Why Is the U.S. Perpetually Short of Nurses?

Generally speaking, those who are qualified to teach and train nurses can make more money by actually working as nurses.

.. Academics describe the nursing workforce as “countercyclical,” meaning that nurses tend to enter the labor market when the overall economy is doing poorly, and to leave the market when the economy is better. One reason for that pattern, according to the authors of the N.E.J.M. article, is that the nursing workforce consists overwhelmingly of married women. Registered nurses “who were not working or were working part-time may rejoin the workforce or change to full-time status to bolster their household’s economic security,” they write.

Republicans Should Reform Obamacare, Not Repeal It

The Republican presidential candidates have reacted to the latest court case by recommitting themselves to Obamacare repeal after a Republican victory in 2016. They are thereby transforming the coming election from a debate over the Obama record—and over the Hillary Clinton agenda—into a stark referendum on universal health coverage.

.. More than 80 percent of those who have gained coverage under the ACA were pleased with the coverage they got. Everything we know about voters tells us that they are much more motivated to protect something they already have than to vote to gain something new.

.. Riling those voters is especially unwise for a party that does best when voter turnout is low. In off-year elections, when participation drops below 40 percent, Republicans dominate. As voter numbers rise, Republicans find it harder to compete.

.. Yet even delayed, the mandate has become a major disincentive to the employment of less-skilled workers.

.. The ACA is here to stay. Its core principle of universal coverage is welcome. Its working mechanisms—regulated private markets plus Medicaid expansion—are consistent with conservative thinking. Its details, however, are troublesome and cry out for tough-minded reform to control costs, emancipate local governments, and end the fiction that the top 1 percent can pay the medical bills of all of American society.

Tom Catena: Only Doctor in Southern Sudan

Dr. Tom Catena, 51, a Catholic missionary from Amsterdam, N.Y., is the only doctor at the 435-bed Mother of Mercy Hospital nestled in the Nuba Mountains in the far south of Sudan. For that matter, he’s the only doctor permanently based in the Nuba Mountains for a population of more than half a million people.

.. Dr. Tom acknowledges missing pretzels and ice cream, and, more seriously, a family. He parted from his serious girlfriend when he moved to Africa, and this is not the best place to date (although hospital staff members are plotting to introduce him to eligible Nuban women as a strategy to keep him from ever leaving).