Is Nursing the Surefire New Path to American Prosperity?

In an April 1, 2026 article in the Wall Street Journal titled “Nursing Is the Surefire New Path to American Prosperity”, author Jeanne Whalen writes that;

“Factory work used to be Americans’ most reliable ticket to the middle class. Office jobs offered another dependable route. But as automation, globalized manufacturing, and now artificial intelligence threaten or narrow some of these paths, healthcare jobs have become the surest bet. At a time of uncertainty in the labor market, nursing offers not only stability but, for some, a pathway to real prosperity.” (emphasis added)

And:

Factory work used to be Americans’ most reliable ticket to the middle class. Office jobs offered another dependable route. But as automation, globalized manufacturing, and now artificial intelligence threaten or narrow some of these paths, healthcare jobs have become the surest bet. At a time of uncertainty in the labor market, nursing offers not only stability but, for some, a pathway to real prosperity.” (Emphasis added)

Ms. Whalen relates Miranda Mammen’s story:

“Miranda Mammen became a licensed practical nurse after earning a community-college diploma. Later, she went back to school for a bachelor’s in nursing and worked in an emergency room during the pandemic. Four years ago, she got her doctorate and became a nurse practitioner.

With each step, the 33-year-old has boosted her pay and responsibilities. These days she is working at a primary-care clinic in Lincoln, Neb., earning about $120,000 a year. She conducts annual physicals, treats respiratory illness and abdominal pain, and manages chronic conditions.

She and her husband, a garage-door technician, own a three-bedroom home, contribute to their 401(k)s, and are taking their child on a trip to Florida this summer.

“We don’t really have to worry about getting our bills paid,” Mammen said. “That definitely takes away the stress of the economy that I know a lot of people are experiencing.”

Ms. Whalen writes that now:

“The median annual wage for registered nurses in the U.S. is $93,600, compared with $49,500 for all occupations, according to the Labor Department. For nurse practitioners and others with advanced degrees, it is $132,050.”

and that:

“Healthcare has generated some of the most consistent job growth of any U.S. profession since the early 1980s, thanks to soaring healthcare spending and the aging population. Total jobs in the industry overtook those in the manufacturing and retail sectors in the early 2000s, and the gap has continued to widen since then, according to an analysis of federal data released by the University of Chicago

The sector was the largest source of job creation in the U.S. last year, as many other industries cooled or contracted. That trend continued in January, though employment in the sector dropped in February, partly because of nursing strikes in New York City and elsewhere.

and that:

“Gone are the days when nursing was confined to the provision of basic care and feeding. More than two-thirds of registered nurses these days have a bachelor’s degree, while others with graduate degrees can prescribe medication, deliver anesthesia, and handle primary-care visits.”

COST FACTORS

Ms . Whalen also writes that:

“Insurers and healthcare companies have pushed to move more care out of the hospital and into the hands of lower-cost providers, allowing nurses to perform more work previously reserved for physicians. The Affordable Care Act of 2010 turbocharged demand by expanding medical insurance to millions more Americans.

Loyola’s nursing school has grown in recent years to keep up with demand, said Lorna Finnegan, the dean. Last year, it enrolled 305 freshmen in its bachelor of nursing program, up from about 200 a few years earlier, and it aims to admit 400 a year once a new building opens. About 13% of registered nurses in the U.S. last year were men, up from 8% in 2005according to the Labor Department.

“Nursing, I think, is really recession proof,” Finnegan said. “We have an aging population. We have growing chronic illnesses in our population. We also have healthcare expanding outside the hospital.”

DOWNSIDES:

Ms Whalen also writes:

“The downsides of the job are also real. Night shifts, weekend duty and long days caring for physically and emotionally fragile patients can lead to burnout. The pandemic was especially tough on many, contributing to a steep drop in the registered-nurse workforce in 2021, studies showed. Those ranks rebounded in 2022.

