Do Nurses Earn Big Money? You Decide.

The members of the public who are convinced that registered nurses earn huge salaries are like shrubs on the outside looking in because they do not know how much sweat and tears we shed for our educations, and they are unaware of the hazards many of us face during the course of a day at work. Nurses General Nursing Article

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  1. Do Nurses Earn Big Money?

    • 4743
      No
    • 553
      Yes
    • 344
      Not sure

5,640 members have participated

"You're rolling in the big bucks!"

Am I the only one who becomes at least mildly irritated whenever a random individual finds out that someone is a nurse and proceeds to say, "You're rolling in the big bucks!"

To keep things honest, I'll recall a few observations about the people who generally do (and don't) broadcast their feelings about nursing pay. In my personal experience, no doctor has ever told me to my face that I'm earning 'big money.' No engineers, attorneys, pharmacists, speech language pathologists, or other highly educated professionals have hooted and hollered about the supposedly 'good money' that nurses make once they discover that I am one. On the other hand, bank tellers, call center workers, clerks, and others who work at entry-level types of jobs have loudly made their feelings known about the incomes that nurses earn.

I was employed at two different fast food chains while in high school, and during my late teens, I worked a string of dead end jobs in the retail sector. From ages 20 to 23, I maintained employment at a paper products plant in high cost-of-living southern California as a factory worker and earned an income of about $40,000 yearly with some overtime. Of course I thought that nurses earned handsome salaries during my years in the entry-level workforce. After all, the average RN income of $70,000 annually far exceeded my yearly pay back in those days. Keep in mind that I paid virtually no taxes as a fast food worker because my income was so low. Also, I paid relatively little in the way of taxes as a retail store clerk.

Awash With Cash

Do nurses earn "big money"?Many of the certified nursing assistants (CNAs) with whom I've worked over the years have fallen into the trap of believing that the nurses are awash with cash. However, the ones that pursue higher education and become nurses themselves eventually come to the realization that the money is not all that it is cracked up to be. For example, Carla* is a single mother to three children under the age of 10 and earns $11 hourly as a CNA at a nursing home. Due to her lower income and family size, she qualifies for Section 8 housing, a monthly food stamp allotment, WIC vouchers, Medicaid, and childcare assistance. Moreover, Carla receives a tax refund of $4,000 every year due to the earned income tax credit (EITC), a federal program that provides lower income workers with added revenue through tax refunds. Much of Carla's CNA income is disposable.

Carla returned to school part-time, earned her RN license, and now earns $25 hourly at a home health company in a Midwestern state with a moderate cost of living. She nets approximately $3,000 per month after taxes and family health insurance are deducted as she no longer qualifies for Medicaid. She pays the full rent of $900 monthly for a small, modest 3-bedroom cottage because she no longer qualifies for Section 8. She pays $500 monthly to feed a family of four because she no longer qualifies for food stamps or WIC vouchers. She spends $175 weekly ($700 monthly) on after school childcare for three school-age children because she no longer qualifies for childcare assistance. Carla's other expenses include $200 monthly to keep the gas tank of her used car full, $300 a month for the electric/natural gas bill, a $50 monthly cell phone bill, and $50 per month for car insurance. Her bills add up to $2,700 per month, which leaves her with a whopping $300 left for savings, recreational pursuits and discretionary purposes. By the way, she did not see the nice tax refund of $4,000 this year since she no longer qualifies for EITC. During Carla's days as a CNA most of her income was disposable, but now that she's an RN she lives a paycheck to paycheck existence. I'm sure she wouldn't be too pleased with some schmuck proclaiming that she's earning 'big money.'

The people who are convinced that nurses earn plenty of money are like shrubs on the outside looking in because they do not know how much sweat and tears we shed for our educations. They remain blissfully unaware of the daily struggles of getting through our workdays. All they see are the dollar signs. I'm here to declare that I worked hard to get to where I am today and I deserve to be paid a decent wage for all of the services that I render. Instead of begrudging us, join us.

Further information to help readers decide...

 

Our gross together is north of $170k. He makes more than I do (a computer programmer in a nonmanagement position), but my take home is more than the his. Paid 25k in federal income taxes last year, even though we shovel the max pre-tax dollars to retirement. Cars paid off, same 1400 square foot house for 20 years, no cc debt.

Context.

