Nine nurses and supervisors were shown the door when they arrived for work at the South Central Kansas Medical Center on Monday after they were laid off. In a letter sent to all employees, administrators laid part of the blame for the cost cutting move on Obamacare. "With the Affordable Care Act being rolled out and many outside forces demanding accountability for improved outcomes and better systems for healthcare, we have to make changes or we will not survive," the letter reads. Seven of the laid off workers were full-time employees. One was part-time and the other was an on-call worker.