Pluralistic: Understaffing as a form of enshittification (23 Mar 2026)


Today's links

  • Understaffing as a form of enshittification: A way to shift value from workers, patients and shoppers to investors.
  • Hey look at this: Delights to delectate.
  • Object permanence: Marvel v "superhero"; What's a photocopier?; "Up Against It"; "Medusa's Web"; AI can't do your job; Coping with plenty; "The Shakedown"; Chickenized reverse-centaurs; France v iTunes; Copyfight discipline; Mystery lobbyists; "Where the Axe is Buried"; Free/open microprocessor; Folk models of computer security; Bug-eyed steampunk mask; Academics embracing Wikipedia.
  • Upcoming appearances: Berkeley, Montreal, London, Berlin, Hay-on-Wye.
  • Recent appearances: Where I've been.
  • Latest books: You keep readin' em, I'll keep writin' 'em.
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  • Colophon: All the rest.


A 1950's pharmacy with a labcoated pharmacist behind the counter. The pharmacist's head has been replaced with the poop emoji from the cover of 'Enshittification,' its mouth covered with a black bar scrawled with grawlix. The pharmacy has been made over to look haunted, with purple mist rising from the ground and cobwebs in the top corners. A CVS Pharmacy sign hangs in the background.

Understaffing as a form of enshittification (permalink)

At root, enshittification can only take place when companies can move value around. Digital tools make it easier than ever to do this, for example, by changing prices on a per-user, per-session basis, using commercial surveillance data to predict the highest price or lowest wage a user will accept:

https://pluralistic.net/2023/02/19/twiddler/

Digital "twiddling" represents a powerful system of pumps for moving value around, taking it away from users and giving it to business customers, then taking it from businesses and giving it to users, and then, ultimately, harvesting all the value for the company's shareholders and executives.

Twiddling is powerful because it's fine-grained, allowing businesses to extract more from their most vulnerable customers and workers, while reserving more equitable treatment for more empowered stakeholders who might otherwise take their business elsewhere.

But long before digitization made twiddling possible, businesses that found themselves in a position to make things worse for their customers and workers without facing consequences were accustomed to doing so. Think of the airport shop that sells water for $10/bottle: that's a ripoff whether you're in coach-minus or flying first class, and it's made possible by the TSA checkpoint that makes shopping elsewhere a time-consuming impossibility.

The airport shop is the only game in town – a "monopolist" in economics jargon. When a business has something you really want (or even better, something you need) and it's hard (or impossible) for you to get it elsewhere, they can take value away from you and harvest it for themselves.

The most obvious forms of monopoly extraction are high prices and low wages. Dollar stores are notorious for this, using their market power to procure extremely small packages of common goods in "cheater sizes" that have high per-unit costs (e.g. the cost per ounce for soap), while still having a low price tag (the cost per (small) bottle of soap). These stores are situated in food deserts, which they create by boxing in community grocers and heavily discounting their wares until the real grocers go out of business. They're also situated in work deserts, because driving regular grocers out of business destroys the competition for labor, too. That means they can pay low wages and charge high prices and make a hell of a lot of money, which is why there are so many fucking dollar stores:

https://pluralistic.net/2023/03/27/walmarts-jackals/#cheater-sizes

That's the most obvious form of value harvesting, but it's not the only one. There are other costs that businesses can impose on their customers and workers. Think of CVS, the pharmacy monopolist that uses its vertical integration with bizarre, poorly understood middlemen like "pharmacy benefit managers" to drive independent pharmacies out of business:

https://pluralistic.net/2024/09/23/shield-of-boringness/#some-men-rob-you-with-a-fountain-pen

If you've been to a CVS store recently, you have doubtless experienced a powerful form of value-shifting: understaffing. CVS (and the other massive chains in the cartel, like Walgreens) have giant stores with just one or two employees on the floor, often just a cashier and a pharmacist.

This makes them easy pickings for shoplifters, so all their merchandise is locked up in cabinets and when you want to buy something, you have to find the lone employee and get them to unlock the case for you. This is CVS trading your time for their wage-bill.

Then, you're expected to check out your own purchases – shifting labor from workers on CVS's payroll to you – with badly maintained machines that often misfire and require you to wait again for that lone employee to come and override them.

