re: I hate our healthcare system and PAs/NPs

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In every profession there are people that are good at what they do and people that are bad. The initials behind the name doesn't guarantee a quality product. It only means that they have completed the bare minimum to be licensed in their feild.

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Agreed. Also, the MD or DO is delegating certain tasks/pt populations/visits to their mid level providers that they are comfortable delegating. The mid level should be properly trained by the same doctors that you are wanting to see in the first place. If you don't trust that the MD has delegated the tasks correctly, you should seek a second opinion because ultimately the supervising physician is the boss. Obviously there are certain diagnoses that need MD counsel and treatment, but honestly a lot of the mid levels see the most common conditions more than the MDs on a daily basis, because the MDs concentrate on the harder cases/surgeries/cosmetics(at least in derm).