Gladys and Dani discuss the nursing workforce and the impact of an overemphasis on symptom management. Gladys explains the importance of nurses looking upstream to find the root cause of problems in the workforce. She argues that nursing is reducing itself to a series of tasks and ignoring other important factors like job growth, autonomy, recognition, and pride in work. Gladys also discusses the impact of contract labor on nursing, and how nurses could follow the lead of physicians and set up their own practice groups to increase flexibility and specialization.