A January 2025 report from Groundwork Collective documents how increasingly nurses in the USA are hired through gig apps – "Uber for nurses” – so nurses never know from one day to the next whether they're going to work, or how much they'll get paid. There's something high-tech going on here with those nurses' wages. These nursing apps – a cartel of three companies, Shiftkey, Shiftmed and Carerev – can play all kinds of games with labor pricing. Before Shiftkey offers a nurse a shift, it purchases that worker's credit history from a data-broker. Specifically, it pays to find out how much credit-card debt the nurse is carrying, and whether it is overdue. The more desperate the nurse's financial straits are, the lower the wage on offer. Because the more desperate you are, the less you'll accept to come and do the gruntwork of caring for the sick, the elderly, and the dying.
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