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A comment on Report: 90% of nurses considering leaving the profession in the next year. Parent comment

Re:Report: 90% of nurses considering leaving the profession ... by hnick on Wednesday April 27, 2022 @10:38PM (#31188209)
One place I worked, was a Big Company providing overpriced services to other Big Companies. There were loads of low skilled IT workers, taking too long, making mistakes. Adding a BA and/or PM to drive every project when a competent dev could've done it solo a few years ago. But when you keep getting issues, you keep adding process and now every job is 1000+ hours.

But eventually the work got done and we kept getting work because Big Companies buy from other Big Companies. You're not going to risk tendering to a 3 man office who gets it done faster, cheaper, better because if it doesn't happen questions will be asked. Unfortunately there are a lot of talented small businesses out there but they just don't get the work due to this.

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Re:Report: 90% of nurses considering leaving the profession ... by WalterBright on Wednesday April 27, 2022 @11:52PM (#31188547)
Do that enough, and Big Corp gets overtaken by a smaller, nimbler company that does better. See the book "The Innovators Dilemma" for one aspect of this.
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Re:Report: 90% of nurses considering leaving the profession ... by hnick on Thursday April 28, 2022 @03:53AM (#31189841)
Which Big Corp though? The provider or the consumer? The dilemma is, this all feels like a bit of a Boy's Club where they all agree to just help each other and ignore the little people. Not always formally, it's just how things work out. They have an interest in maintaining the status quo and ignoring upstart-startups.

Of course, eventually yes it's impossible to ignore the value gap. But I've seen companies threaten to leave but keep paying the bills for many years because in a big company, it's not really anyone's problem in particular and it's easier to just keep going along to get along. One example we had was B2C email communications, there are so many cheaper more capable players out there but they just got us to do it because we did other stuff for them.

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Re:Report: 90% of nurses considering leaving the profession ... by WalterBright on Thursday April 28, 2022 @01:49PM (#31195729)
> this all feels like a bit of a Boy's Club where they all agree to just help each other

Come on. They often try to sue each other out of business, get the government to declare competition illegal, "cut off their air supply", "knife their baby", etc.

> because we did other stuff for them

There you go. Not because of the goodness of their hearts.

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Re:Report: 90% of nurses considering leaving the profession ... by scaramanga on Thursday April 28, 2022 @01:04AM (#31188945)
Not if they are competent at building moats.
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Re:Report: 90% of nurses considering leaving the profession ... by WalterBright on Thursday April 28, 2022 @01:36PM (#31195530)
Big Companies today are not the same Big Companies of yesterday. There is constant churn at the top. The ones at the top today are all newish companies.
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