The effects of various factors — market forces — the merger of hospitals — technological advances — on the employment of health care personnel – especially nurses – is discussed. Issues include job qualifications, job postings, pay practices, mandated overtime, and the end of the shortage of nurses. Director Sackman (Nurses Union) asserts that health care management has been utilizing the least costly persons, irrespective of their qualifications, to the detriment of patients. Attorney Aure asserts that affects are not as dire as portrayed; that what is sought is the best use of the best provider of service in the most economical fashion. The usefulness of tripartite arbitration panels is noted.