The staffing grids are inadequate. Hospitals refuse to call a staffing agency instead make the nurse manager take a cart. They should be punished. Only got worse under Obamacare. All direct care being done by Lpn's, and RN's are forced to be managers and everything else. Too much work. Takes months to find a job. Millions of foreign nurses. They get beat up.by patients and don't complain, setting up.all nurses. Many healthcare settings with ZERO white staff. Where is the government? Cheap nursing home owners refusing to turn on the ac during a heat wave.