Our facility was hit this week with lay offs. Since we are a small hospital and most of the industry in our area has closed this has been difficult for those who lost their jobs and those who kept their jobs. For those people who have been saying that health care is recession proof, wake up. Hospitals across the country are down sizing and closing, I fortunately still have my job but I am not sure for how long. I pray for all of us in this country that things improve but I think it will take at least 18-24 months till we see any major change.