I forgot the incredible lack of promotions. Whatever job title you get is probably the one you’ll have on retirement day. There’s not much of a pyramidal power structure, and everybody is a lifer. The person above you might retire or die once a decade or so, then you’re competing with the other 30 people.
Agreed. I have a sister who has an RN, and been in the field for almost 20 years now. She became the head nurse over pediatrics at a major hospital back in the 90’s. Well, the rest of the nurses went on strike for a pay raise, and under the new deal, to get the extra money (in my sister’s case, it would have been about 100K, rather than 80k), she’d have to give up her seniority. She took the 20k “Paycut” (actually just stayed the same, and wouldn’t get raises like the rest), because she’d start back at the bottom again, and she didn’t want to start the competition all over again.
Not to mention that in a hospital setting, nurses tend to treat newbies like $HIT!
Keep in mind that liberals want to unionize all health care workers. So, even if there might not be room for promotions, it would work like teachers where they get increases in salary based on seniority.