You and I know they buy cheaper gear,quit scheduled calibration,cut corners on sterilization,push housekeeping to the point of poor cleaning,reduce the number of labs allowed,change air filters less,suddenly expired meds can be used,increase residents pt load,decrease number of x-rays allowed.A thousand ways.Hospital gets more funding because they have to hire"outside".By the time admin scatters cost and cost cutting throughout the system,user is paying more money for less service.Ethics takes a backseat every time.I retired 3 years ago.