Wow...."north of $170???" combined??? But your take home is more than his? You are paid well. In what state do you work? I'm in the northeast. Cost of living is high. I make $60K without OT and I've been a nurse for 5 years.

Specializes in geriatrics.

@GM2 Some nurses migrate to the US for milder winters, some are under the assumption that working conditions and money are better in the US, and some nurses cannot find the jobs they want in Canada. It varies.

I've heard other Canadian nurses say something similar, yet many Canadian nurses come to the US to work. Why is that? They can't all be from Quebec.

Cost of living, taxes and the weak Canadian dollar.

A RN working and living in Vancouver earning $32 CAD/hr vs a RN working and living in Chicago earning $32 USD/hr.

The RN in Chicago will take home more money, have a better standard of living and have more spending power than his or her counterpart in Vancouver.

Specializes in OB.

I've been a Registered Nurse for 21 years in the Midwest. When I started I was making almost $15/hour plus shift differential for midnight shift. At the facility I'm at now I've been at the top of the pay scale for awhile, which is just over $37/hour. So over the course of my career I would say, yes, I am happy with the way my pay has risen. But, the starting pay is now about $27/hour. So that means there is only a range of about $10 between new grads and nurses with tons of experience and I think that's sad. We're not getting compensated for our experience and loyalty. In the past 7 years we've gotten 2 raises. We're getting one next month, but those of us at the top of the pay scale are not getting anything, not even a one-time check. And every year our costs go up - our insurance is more expensive, our co-pays, we now have deductibles that we never used to have; there's a spousal surcharge for insurance (eg: my husband has insurance available at his work but opts not to take it and I have him on my insurance, I am charged $46/per paycheck for him).

We miss holidays, birthdays, family get-togethers, school functions and so many other things because we are working. Yes, we make good money, but we work hard! We come home physically and emotionally exhausted. And maybe many of us "only" work 3 days a week, but in those 3 days we put in just as many hours as most people put in in 5 days at their jobs. We don't get benefits when we retire since we're not union, so no insurance, and hopefully we've put enough into our retirement plans.

I love my job, and I can't even imagine doing anything else. I'm always proud to say I'm a nurse.

I've been a Registered Nurse for 21 years in the Midwest. When I started I was making almost $15/hour plus shift differential for midnight shift. At the facility I'm at now I've been at the top of the pay scale for awhile, which is just over $37/hour. So over the course of my career I would say, yes, I am happy with the way my pay has risen. But, the starting pay is now about $27/hour. So that means there is only a range of about $10 between new grads and nurses with tons of experience and I think that's sad. We're not getting compensated for our experience and loyalty. In the past 7 years we've gotten 2 raises. We're getting one next month, but those of us at the top of the pay scale are not getting anything, not even a one-time check. And every year our costs go up - our insurance is more expensive, our co-pays, we now have deductibles that we never used to have; there's a spousal surcharge for insurance (eg: my husband has insurance available at his work but opts not to take it and I have him on my insurance, I am charged $46/per paycheck for him).

We miss holidays, birthdays, family get-togethers, school functions and so many other things because we are working. Yes, we make good money, but we work hard! We come home physically and emotionally exhausted. And maybe many of us "only" work 3 days a week, but in those 3 days we put in just as many hours as most people put in in 5 days at their jobs. We don't get benefits when we retire since we're not union, so no insurance, and hopefully we've put enough into our retirement plans.

I love my job, and I can't even imagine doing anything else. I'm always proud to say I'm a nurse.

I am also in Michigan but work at a union hospital. I make $37.11/hr and my shift diff brings it to $40.17/hr. I have one or two steps left before I'm at the top of the payscale, but the difference is, as long as my union negotiates pay raises I will always get an increase in my hourly rate until I reach the top, and then I will get a lump sum bonus based on a percentage formula which I've forgotten. But even those at the top of the pay scale get an increase with each new contract, assuming that pattern holds with future contracts. We also get loyalty bonuses, I think starting in the 7th year with the corporation.

One minor but important thing I disagree with is that when working 3 days /wk, we only work 36 hours compared to those working a traditional 40 hour work week. I do agree, however, that we work hard for what we get paid. I also think that we don't get paid enough based on how physically demanding the job is, how much responsibility is involved, and what we give up in terms of the weekends and holidays that we miss with our families, not to mention activities at school and sports when our children are young.

