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A Medical Care Employment Crisis in Five Pictures

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49 comments on A Medical Care Employment Crisis in Five Pictures

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Looking at the above chart it’s likely difficult to clearly spot a problem. But there’s big one lurking. 

Curiously, one of the problems is easier to spot on a long-term chart. 

Health care and Social Assistance Employment Since 2000

Nursing and Residential Care stands out like a sore thumb. It turns out that at least one segment of health care is not recession proof (or at least covid proof). 

Even still, the overall strength of the sector masks the magnitude of the problem. Let’s stop for a moment and look at the components .

Health Care and Social Assistance Components  

  1. Ambulatory Health Care Services: NAICS 621
  2. Hospitals: NAICS 622
  3. Nursing and Residential Care Facilities: NAICS 623
  4. Social Assistance: NAICS 624

The first three categories compromise Health Care. Together with Social Assistance they make up the broader Health Care and Social Assistance category as per the BLS Health Care Category Assignments. 

Healthcare and Social Assistance Four Components

Distribution of Losses 

Healthcare and Social Assistance is down 728,000 jobs (3.5%) but 426,000 of them are in Nursing and Residential Care and another 204,000 in Social Assistance.

Healthcare stand alone (not including Social Assistance) is down only 3.2%.

Percentage Declines 

  • Health Care: -3.2%
  • Health Care and Social Services: -3.5%
  • Ambulatory Care: -0.1%
  • Hospitals: -1.8%
  • Social Assistance -4.8%
  • Nursing and Residential Care: -12.6%

Nursing and Residential Care Employment

Strength in Ambulatory Care and Hospitals totally masks a huge crisis in Nursing and Residential Care and a smaller crisis in Social Assistance. 

Demand in these area is high and rising. Yet, throughout the entire Covid recession and recovery Nursing and Residential Care employment has fallen. 

That means you cannot pin this on vaccine requirements. 

Employment in the sector fell another 37,000 in September from 2.991 million to 2.954 million. Perhaps some of that is vaccine related.

What kind of care do you think those in nursing homes are receiving? 

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Mike Shedlock

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Zardoz
Zardoz
2 years ago
My wife is a nurse, and reports a big increase in angry whackjobs.  Denying they have covid, saying the hospital gave them the Covid they came in with, demanding horse dewormer and various other snake oil BS… basically acting like tantrum toddlers who think they got their MD from reading BS on the internet. It’s already a hard job when people are thankful for being helped.  The healthcare corps all treat their employees like crap, and often won’t even hire a security guard.
 
My sweet, feminine wife has a Taser and a baseball bat in the car, and another taser in her purse, and has been after me to teach her how to handle a gun so she can get a carry permit. 
Tough to hire for a job like that.
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numike
numike
2 years ago

“The meaning of life is that it ends”

― Franz Kafka

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whirlaway
whirlaway
2 years ago
It is not a labor shortage.  It is a wage shortage, and a shortage of workers’ rights.   
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RonJ
RonJ
2 years ago
Reply to  whirlaway
LOL.
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whirlaway
whirlaway
2 years ago
Reply to  RonJ
Well, consider the costs.   Gas, auto payments, lunch, daycare for the kids…  and on and on, vs. the wages.   A working person at minimum wage could easily be facing a negative cash flow.    On top of that, workers in the retail and restaurant sectors, already treated like dirt by the customers, now face the added risk of being attacked or even killed by customers over face masks etc.   It is just not worth it for the workers.  It has been like this for years, if not decades, but now it is so damn obvious.
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RonJ
RonJ
2 years ago
Reply to  whirlaway
You are stuck on minimum wage, as if one works for minimum wage always and forever. I worked for post production companies and we did not work for minimum wage in the industry jobs. Minimum wage is a starting wage for people with no skill.
Face masks do not prevent transmission of Covid-19 virus. People know that Fauci and company are Gaslighting them. People also know that early outpatient treatment was the key to fighting Covid, and are fed up with the public health agency vaccine totalitarianism that has cost many lives and many jobs over the last 18 months. I read yesterday, that 20% of people have run through their savings because of the Covid lockdowns. Totally unnecessary. Dr. Zelenko proved that by April, 2020.
The positive studies on Ivermectin keep piling up, yet i keep hearing the absolute lie that there is no proof that it works against Covid, Sanjay Gupta repeating it, yesterday. The people running the Covid show, don’t care about our lives. They care about controlling our lives. This has to stop.
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whirlaway
whirlaway
2 years ago
Reply to  RonJ
OK, let’s see how things go when we don’t have enough workers with “no skill” then.
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whirlaway
whirlaway
2 years ago
Reply to  RonJ
And, whether skilled or unskilled, if the numbers don’t add up i.e. money spent to earn the wages > wages earned, then there will be a labor shortage.   Guaranteed.
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Zardoz
Zardoz
2 years ago
Reply to  RonJ

I guess when you make 30k a year, 60 seems like incredible wealth.  