2024 survey of 800,000 U.S. nurses by the National Council of State Boards of Nursing found that among those planning to leave the profession within five years, 41% attributed that to stress and burnout, second only to retirement. Thousands of nurses in California, Hawaii and New York City went on strike early this year to protest staffing shortages and push for higher wages.( Emphasis added)

CONCLUSION

I agree with Mar’i Fox who said:

““We’re exposing ourselves to these different infections…And, oh my goodness, bodily fluids,” said Mar’i Fox, a 28-year-old hospital nurse in Chicago who earns about $80,000 a year. She appreciates the job’s pay and stability and is currently saving to buy a home with her husband. Ultimately, though, she chose nursing because she felt a calling to care for others, she said.” (Emphasis added)

““I think nursing, and medical professions in general, you have to have a connection to something that will keep you beyond the money,” she said. “Because if you don’t, you won’t survive.”

I myself knew I wanted to become a nurse since I was 5 and read the Golden Book “Nurse Nancy” and knew I wanted to become a nurse. I became an RN in 1967 and worked in critical care, dialysis, home health, and oncology until I retired at 65. I took care of my parents at the end of their lives and later helped friends and their parents as a volunteer.

What I learned and felt was worth more than any salary!

Share this:

Customize buttons

Physician Group Opposes Youth Gender Transition Surgery— Plastic surgeons support waiting until patients are at least 19 years old

In a stunning February 3, 2026 Medpage article “Physician Group Opposes Youth Gender Transition Surgery” by Kristina Fiore, Director of Enterprise & Investigative Reporting, MedPage Today reports:

“For the first time, a major U.S. physician group has recommended against gender transition surgeries for youths.

On Tuesday, the American Society of Plastic Surgeons (ASPS) sent a position statement to its 11,000 members recommending against gender-related breast/chest, genital, and facial surgery until a patient is at least 19 years old.”

and

ASPS said its understanding has evolved in light of “additional comprehensive evidence reviews” on gender dysphoria, including an HHS report that was issued last May. Both the HHS report and the U.K.’s Cass Review concluded that the “natural course of pediatric gender dysphoria remains poorly understood,” according to the position statement.

“The HHS report underscores that this uncertainty has significant ethical implications: when the likelihood of spontaneous resolution is unknown and when irreversible interventions carry known and plausible risks, adhering to the principles of beneficence and non-maleficence … requires a precautionary approach,” the statement said.

ASPS emphasized that its advice comes in the form of a policy statement, not a clinical practice guideline, given the “current state of the evidence and variability in legal and regulatory environments.”

It also advised its members to “remain aware of state laws concerning transgender and gender-diverse individuals that may impact their practices,” as many states have banned gender-affirming care in youths.

The ASPS statement comes just a few days after a jury in New York awarded $2 million to a patient who had accused her psychologist and plastic surgeon of failing to obtain adequate consent before performing a double mastectomy on her when she was a teenager. It’s the first malpractice verdict against providers of youth gender care.” (Emphasis added)

She also writes that:

“The position statement breaks with other major medical associations in the U.S., most notably the American Academy of Pediatrics (AAP) and the Endocrine Society, which support gender-affirming care. It’s also a departure from ASPS’s past stance in 2019, which was that gender surgery can help patients improve their mental health, according to the Washington Post.

The American Medical Association said in a statement that it supports evidence-based treatment, including gender-affirming care. The association agreed with ASPS in part, but stopped short of saying surgeries should be deferred to adulthood in all cases.

“Currently, the evidence for gender-affirming surgical intervention in minors is insufficient for us to make a definitive statement,” the group said in a statement. “In the absence of clear evidence, the AMA agrees with ASPS that surgical interventions in minors should be generally deferred to adulthood.”

However,

“The World Professional Association for Transgender Health (WPATH), which develops standards of care for transgender patients globally, reiterated its support for access to surgical care for minors under “cautious guidelines and criteria.”

The group’s guidelines oppose a “definitive age or ‘one-size-fits-all’ approach for every patient.” Decisions should be case-by-case, based on the evaluations of multiple types of health experts and experts in adolescent development.

“WPATH stands firm in its commitment to advancing evidence-informed clinical guidelines to help improve the lives and well-being of transgender people around the world,” the group said in a statement.

and:

“AAP president Andrew Racine, MD, PhD, said his organization “does not include a blanket recommendation for surgery for minors” with gender dysphoria. “The AAP continues to hold to the principle that patients, their families, and their physicians — not politicians — should be the ones to make decisions together about what care is best for them.”

