In 1992, thirty years ago, my wife and I wrote a book called Modern Medicine: What You’re Dying to Know. Our subject was the causes of the high cost of health care. We had a chapter on each of the five factors we believed were contributing to skyrocketing healthcare costs: big business medicine, managed care, health insurance, malpractice—and the manufactured “nursing” shortage. This shortage appeared suddenly with the replacement of team nursing with primary care nursing. With the new role as primary care nurses, nurses became responsible for all care of their assigned patients and hospitals no longer had to employ aids, orderlies, and ward clerks.
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The Nursing Shortage That Isn't
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In 1992, thirty years ago, my wife and I wrote a book called Modern Medicine: What You’re Dying to Know. Our subject was the causes of the high cost of health care. We had a chapter on each of the five factors we believed were contributing to skyrocketing healthcare costs: big business medicine, managed care, health insurance, malpractice—and the manufactured “nursing” shortage. This shortage appeared suddenly with the replacement of team nursing with primary care nursing. With the new role as primary care nurses, nurses became responsible for all care of their assigned patients and hospitals no longer had to employ aids, orderlies, and ward clerks.