One final thing--I don't think any hospitals provide any benefits upon retirement anymore unless you have been grandfathered in with a plan. The closest any come to that is to contribute a certain amount to a 403B which you then must become vested in, but I know of both union and non-union who do that.

Specializes in L&D, Organ transplant Med-surg, surgery,.

Big money. Well in 1980 Reg Nurses made $5.00 an hour. Minimum wage was $1.60 an hour The nurses in California united "a terrible Shame and went on strike Many months, I cannot remember. They held out and Their pay went to Base pay $25 an hour + years of nursing plus specialty areas. average of Patient ratio 5 to 1 Nurse. with assist of CNAs and orderlies (remember those guys) who helped lift and care for over wt Patients, and the severely handicapped 8 hour shifts. freedom to choose days to work. Acuityof Patients was not what is today

Today nurse base pay is $25 an hour with no credit for years of nursing a little more for specialty areas $2-$3 dollars an hour. The Ratio is 10-12 to 1 nurse with 1 CNA no orderlies. 12 hour shifts. Acuity is much higher. Work shifts are mandatory swing at the required CHOICE OF ADMINISTRATION, and all the politics that go with it. You get the shift that you are "fit for"

Even ones vacation is set by "when it is convenient for The hospital Requests for days off are frowned on and denied so many times.

Big money. Well in 1980 Reg Nurses made $5.00 an hour. Minimum wage was $1.60 an hour The nurses in California united "a terrible Shame and went on strike Many months, I cannot remember. They held out and Their pay went to Base pay $25 an hour + years of nursing plus specialty areas. average of Patient ratio 5 to 1 Nurse. with assist of CNAs and orderlies (remember those guys) who helped lift and care for over wt Patients, and the severely handicapped 8 hour shifts. freedom to choose days to work. Acuityof Patients was not what is today

Today nurse base pay is $25 an hour with no credit for years of nursing a little more for specialty areas $2-$3 dollars an hour. The Ratio is 10-12 to 1 nurse with 1 CNA no orderlies. 12 hour shifts. Acuity is much higher. Work shifts are mandatory swing at the required CHOICE OF ADMINISTRATION, and all the politics that go with it. You get the shift that you are "fit for"

Even ones vacation is set by "when it is convenient for The hospital Requests for days off are frowned on and denied so many times.

I agree with the sentiment of your post but you must work for a non-union hospital or other type of facility because everything you said in your last paragraph, with the one exception about acuity being higher, is completely opposite from my experiences at five different hospitals, and one of those was even non-union.

In my opinion they make enough for what they do. There are other staff working the floor and all I ever see is stuff about the nurses. Where I work they are always getting raises, praises, recognition, but that's not true for everyone working in patient care. Very sad...this causes lots of tension between all floor staff. Everyone works hard for patients, nurses, aides, clerks, dietary, evs,etc.,

In my opinion they make enough for what they do. There are other staff working the floor and all I ever see is stuff about the nurses. Where I work they are always getting raises, praises, recognition, but that's not true for everyone working in patient care. Very sad...this causes lots of tension between all floor staff. Everyone works hard for patients, nurses, aides, clerks, dietary, evs,etc.,

Nurses don't get what they get because management wanted to make sure that nurses' pay was fair; they had to fight for it! You sound a little bitter, jealous, or both. If you feel that you don't get the raises or recognition that you deserve as a group then you need to organize and demand more. If you feel that you don't get the recognition you deserve as an individual, you need to look inward first and make sure that you are truly doing what deserves recognition. But I can tell you that if personal recognition and praise are that important to you, you may need to consider doing more or seek another position.

Specializes in geriatrics.

I'd also like to add that given the level of skill required and the educational preparation (many hold Bachelors and Masters degrees, additional specialty certifications), nurses are not paid enough in many areas.

Aides, housekeepers and dietary clerks also have essential roles, but there is no comparison to what nurses actually do. In fact, I can do their job, they cannot do mine.

Yes - welcome to the "middle" of society where you do not qualify for any support and have to pay for all your expenses without the cushion.

True, I have health insurance for example - but I also have to pay for all prescriptions, copays, deductibles .... unlike somebody who receives Medicaid. A nurse who lives in a high cost area can end up in debt easily when there is only one person making the income with kids...

Specializes in Med Surg.

Nursing offers something becoming rare in the US: a decent middle class income.

Whether that implies "rolling in the dough" to someone ain't up to me.