One of the huge issues - when jobs were local, people Could "jump" when called
I'll use Marty for an example - He lives in Bucks PA, and works a lot in NYC - even if he wanted to, he couldn't respond
It's a HUGE issue. I know a lot of Vols/former vols (aged out/Med out) who had the issue of working 90+ minutes from home. Doesn't leave a lot of responders during the day