Quote from BrandonLPN
I find the whole cocept of "trickle down" economics a bit offensive.
We need more $10-$12 customer service an hr jobs in this country like a hen needs a flag.
I'm not so sure that the decline of acute care will lead to the only health care job growth being at the very top (providers, NPs, PAs) or the very bottom (MAs, UAP). There will still be a need for middle-ish income jobs like LPN and floor RNs. Rarely mentioned is sub-acute, rehab and skilled nursing. They stand to see explosive growth in an environment where acute care inpatient hospitalization is discouraged as being too expensive or too inefficient.
The decline of hospital inpatient stays doesn't mean a decline in inpatient nursing, just a realingment of where those jobs are going to be.
It seems very possible to me that Obamacare will lead to growth in the skilled nursing field. Many traditional med/surg patients can be adequately cared for much more cheaply in a sub-acute facility.
I am a keynesian economist myself, but the formerly unemployed people in my area without any education or trade skills appear to be thrilled to the very core to be earning $12 an hour with benefits. Personally, I find it deplorable that they are going to earn $25K next year while BC/BS earns a projected $400 million, but despite what the tea party conspiracy theorists say, I only got to vote once, lol, and we still have a republican congress. It is what it is. Short of another revolution, I guess we just have to make the best of it, and $12 an hour is better than starving to death by any definition, wouldn't you say?
I don't disagree with you about continuing needs for nurses (we could argue a bit about the likely minimal educational preparation and licensure), and I agree that there is going to be a lot of redistribution of care delivery and services over the next 20 years. I didn't fail to address it because I suspect those nurses are going away or are unimportant. I simply didn't address it because I don't have data to speak on it intelligently and I am not one to just make suppositions and guesses without facts, or regarding things of which I have no first hand knowledge. I speak of what I know, period.