Not central in the new system. Restructuring cuts them out. Nurses are forced to have a more political, systemic analysis of the new system. They will be the strongest champions of fundamental change and quality issues. They have to be.
Quality is their way to get in new system.
Other health professionals also are at risk. Mental health professionals. New system doesn't recognize, pay them. They have to fight to be accepted in new system, and fight to change new system. They use regulatory and reform movement to define treatment options.