The healthcare industry is seeing a slow but steady stream of job losses almost everywhere. Medicare is cracking down. They're limiting patient readmits within 30 days of previous hospital/clinic discharge. Medicare refuses payment so the hospital eats the bill. Medicare is reducing procedure and provider reimbursements (pay). Medicare is cutting reimbursements for durable medical equipment so families are left scrambling for dwindling medical equipment sources. Etc...
The sequester is driving some of it. In the end, hospitals and clinics can't afford to keep staff. And some hospital departments are closing (ER, OB/GYN, and pediatric). And some hospitals are closing and/or merging. The same issues are happening with home health, hospice, and durable medical equipment companies. Docs are getting out of the business or eliminating medicare patients. Of course that reduces office staff.
Maybe it's all just right sizing. No doubt there's a healthcare bubble out there. Healthcare is broken and taxpayers continue to get ripped off.
What will finally push people to the streets. There's so many issues today but still no hint of a ground swell.