Hi NJNursing! I'm currently in the philippines studying to be a nurse (hopefully!) I've also been in the US a number of times (before I started nursing, mind you ^.^) and I can honestly say that the nursing shortage in the US is much worse than what I've seen in other countries (Japan, China & Philippines) One important point, a lot of American nurses leave the profession quite early, usually after staying less than ten years. Of course, it might be that they decided to pursue another career, had children, etc but it's also because they work too many hours. The pay is quite good but after working 3p-11p with an extension 11p-7a kind of shifts, it would certainly burn out anyone, even the healthiest nurses. On the other hand, other nurses work hard to get to the US (for the pay!) and they are willing to work long hours & endure night duties just to improve their lot in life, myself included... ^.^