Martha, thanks for the explanation.  I was thinking along the lines that with all the stress from the economy, people would be having more health problems; but what you said makes sense.  Sounds alot like what Carmen(RN) in California was saying a couple months back.  The need is still there, but less qualified people are &quot;handling&quot; it.  <img src="http://www.cruisecrazies.com/community/images/forum/tr-emoticons/sad.gif" style="vertical-align:middle" emoid=":sad2:" border="0" alt="sad.gif" />