you really want to get into this? i look at things from a economics standpoint. And see our current medical care as unsustainable (and studies prove it as such) which was the entire outlay for obamacare. So from a business, or national standpoint. There is no choice but to cut the medical profession. Also if you put our economy in a pie chart, and cover it for the last fourty years. you will see that financial industries and medical has grow disproportionately to all other segments. Money has been flooding into these sectors. Money that isn't really there and cant continue. it throw the entire economy off balance. As the noose tightens, hospitals respond. They consolidate, lay off, encourage lower cost employees. Part of why there is so many off shoots of nursing, two years instead of four year requirements, cna, crna, cma, lpn, and the newest is what falls between a cna and a lpn, i cant remember the name of it but they are infiltrating quick because it is a one year or less program. The field has grown and people flock to it. Because lack of economy in other areas they have to do something. But from a hospital standpoint, consolidate, layoff, have nurses fill in for doctors, have the less than nurses fill in for the nurses. cut costs. They have to too, because too much money is going out the door and they know what is coming. Insurance companies are fighting over payouts, the country is running in debt, and the economy is bleeding paying for the most expensive healthcare system in the world. Not to mention overuse. The amount of people going to the hospital and taking up time for the dumbest reasons (wahh i have the sniffles) is astounding. That being pounded on heavy now. End of life care is big now too, that we realized that is the most expensive part of a persons care. The pondering if it is really worth five hundred k to keep someone alive for another year even if they are miserable.
The money just really isn't there, a lot of what is there is being wasted. Expect serious streamlining. It is the only part of the economy that hasn't gone through as such and it is significantly overweight.