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[Susan notes: This succinct, matter-of-fact application of the school reform model to medicine is great.]

Published in Los Angeles Times

To the editor

I have the solution to the nursing shortage:

Reduce funding to all public hospitals so they can no longer afford to buy proper medical equipment.

Raise the nurse-to-patient ratio to make it nearly impossible for nurses to give patients the required attention.

Make nurses responsible whenever a patient dies, regardless of lifestyle factors, (i.e., smoking, diet), disease, age, income and heredity, or whether a patient listens to medical advice.

Put nurses on a merit pay system where their rate of pay is determined by their patients' health. Test living patients yearly to determine their healthfulness. Deaths or unhealthiness among patients will result in a pay and status reduction for the nurse.

These sure-fire techniques will definitely boost the health and well-being of all patients in California hospitals. It's working for our schools, isn't it?

Amy Freeman, Teacher

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