i hater what obama did to healthcare. This move is even worse. i spend a good part of my day cleaning up messes made by PAs and NPs. if people want care by PAs (a 2 year program with no clinical experience) or NPs ( a 1 1/2 year program with a whopping 750 horoscope clinical experience) go for it. My colleagues will be here to clean up the mess maybe. i’m retiring as soon as I can.
Then retire already.
Doctors treat symptoms.
Healthcare success is in prevention.
Doctors are inept at prevention, because prevention is largely behavioral. Doctors, like the general public also, are poor at understanding behavior.
Which is why Doctors take the easy path of pill pushers.
Redirect Medicare towards prevention and let the ol’ Docs retire.
Which by itself proves nothing about the percentage of cases in which PAs and NPs make messes.
Yep. Doesn't it take the knowledge and experience of an MD to recognize a combination of symptoms that could be serious? You don't get that with a 2 year degree.
AI technology is on the verge of offering real help here.
Also, I assume that when technician level people (PAs, NPs) get it wrong, they will be responsible. What will THAT malpractice insurance cost?
I have mixed feelings on this. On one hand, independent practice for midlevels will remove the supervisory liability that MDs currently have. Obamacare forced MDs to join large hospital groups, in which they were told part of their job is to supervise midlevels. In my husbands practice, the malpractice lawsuits that did occur in his large group was error by midlevels and the supervisory MD (who had never even seen the patient), also got sued.
However, this will make healthcare worse because midlevels don’t know what they don’t know, and patients will suffer.
Both PA and to a greater extent, NP, rely on MDs for their training after their schooling. MDs need to stop that. If they want to independantly practice, then they shouldn’t rely on MDs to train them.
Question to you. Say I became wealthy-really wealthy. And I offered to pay for your schooling if you agreed to practice in my community, a very small one, for a period of time to pay off my paying for your schooling.
Would you think it a good program to get more into the medical practice?
>> i’m retiring as soon as I can.
An indication of the problem — the Democrat’s ACA disaster.
It’s a new game now with tele-docs, PAs, & NPs. Perhaps the middle bar could be raised a bit to ensure the necessary skills and experience.