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For the past five years the media have been confirming a shortage of registered nurses (Registered nurses) in the United States. This lack is most severe for hospitals, in western and southwestern says, in New England, as well as for specialized advanced practice nurses. Estimates of average Accelerated Nursing vacancy rates at private hospitals range from 10.Two percent to 13 percent, with one out of seven hospitals reporting more than 20 percent.

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Ravitch pulls no punches but is not a pessimistic doomsayer. Ravitch is right that our students need basic skills in literacy and numeracy but then says, wisely, “but that is not enough.” But I think the evidence is that testing can come much closer than Diane Ravitch admits. From my point of view this is a straw man. First, doctors would find ways of lowering temperatures (alcohol rubs, etc.) without improving underlying conditions. But even if temperature figures were not to get gamed in this way, any improvement in fever scores could not reasonably be interpreted as improvement in the overall health of the patients.

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