So sorry to hear that Karen!
Not to be a Pollyanna (you know, those stories about the little girl who always saw the "bright side" of everything) but keeping his job for a year, might give him some opportunities to look for a new job in your area, before the paychecks stop coming in?
My wife Marsha teaches at NYU, and things are getting pretty tense there too, with the recession and all, but enrollment is actually up, apparently with people losing their employment, a good number of them are going back to get the degrees they couldn't get when they were working.
I'm thinking of this current economic situation as a real challenge to "hang in there" for a while, there are some signs that we are possibly on the bottom of it, and in my opinion this country has infinitely better leadership than it did a few months ago-
I hope this won't affect your plans to go to the Mayo clinic?