Fewer than 1,000 children under age 19 receive gender surgery in the U.S. each year, and the vast majority of those cases are mastectomies, according to a 2023 cohort study.

CONCLUSION

As the Medpage article states:

Nonetheless, the Trump administration has been cracking down on gender-affirming care in the U.S., through the HHS report, as well as through proposed CMS rules that would prohibit hospitals from performing gender surgeries for people under 18 as a condition of participation in Medicare and Medicaid programs.

HHS issued a press release supporting the ASPS position statement, with Secretary Robert F. Kennedy Jr. congratulating the group for “standing up to the overmedicalization lobby and defending sound science.”

CMS Administrator Mehmet Oz, MD, also applauded the move: “When the medical ethics textbooks of the future are written, they’ll look back on sex-rejecting procedures for minors the way we look back on lobotomies. I applaud the American Society of Plastic Surgeons for placing itself on the right side of history by opposing these dangerous, unscientific experiments.”

This will continue to be a hot topic.

What do YOU think?

Share this:

Customize buttons

Two States Are Facing Challenges in Death Decisions Regarding Death Determination Errors and Assisted Suicide

Delaware and Kentucky are facing challenenges to lasws r4gatding end of life deicisions.

In Kentucky, Thaddeus Pope in his January 29th blog Death Determination Errors Addressed in New Legislation states:

“The goal in death determination is 100% accuracy: zero false positives. So, it is regrettable that we need legislation to address roles and responsibilities when a patient who was determined and declared dead is not dead. But we now have such legislation. 

Kentucky H.B. 510 provides that “during any organ donation recovery, preservation, or procurement activity … a pause in procedure shall be initiated if any individual … reports on any of the following: (1) Observed or suspected change in neurological status; (2) Observed or suspected indication of life; or (3) Uncertainty regarding the accuracy or completeness of neurological status or death declaration assessments.” (Emphasis added)

The goal in death determination is 100% accuracy: zero false positives. So, it is regrettable that we need legislation to address roles and responsibilities when a patient who was determined and declared dead is not dead. But we now have such legislation. 

Kentucky H.B. 510 provides that “during any organ donation recovery, preservation, or procurement activity … a pause in procedure shall be initiated if any individual … reports on any of the following: (1) Observed or suspected change in neurological status; (2) Observed or suspected indication of life; or (3) Uncertainty regarding the accuracy or completeness of neurological status or death declaration.”

And in Delaware, a lawsuit has been filed by several disability organizations and others, after the bill was signed by the governor and took effect January 1, 202. the plaintiffs state that:


  1. Delaware’s End of Life Options Act, 16 Del. C. § 2501C, et seq. (“EOLOA” or the
    “Act”), is scheduled to go into effect on January 1, 2026 (or as soon as final regulations are in
    place), and will allow providers, including Advanced Practice Registered Nurses (“APRN”), to
    prescribe drugs—not to alleviate pain or suffering—but to cause the death of the patient and
    intentionally facilitate suicide.

  2. Plaintiffs, people with life-threatening disabilities and organizations that represent
    and advocate for people with life-threatening disabilities, belong to a class of protected individuals
    who are at imminent risk of harm if the Act is allowed to go into effect. To protect themselves
    from this fast-approaching threat, Plaintiffs bring this action to stop Defendants, government
    officials, from putting in place this deadly and discriminatory system. The Act—if allowed to go
    into effect—will steer people with life-threatening disabilities away from necessary lifesaving and
    mental health care, medical care, and disability supports, and toward death by suicide under the
    guise of “mercy” and “dignity” in dying.

  3. Throughout the country, a state-endorsed narrative is rapidly spreading that threatens people with disabilities: namely, that people with life-threatening disabilities should be directed to suicide help and not suicide prevention. This world view is being touted as a common-sense objective: people who have life-threatening disabilities should be able to readily obtain physician-assisted suicide. At its core, this is discrimination plain and simple. With cuts in healthcare spending at the federal level, persons with life-threatening disabilities are now more vulnerable than ever.

