Cherie Taylor, CEO at Northern Rockies Medical Center in Cut Bank, Montana, currently has four Filipino nurses on her staff. The rural health facility employs a total of 12 full-time registered nurses, which includes 10 floor nurses and two nursing administrative positions. “We have a national registered nurse shortage and all the U.S. nurses cannot fill the vacancies,” Taylor says. “Thank goodness a lot of baby boomers are hanging on and not retiring, or we would be in a national crisis right now.” Taylor adds NRMC might be recruiting a fifth Filipino nurse if she can’t fill her last RN vacancy with a nurse from the U.S. Shelby Schools Superintendent Elliott Crump knows first-hand about the teacher shortage in Montana. The Montana Office of Public Instruction reported 638 full-time openings in the state’s “difficult or hard to fill” teaching positions in 2016-17 and Crump’s school district had four of them. When no qualified applicants from Montana — or anywhere else in the United States — applied for those jobs, he started looking outside the United States and ended up hiring four teachers from the Philippines.