I am working for the biggest system in NC. We struggle to hire the right people in specific areas. We do not lay off or fire people based on age. We do have standards to make sure each person is competent. Reality is that we have a lot of older and incompetent pharmacists on staff who we will never get rid off due to fear if negative publicities.
Another system across the city fire their people every few years to keep people on their toes. Last time they fired clinical pharmacists to pay for the Epic upgrades. Laying off is not a hospital thing, it is more geared toward specific system operational directions. Most of the decent system will not let go of people who are simply older. Everything is based on budget, so 2% wage increase is budgeted that no one gives a damn.
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