Meanwhile, that employee is absorbing a gigantic amount of frustration and abuse from customers who are paying high prices and enduring long waits – another cost that CVS shifts from their shareholders to someone else (workers, in this case).

Finally, CVS demands that publicly funded police respond to the inevitable shoplifting and other security problems created by running a big-box store with a skeleton crew, shifting costs from the business to everyone in the local tax-base.

In "Not Enough Workers For the Job," The American Prospect's Robin Kaiser-Schatzlein looks at the systemic trend towards understaffing that has swept across every sector of the US economy over the past five years:

https://prospect.org/2026/03/19/understaff-workplace-business-covid-cvs-pharmacies-hotels-grocery-stores/

Kaiser-Schatzlein lays the blame for many of life's frustrations at the feet of this business trend: "long lines, messy grocery aisles, organized theft, high hotel costs, frequent flight cancellations, deadly medication errors at pharmacies, increased use of medical restraints in nursing homes, and, more generally, a palpable and rising dissatisfaction with work."

As you can see from that list, understaffing affects everyone, from people with the wherewithal to buy a plane ticket to vulnerable elderly people who are literally tied to their beds or drugged into stupors for the last years of their lives.

There's academic work to support the idea that understaffing is on the rise, like a 2024 Kennedy School survey of 14,000 workers where a majority said that their workplaces are "always" or "often" understaffed. A 2023 study in the Journal of Public Health Management and Practice found that public health institutions need to hire 80% more workers to be adequately staffed. New York's Mt Sinai hospitals paid a $2m fine in 2024 for understaffing its ERs, as well as oncology and labor units. Another study blames understaffing for the rise of use of antipsychotic "chemical handcuffs" in nursing homes:

https://pubmed.ncbi.nlm.nih.gov/35926573/

The hits keep coming: the DoT Inspector General says that 77% of air traffic control is understaffed, with NYC ATC staffed at 54% of the correct level. In Texas, county jails have had to reduce their capacity due to understaffing (they have enough beds, but not enough turnkeys). Understaffing is behind much of the unprecedented union surge, with workers at Starbucks, railroads and elsewhere becoming labor militants due to understaffing. 83% of white-collar millennials say they're doing extra work to make up for vacant positions in their organizations. As Starbucks union organizers can attest, workers need unions if they want to have a hope of forcing their bosses to adequately staff their jobsites, so it's not surprising that understaffing has emerged at a time when union density is at rock bottom.

Kaiser-Schatzlein quotes the Kennedy School's Daniel Schneider, who identifies understaffing as a deliberate business strategy. Businesses don't hire enough workers because that makes them more profitable. It's not because "no one wants to work anymore" (though doubtless repeating that fairy tale helps shift the blame for long lines and poor service from real, greedy bosses to imaginary, greedy workers).

Private equity firms lead the charge here, "rolling up" multiple, competing businesses in a sector and then cutting staffing across all of them. Putting all the businesses in a given sector and region under common ownership means that when these businesses hack away at staffing levels, workers and customers have nowhere else to go. This is especially pernicious at nursing homes, where PE companies drastically reduce headcount, putting staff and patients alike at risk:

https://www.npr.org/sections/health-shots/2023/01/31/1139783599/new-york-nursing-home-owners-drained-cash?ft=nprml&f=853198417

Private equity has just about declared victory in its decades-long war on community pharmacies, consolidating pharmacy ownership nationwide into just a few chains that are the poster-children for understaffing. These ghost-ships aren't just frustrating places to shop – they're a danger to their communities. As Kaiser-Schatzlein reports, Ohio fined CVS in 2021 for boarding up the walk-up pharmacies in its stores and forcing customers to use the drive-through, because there was only a single pharmacist on duty.

Without help, the lone pharmacist was unable to process deliveries, so CVS pharmacies' floors were littered with unopened parcels. Patients had to wait over a month to get their prescriptions filled. CVS refused to hire additional staff to process the backlog, and the on-duty staff worked under declining conditions, as the undermaintained air conditioning quit and indoor temperatures soared. Unsurprisingly, these stores had massive staff turnover, which also hampered their efficiency.

