He began by noting that he is known for coining the term "enshittification" about the decay of tech platforms, so attendees were probably expecting to hear about that; instead, he wanted to start by talking about nursing. A recent study described how nurses are increasingly getting work through one of three main apps that "bill themselves out as 'Uber for nursing'". The nurses never know what they will be paid per hour prior to accepting a shift and the three companies act as a cartel in order to "play all kinds of games with the way that labor is priced".
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