re: SB 435 would allow advanced practice nurses to not work under a physician

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Would be interesting to see how much lower the standard of care is in the 20 or so states where NPs have full autonomy vs states where they are restricted by the collaborating physician agreement. Are patients getting that much better treatment in Utah (because the NP is under a physician) as opposed to Arizona, Colorado, or Nevada, where the NP is able to practice without the physician oversight

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Do you have a reliable way the test this? I think the burden of proof should be on the NPs to prove they are competent.

If so much less training is required to be competent why don’t we just create an excellerated track through medical school if you want to do primary care?

I think physician oversight is more about catching mistakes and bad practice patterns over time. Also having a MD to ask questions if you need them or send difficult cases. It’s a stop gap for the looney tunes NPs that would get through, just like there are looney tunes MDs. I don’t see why that is a bad thing. You would have to show me that there would be tremendous cost savings with independent NPs to justify that. And it’s just not true.