny claims they shouldnt so the hospital eats the bill, etc.
I'm not going to sit here and say it isnt greed or that the CEO has to show the board that the hospital is profitable...I really dont know. All I know is that its a turbulent time and we thought medicine was safe from the effects of recession or govt. so its a scary thing.
Also, to top it off, everyone has been crying 'nurse shortage' for years, and now markets are saturated with RNs. Its an employer's advantage. I say, get a specialty if you can handle more school!
I'm a nursing student and I'm just bracing to be treated like a number until I can get a specialty or start my own business. I hate it that nurses can be underappreciated b/c of the value of the person and job, but after all this reading, I'm finding that it seems like that