My job was eliminated two days ago...as a direct result of the changes in reimbursement to hospitals due to health care reform that was signed into law during the Obama years. The reduction in federal spending is resting heavily on Medicare and Medicaid (CMS) cost cutting measures. When a hospital has approximately 40 - 50% of its patients' care reimbursed by CMS, those cuts begin to hit close to home for nurses. With more than 35 years' experience as a Registered Nurse, I was too expensive to keep, even when my job was to maximize reimbursement. Nurses Announcements Archive Article