The author is a travel nurse who has worked in various hospitals in the US. Every hospital she's worked in shares a fundamental operating flaw. Moving between hospitals gives her a unique perspective on American health care. Hospitals appear different on the surface, but often operate under the same pressures. Hiring travel nurses puts a strain on hospital budgets due to higher hourly rates and agency fees. This forces hospitals to prioritize short-term employees over long-term hires. The rotation of travel nurses affects the continuity of patient care, especially for chronic diseases. Patients may feel a lack of personalized care and suffer from the absence of long-term relationships with staff.