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Mike 2112
Mike 2112
2 years ago
4 ICU nurses quit today at my wife’s hospital north of NYC. All vaxed. All unhappy with the staffing shortages made even worse by the suspension of unvaxxed nurses.
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RonJ
RonJ
2 years ago
With whatever other employment issues are going on beneath the surface, it is stupid to be firing medical people because they refuse to get Covaxxed.
The vaccines do not prevent transmission of Covid, so they will not protect hospital personnel or patients from contracting it.
A number of medical people have had Covid and are naturally immune at this point. They are subject to vaccine injury by being forced to take something they don’t need.
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KidHorn
KidHorn
2 years ago
Reply to  RonJ
The current administration will never admit they were wrong about anything.
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RonJ
RonJ
2 years ago
Reply to  KidHorn
Not just the administration, the public health agencies. It is totalitarianism and they don’t care who gets hurt in the process.
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LukeHartwig
LukeHartwig
2 years ago
Reply to  KidHorn
Current Administration? 
Since when has any administration “admitted they were wrong” with any of their policies?
Entrenchment
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Zardoz
Zardoz
2 years ago
Reply to  KidHorn
Did any of the prior ones?
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Zardoz
Zardoz
2 years ago
Reply to  RonJ

If you can’t get your head around why you need to be vaccinated to work with sick people, you should be pushing a broom. Stupid jobs for stupid people.

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Six000mileyear
Six000mileyear
2 years ago
My grandfather didn’t need elder care. He died at age 82 of a heart attack while feeding his cattle.
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oee
oee
2 years ago
Where are the Robots? I am sitll waiting for  them to take our jobs…Not! 
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davebarnes2
davebarnes2
2 years ago
Article in today’s WSJ that speaks partially to this.
4.3 Million Workers Are Missing. Where Did They Go?
Many economists expect the shortage to last years, and some think it could be permanent
“Participation has fallen broadly across demographic groups and career fields, but has dropped particularly fast among women, workers without a college degree and those in low-paying service industries such as hotels, restaurants, and child care.”
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Mish
Mish
2 years ago
I am on the road with a terrible internet connection. The posts I did today were scheduled yesterday. This is the first I have been able to see comments even though I can sometimes post.
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Greenmountain
Greenmountain
2 years ago
Reply to  Mish
Life In rural America.  But no need to upgrade internet.  We live here so just suffer.
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Jackula
Jackula
2 years ago
Reply to  Mish
Soon you will be able to get mobile Starlink woo hoo!
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caradoc-again
caradoc-again
2 years ago
I’m thinking recession is close, tightening into that will be temporary as a possible blow off top into New Year leads to a nasty sell-off. Something along those lines.
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anoop
anoop
2 years ago
the system is now so corrupt that all data are meaningless.  crisis can be manufactured in the news at will.  prosperity can be manufactured in the news at will.
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Greenmountain
Greenmountain
2 years ago
Reply to  anoop
Obviously you have not needed medical care in the last 6 months.  It is real!
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KidHorn
KidHorn
2 years ago
Reply to  anoop
Particularly at CNN.
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Webej
Webej
2 years ago
huge crisis in Nursing and Residential Care
How do we know there is a huge crisis.
Maybe they just need way less staff after so many of these people were struck down by the Covid crisis?
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TexasTim65
TexasTim65
2 years ago
Interesting that the drop happens approximately when excess deaths among the old age started ramping up in earnest.
I think there are close to half a million excess deaths now since the start of the pandemic. They aren’t all nursing home patients of course (or even those with private nurses in their own home) but you have to imagine a big majority of them are since that’s the age group being ravaged by Covid deaths.
Perhaps the lower employment in that area is partially explainable because there are fewer old age people to care for.
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Call_Me
Call_Me
2 years ago
Reply to  TexasTim65
Be mindful that it’s also when extreme isolation set in.  Being in an assisted care facility is challenging, but add on loneliness while being confined to your dormitory room for months on end and it is detrimental to one’s health.  Along with suicides and drug ODs (in general population) it is a contributing factor to the mortality delta – SARS Covid-2 isn’t the only factor in play.
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KidHorn
KidHorn
2 years ago
Reply to  TexasTim65
Covid sped up the death of a lot of people 80+. I suspect we’ll see a corresponding drop in deaths over the next couple of years.
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Eddie_T
Eddie_T
2 years ago
A few points.
These jobs are the absolute bottom of the barrel in healthcare. Nursing homes and home health eldercare are largely corporate now, and the pay scale for these jobs is very low compared to all other areas in healthcare. The level of training is low, and the level of care has always been less than great…now it’s getting worse.
Nursing homes are weird. They have private patients who pay a lot….and Medicaid patients they have to take care of for peanuts, Like hospitals, this creates a situation where the better-off get overcharged to cover the shortfall on the government-pay patients.
The people who take the jobs in these places are exactly the kind of people who are scared to death to get vaccinated, but also among the most likely (or were until lately) to be exposed to COVID at work. Most of them have limited skills anyway, and so any other job might look better than the one they have.
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Casual_Observer2020
Casual_Observer2020
2 years ago
Reply to  Eddie_T
It is hard to believe they are so poorly trained and yet some think they are equivalent to doctors. 
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KidHorn
KidHorn
2 years ago
Reply to  Eddie_T
Medicare pays 80% for 100 days for hospice. They can only provide palliative care. Some have medigap coverage for the other 20%, but most don’t. After that you’re out of pocket 100%.
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Carl_R
Carl_R
2 years ago
I have a friend with two children. One is 16, and works at McDonalds. The other is 25, and is an RN. The 16 year old makes $18/hr. The 25 year old makes $12/hour.
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Casual_Observer2020
Casual_Observer2020
2 years ago
Reply to  Carl_R
Where does the RN live ? 
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Carl_R
Carl_R
2 years ago
Reply to  Casual_Observer2020
Washington state. Her prior job was in a long term care facility, but she just quit and will be starting a new job next week. I don’t know what her new pay rate is.
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Carl_R
Carl_R
2 years ago
Reply to  Carl_R
I checked with the parent. The nurse is still taking classes for the RN, so she is a lower pay grade. Her new job? For now, she took the 50% increase, and is working at McDonalds with her brother.
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ILHawk
ILHawk
2 years ago
Reply to  Carl_R
What part of the story did you leave out?  RUSSIA can work as a private aid if they want.
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mrusa
mrusa
2 years ago
Acceptance of anything besides the vaccines nullifies their emergency status which is why the media/pharma (owned by same 6 corps) any treatment besides vaccinations.
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tbergerson
tbergerson
2 years ago
Interesting to see that the decline predated the vaccine requirements.  Of course the requirements by individual hospitals and clinics started way before the imbecile Biden’s dangerous and evil mandates.  So maybe not

