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In this economic climate, people cannot work for less than it costs to live. Nurses are voting with their feet and taking work that makes economic sense. Ergo, if they cannot keep rural ER’s staffed, then the pay is just too low.
The employment landscape is a free market as well. If you cannot pay the wages it demands, you cannot complain about the lack of applicants.
As long as we don’t buy used, because large-scale milspec equipment is sold as used for a reason. Good hardware is used until it is scrapped or boneyarded as a source of parts. Consistent lemons are sold off before their operational lifespans end, and are not boneyarded for parts.