In Maryland a large portion of your license fee goes to the Obama Health Care Research. there is no way to opt out.
There are a whole bunch of fellowship listings posted right now. New grads are trained on all the med-surg units (regular, oncology, cardiac, ortho) and then "bid" on a unit that has an opening. They hire every February, July, and September. The educators and the support for the new grads is phenomenal.