I am kind of surprised. No, really surprised at not one response to this topic. As an Illinois nurse, this definitely got my interest. As for mandating change, that is a hard one and not one that I particularly think 'we' will win. At least not until we can pull together as a profession and force this change. It seems that our country has focused mainly on the economy, jobs and to do this, has allowed the few to ban together, form lobbies and get laws changed that only enhances the fiscal economy of owners, CEO's etc. Seems that true focus on patient care, or even good healthcare in general, is not a real thing. Our country woke up to the 'healthcare crisis' by Obama and the new healthcare rules. It is too bad that his initiative was fully formed before passing it into law. But people did start to wake up. Unfortunately, so did those that own/run healthcare facilities. They learned even better ways to continue to make lots of money, but better patient care? No. Not even close. And as for staff, well that got worse for us as well. Add to the fact that Obama was the first African American US president and well, people seemed to only focus on that and instead of watching what new laws were being passed, either sided with or against Obama. Therefore, nobody was paying attention to the new law. Nobody could look past color, research the law and contact their states congressman to get them to hear what was going on. So we are here. The law is ...well, gone. People have even higher insurance rates that prior and are getting less healthcare. Many can't afford the deductables. And I know of 2 hospitals near me that are closing. Another has entire wings shut down. Many, many nurses have lost their jobs. Many more are waiting to hear if their hospital will be closed. So short staffing abounds. Corners being cut on many levels (housekeeping, closing coffee stations and even lunchrooms or shortening their hours). How can we do this? It can't be one area of nursing at one time, then another area of nursing. The people in power just walk right over us. I think WE will have to come up with the solution. Can WE do it? Can we work together...forget about "you have 3 initials after your name but I have 4". Can we forget that one works ER, one ICU, one HH, and another in Hospice, to see the value in each other. The VALUE of our profession, and force real change? I would love to be a part of that. I would love to be able to stand tall, draw a line in the sand that no pencil pusher or Business Management Company or even CEO could argue with KNOWING that all of my fellow nurses are standing right there beside me. In agreement, as professionals, that deserve and require respect and safe working conditions. For us, as well as for patient safety. Ahh, what a dream.