I am French (and now American too);I started as an RN in Maryland 12 years ago. I was sponsored by JOHNS HOPKINS HOSPITAL.I had a 3 years contract. I did 2 years and then paid off what I owed. Then I worked in several hospitals across the country for 10 years; there were jobs for RN all over the place. I am now in MIAMI, in 2013 and despite my extensive experience and outstanding resume, I have unexpected hard times to find a job in the MIAMI area as a recovery RN. Despite the fact that I am nurse anesthetist in FRANCE, they just gave me the equivalence of an RN diploma arguing that my education is hospital based and not university based. Therefore I am in the process of getting my associate and then bachelor. I always get A's and my GPA is 4. I must say that the college level in USA is appalling .I feel like an engineer at the primary school. I also worked with BSN nurses and I have to say that most of them are not glowing by their wit, medical knowledge, critical thinking, and problem solving capacity. In fact you cannot really tell the difference between BSN,ADN, or diploma nurse not mentioning LPN that are sometimes even smarter than BSN's. Hospitals who display "BSN preferred" are often wealthier hospitals that can afford higher pay rate for their nurses and better working conditions. This is where the alleged discrepancy in hospitals care outcomes comes from, not from the ratio BSN/ADN or diploma. On the other hand experience is paramount. A good analogy would be an experienced pilot in an old plane versus a newbie in a brand new jet...who would you like to fly with?