If it isn't financial, there's another problem, enough help to care for patients.  Nursing vacancy rates are still well above the national average.  In Los Angeles, some students are sent to Mexico for training where the cost is about half of what it is here in the US for training and there is also offshore training in the Caribbean available, but is this the answer?  BD 

Maryland hospitals continue to grapple with a shortage of health care professionals to fill jobs, according to a study released Wednesday by the Maryland Hospital Association. Vacancy rates for physician assistants, occupational therapists, speech therapists and respiratory therapists soared above 15 percent in 2007. Vacancy rates for respiratory therapists showed the greatest increase at nearly 20 percent, up from about 14 percent in 2006.

Md. hospitals battle shortage of physician assistants, therapists - Baltimore Business Journal:

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