Understaffing in pharmacies leads to serious medication errors, which are proliferating across the US, killing hundreds of thousands of Americans every year. The errors are incredible, like the woman who died after getting chemotherapy drugs instead of antidepressants:

https://www.nytimes.com/2020/01/31/health/pharmacists-medication-errors.html

Pharmacists at chain stores like CVS are at elevated risk for kidney stones because they don't have time for bathroom breaks, so they adopt a practice of not drinking water during their shifts. One CVS pharmacist told Texas regulators, "I am a danger to the public working for CVS."

As ever, covid provides the ideal excuse for shifting value from customers and workers to shareholders. Today's high prices never came down after the "greedflation" that bosses boasted about to shareholders, even as they told customers that it was because of "supply chain shocks":

https://pluralistic.net/2023/03/11/price-over-volume/#pepsi-pricing-power

Likewise, staffing levels never came back from the covid skeleton crews that we all learned to deal with in the days of widespread acute illness and social distancing. Kaiser-Schatzlein spoke to hotel workers like Jianci Liang, a housekeeper at Boston's Hilton Park Plaza, who described a post-pandemic jobsite with 20 fewer housekeepers: "I sleep with pain, I wake up with pain, I go to work with pain." The Bureau of Labor says that hotel staffing levels are down 16% nationwide.

Prices (and profits) are up, though. Hotels are posting record profits and paying record executive salaries, wrung from facilities where the pools are closed and room cleanings happen on alternate days.

Workers absorb the cost of understaffing in their bodies and their psyches. It's not just physical exhaustion, it's also the abuse that is directly correlated with lower staffing levels. Frustrated customers vent their anger at grocery workers, flight attendants and other front-line workers.

I can't help but see a connection here to the AI bubble, which is fueled by the fantasy of a world without people:

https://pluralistic.net/2026/01/05/fisher-price-steering-wheel/#billionaire-solipsism

The billionaire solipsists who have directed hundreds of billions of dollars in AI investment like to rhapsodize about a future where a boss's ideas are turned into products and services without having to be funneled through workers:

https://pluralistic.net/2026/03/12/normal-technology/#bubble-exceptionalism

That's why AI has taken over customer service – the multi-hour waits for a customer service rep were always a way of shifting value from customers and workers to shareholders. Businesses could increase staffing at their call centers. Businesses could offer better products and services and reduce the number of people who need customer service. By refusing to do either, they make you wait on the line until you are suffused with murderous rage, and then expect their workers to deal with your anger. Turning the whole thing over to AI makes perfect sense – your problems won't be solved, and they don't have to pay the chatbot at all when you get angry at it:

https://pluralistic.net/2025/08/06/unmerchantable-substitute-goods/#customer-disservice

"We did this with AI" has become a synonym for "We don't care if this is done well":

https://pluralistic.net/2026/03/11/modal-dialog-a-palooza/#autoplay-videos

"We don't care if this is done well" could well be the motto of the understaffing craze. The technical insights that sparked today's AI investment bubble could have happened at any time, but the ensuing investment tsunami is a product of a world dominated by large firms that are "too big to care" about the quality of their products – or their jobs.

Hey look at this (permalink)


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Object permanence (permalink)

#20yrsago Marvel Comics: stealing our language https://memex.craphound.com/2006/03/18/marvel-comics-stealing-our-language/

#20yrsago MPAA/RIAA/BSA: No breaking DRM, even if it’s killing you (literally!) https://blog.citp.princeton.edu/2006/03/08/riaa-says-future-drm-might-threaten-critical-infrastructure-and-potentially-endanger-liv/

#20yrsago Coping with plenty – stuff gets cheaper, space gets pricier https://www.theguardian.com/business/2006/feb/28/retail.shopping

#20yrsago France will let Microsoft play iTunes http://news.bbc.co.uk/2/hi/technology/4828296.stm

#20yrsago A new discipline to describe the copyfight https://web.archive.org/web/20060422010702/https://www.nyu.edu/classes/siva/archives/002930.html

#20yrsago Right-wing think-tank hates DRM https://www.cato.org/policy-analysis/circumventing-competition-perverse-consequences-digital-millennium-copyright-act#

#20yrsago Reasons to take math in high school https://web.archive.org/web/20060610134055/http://www.acm.org/ubiquity/views/v7i11_math.html

#20yrsago Sun ships free and open microprocessor https://web.archive.org/web/20060221112756/http://opensparc.sunsource.net/nonav/index.html

#20yrsago Octavia Butler scholarship will send people of color to Clarion https://web.archive.org/web/20060406161412/https://carlbrandon.org/butlerscholarship/

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#15yrsago Tim Wu in the Guardian https://www.theguardian.com/technology/2011/mar/17/the-master-switch-tim-wu-internet

#15yrsago Up Against It: smart, whiz-bang space opera pits astro-bureaucrats against rogue AIs https://memex.craphound.com/2011/03/18/up-against-it-smart-whiz-bang-space-opera-pits-astro-bureaucrats-against-rogue-ais/

#10yrsago Howto: start a fire with a lemon https://www.youtube.com/watch?v=Bv2vT665bGI

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#10yrsago Apple engineers quietly discuss refusing to create the FBI’s backdoor https://www.nytimes.com/2016/03/18/technology/apple-encryption-engineers-if-ordered-to-unlock-iphone-might-resist.html

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#10yrsago Meet the Commercial Energy Working Group, a lobby group that won’t say who it lobbies for https://web.archive.org/web/20160320150011/https://theintercept.com/2016/03/20/mysterious-powerful-lobbying-group-wont-even-say-who-its-lobbying-for/

#5yrsago Support Amazon workers today https://pluralistic.net/2021/03/20/against-amazon-union-busting/#what-rhymes-with-bezos

#5yrsago Department of Truth https://pluralistic.net/2021/03/20/against-amazon-union-busting/#dot

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#5yrsago Aviation bailout cost $666k/job https://pluralistic.net/2021/03/18/news-worthy/#aa

#5yrsago Impunity for NYPD cops who brutalized BLM protesters https://pluralistic.net/2021/03/18/news-worthy/#nypd-black-and-blue

#5yrsago Help news, not news-barons https://pluralistic.net/2021/03/18/news-worthy/#big-news

#5yrsago Announcing "The Shakedown" https://pluralistic.net/2021/03/19/the-shakedown/#monopsony

#5yrsago Chickenized reverse-centaurs https://pluralistic.net/2021/03/19/the-shakedown/#weird-flex

#1yrago You can't save an institution by betraying its mission https://pluralistic.net/2025/03/19/selling-out/#destroy-the-village-to-save-it

#1yrago AI can't do your job https://pluralistic.net/2025/03/18/asbestos-in-the-walls/#government-by-spicy-autocomplete

#1yrago Ray Nayler's "Where the Axe Is Buried" https://pluralistic.net/2025/03/20/birchpunk/#cyberspace-is-everting

Upcoming appearances (permalink)

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Recent appearances (permalink)


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Latest books (permalink)


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Upcoming books (permalink)

  • "The Reverse-Centaur's Guide to AI," a short book about being a better AI critic, Farrar, Straus and Giroux, June 2026 (https://us.macmillan.com/books/9780374621568/thereversecentaursguidetolifeafterai/)

  • "Enshittification, Why Everything Suddenly Got Worse and What to Do About It" (the graphic novel), Firstsecond, 2026

  • "The Post-American Internet," a geopolitical sequel of sorts to Enshittification, Farrar, Straus and Giroux, 2027

  • "Unauthorized Bread": a middle-grades graphic novel adapted from my novella about refugees, toasters and DRM, FirstSecond, 2027

  • "The Memex Method," Farrar, Straus, Giroux, 2027


Colophon (permalink)

Today's top sources:

Currently writing: "The Post-American Internet," a sequel to "Enshittification," about the better world the rest of us get to have now that Trump has torched America (1034 words today, 54661 total)

  • "The Reverse Centaur's Guide to AI," a short book for Farrar, Straus and Giroux about being an effective AI critic. LEGAL REVIEW AND COPYEDIT COMPLETE.

  • "The Post-American Internet," a short book about internet policy in the age of Trumpism. PLANNING.

  • A Little Brother short story about DIY insulin PLANNING

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