The
silencing of voices on Ivermectin is the greatest scandal of our time
and rises to the level of Crimes Against Humanity.  By our medical
establishment, who in ignoring it have committed these crimes.  By
Regime Media, whose lies have allowed it to remain unforced by that
establishment, and hence they are complicit in these crimes.

Watch Dr Campbells videos about it (first saw those in a comment here).  It is amazing his videos are
still on the very evil Youtube.  He is very careful to phrase things in
such a way they havent so far.

The only contraindicator I have seen is a Yahoo News article about
Brazils experience with it in which several doctors have claimed no
effect.  I am waiting to see that confirmed or refuted.  link to news.yahoo.com.  Posted by one of the evil clown pharma paid trolls here also

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Call_Me
Call_Me
2 years ago
Reply to  tbergerson
If ivermectin were accepted as a valid early treatment in the U.S., then the emergency use authorizations for the vaccines would be rescinded, leading to the theory of why there is so much of a fight against it in the U.S..  Y’all not being horses and the Rolling Stone article are the most ludicrous examples that come to mind, but too much of the population is more interested in sloganeering than actually following science.
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FrankieCarbone
FrankieCarbone
2 years ago
Reply to  Call_Me
36% of the planet uses it and it wiped out COVID in the most populous province in India with one of the lowest vax rates. You don’t know what you are talking about. 
And your premise is NAIVE. 
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FrankieCarbone
FrankieCarbone
2 years ago
Reply to  Call_Me
I have 3 STEM degrees and a dissertation short of a PhD. Want to go toe-to-toe on “science”? 
You have no right to opine on “science” unless you can demonstrate basic proficiency in the discipline. 
So, you talk the talk. Can you walk the walk? Let’s go. I’ll even give you first order at the podium. Tell me what is unscientific about the efficacy of Ivermectin and include your sources. 
BTW, ONLY scientific papers are allowed. News trash does not count as “science” nor does an op-ed from someone with letters next to their name. 
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Webej
Webej
2 years ago
Reply to  FrankieCarbone
Credentialed but ignorant. Argue the matter at hand.
A want of knowledge that could only result from reading many books.
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Zardoz
Zardoz
2 years ago
Reply to  FrankieCarbone

Science? These circus midgets think critical thinking is something you do in an emergency situation. Arguing with them is like trying to teach a fish to play piano. It’s fun to kick them and hear them squeal though.

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Call_Me
Call_Me
2 years ago
Reply to  FrankieCarbone
Clearly not much to discuss, since reading comprehension didn’t come along for the ride in your “STEM” degrees.  What I wrote is factual in that the EUAs for the vaccinations were approved due to the alleged lack of alternative treatments.  I referenced two rather preposterous episodes in U.S. popular culture that were used to denigrate the drug’s use as an early intervention treatment.  What are you attempting to take issue with?
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Webej
Webej
2 years ago
Reply to  tbergerson
the decline predated the vaccine requirements
The decline in Jan 2021 antedated any material effect from the vaccines by weeks/months.
Not surprising, since the decline in Apr/May 2020 was spontaneous.
Together with the so-called second wave in the South, completely parallel to a hundred years seasonal pattern or respiratory disease prevalence (in the US a double hump b/c it encompasses different geographies).
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Jackula
Jackula
2 years ago
Reply to  tbergerson
Right there with you on Dr Campbell, best reviewer of Covid data I have found bar none. It’s nice to find an actual buttoned down scientific approach being taken while leaving to viewer to make their own conclusions from the data.
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KidHorn
KidHorn
2 years ago
Too soon to tell what the effect of vaccine requirements will be on employment numbers.
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