  4. EOLOA’s passage is clear and present danger to people with life-threatening
    disabilities in Delaware. Persons who are identified as “terminal”—i.e., people with life-threatening disabilities- are able to obtain assisted suicide. The new law does not require any evaluation, screening, or treatment by a mental health professional for serious mental illness, depression, or treatable suicidality, all of which could are necessary for informed consent and a
    truly autonomous choice, before the lethal prescription is written. The provider need not have
    expertise with the patient’s specific illness or condition and need not be trained on mental health
    symptoms or side effects associated with the patient’s illness or treatment. While the provider is
    supposed to discuss “feasible” alternatives to suicide, including available treatment options and
    the foreseeable risks and benefits of each, the provider is not required to do anything to help the
    patient obtain access to these frequently difficult to obtain services, nor are insurers required to
    cover them.
  1. Assisted suicide under EOLOA violates federal disability rights laws and the U.S.
    Constitution’s Equal Protection clause, which protects people with disabilities from discrimination,
    exclusion, and life-threatening state action. Under federal law, a public entity may not withhold
    services or make services available on unequal terms based on disability. EOLOA, however, does
    just that. EOLOA is offered to people with life-threatening disabilities. Not only is this facially
    discriminatory, it also places persons with disabilities in a much more vulnerable position.

The lawsuit makes several other important points. I suggest anyone concerned with this issue read them all, especially those of us fighting assisted suicide laws.

Forgiveness is a Decision, Not a Feeling

I was shocked when I turned on the tv September 10, 2025 and saw the assassination of Charlie Kirk, the founder of Turning Point USA, on September 10, 2025 debate while speaking at Utah Valley University on the first stop this fall of his “The American Comeback Tour,” which invited students on college campuses to debate hot-button issues.

I admired the 31-year-old’s efforts to engage college students and others in open and respectful debate about some of the most divisive issues roiling politics today.

As Emily Standley Allard wrote for MSN:

“(h)e built a political platform that resonated deeply with young conservatives while provoking equally strong opposition from progressives.

Kirk presented himself as a combatant in America’s culture wars, speaking directly to students, churchgoers, and millions of podcast listeners about what he considered existential battles over freedom, faith, and America’s future. “

Since then, his wife, Erica Kirk, has become the head of Turning Point USA while raising their two young children.

Erica Kirk’s Response to Her Husband’s Murder

As The Hill reported:

“I’ve had so many people ask, ‘Do you feel anger toward this man? Like, do you want to seek the death penalty?” Kirk said. “I’ll be honest. I told our lawyer, I want the government to decide this. I do not want that man’s blood on my ledger.”

Kirk reiterated that message during her eulogy on Sunday. The 36-year-old received a lengthy standing ovation when she was called to the stage, and was emotional throughout her remarks.”

“Erika Kirk, the widow of Charlie Kirk, said Sunday that she forgives the man accused of killing her husband.

“On the cross, our savior said, ‘Father, forgive them. For they do not know what they do.’ That man. That young man. I forgive him,” Erika Kirk said at her husband’s memorial, with her voice softening and tears streaming down her face.

“The answer to hate is not hate,” she said. “The answer we know from the Gospel is love, and always love.”

CONCLUSION

Erica Kirk’s forgiveness of her husband’s killer shocked many people, but I understand the power of forgiveness.

In 1983, we lost a daughter with Down syndrome and a severe heart defect, and my husband had a breakdown and was hospitalized several times.

I thought he was getting better, but in 1987, my three children and I returned home from church, and he was gone. I discovered that he had taken all our money and fled to Illinois.

Our 10-year-old son was devastated and said, “I will never forgive him!”

I told him that he will and he must. He was shocked and asked me if I could forgive him.

“I already have”, I told him.

I explained that forgiveness is a decision, not a feeling, and that refusing to forgive his father would hurt him more. Faith and forgiveness would heal all of us.

It was a difficult time for all three children with a divorce, selling our house, moving to another home, and the children going to new schools- not to mention my having to go back to working as a nurse because Missouri did not cross state lines to enforce child support.

However, I did allow the children to visit with their father with a guardian supervising.

I was so happy when my son eventually told me that he was starting to feel forgiveness in his heart! He was healing!

Although my ex-husband never got better mentally and eventually died, we visited him in his last days, and that was a blessing for all of us!

Thank you, Erica Kirk, for your example of faith and forgiveness!

Share this: