Hacker News new | ask | show | jobs
by kermatt 107 days ago
I come from healthcare staffing.

Contracts were heavily affected by cuts in federal programs that are critical to some rural regions, and uncertainty caused by inconsistent messaging about the future of such programs. Some areas are very dependent facilities that can only survive with public funding.

For example in nursing categories, CNOs (Chief Nursing Officers) would be requesting more staff, but CFOs would block those requests due to changing budget forecasts. The unpredictability of the fed is causing chaos downstream.

There is also a continuing trend to "realign" staff levels post-COVID, but that now is much easier to forecast for compared to the political chaos. In 2026 healthcare, that would not be a reason for attrition at these levels.

1 comments

Thank you. Is there a good reason this is showing up now versus in the 2025 data?
The cuts didn't happen the moment OBBB was passed on July 4 (ew). Here's a timeline:

https://www.kff.org/medicaid/implementation-dates-for-2025-b...

It looks like some of the big ones landed Jan 1 2026.

I can't speak to the time frames for the article, but I know that the current administration and its policies had a significant negative impact on our business across CY2025.

I ran the team that maintained our business analytic data, and was also on weekly calls where feedback from our clients about the situation was discussed. There was direct correlation between uncertainty and both a decline in new job postings, as well as a lack of renewing existing job contracts.

When comparing our numbers to those of our publicly traded competitors, all the data showed the same trends.

Not everyone was laid off immediately in the government. Some people were given 6 months notices, etc. Then the local authorities started to discuss the gap in their budgets. In my town they stopped hiring first and then they decided to cut some positions starting from 2026.
I'm in publicly funded mental health...federal cuts are starting to cause states & counties to either immediately slash what CBOs thought was solid funding for essential services, or to let us/them know to expect significant cuts starting in the next fiscal year.
I don't see why we should believe any of the data in the first place. At best, I assume good people have been let go and proper procedures are falling by the wayside. At worst, it is being manipulated (even perhaps incompetently).
Reality tends to be inconvenient.