[Eumenes]

> Generally, if there is a staffing shortage it’s because of a deeper issue (safety, pay, reputation, etc) temps are expensive and brought in by administrators kicking and screaming.

There's a national shortage and the deeper issue is unclear (most likely to do with nurses taking care of increasingly sick and mentally unwell people, coupled with pay that's "not worth it"). These temps aren't brought in "kicking and screaming" either because they make the choice to be a contractor, and make a very good rate (its a good lifestyle if you don't need the benefits/job security , the cash pay can be 2-3x that of salaried staff).