"Obama said he would strengthen the middle class and introduce immigration reform"

Thus BBC Radio Four on the State of the Union address. 

Given that "immigration reform" is Newspeak for "legalise the illegals and invite their friends and family", it seems unlikely the middle class will be strengthened.

The wealthy class, very probably.

Some Start To Get It ...

Well, it only took between 400 and 1,200 deaths at a single hospital, but it's starting to get through :

"When I asked people who worked, or had worked, in the NHS what they thought had caused the biggest changes in nursing care, nearly all of them mentioned something called Project 2000. This was a new system introduced in the early 1990s, which moved the training of nurses out of hospitals and into universities."

I blogged the remarkable change to nursing training in 2003, having seen the results first-hand when the caring nurses on my dying mother's ward made it plain that they didn't want to have to take her to the toilet, and having seen the set texts when my wife took a 'back to nursing' university course after a career break.

"... until relatively recently many nurses believed that nursing is best carried out when based on instinct, intuition and empathy, elements that make up 'the calling' ... such an approach ...has since come in for considerable criticism."

Thus 'Nursing Models and Nursing Practice' by Peter Aggleton and Helen Chalmers, recommended by university lecturers throughout the land . You can't say that criticism's not been taken to heart.