re: Defeat the Nurse Practitioner scope of practice expansion - Louisiana SB 187

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We are fighting this bill because we are worried about patients

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And specialists know more than GPs but that doesn't stop GPs from treating patients with comorbidities.

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Not really. Most know a lot about their focused area and not much else. Not even close to comparing apples to apples.

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Exactly. They don't want competition and need the state to protect their profits

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Exactly.


That, or we believe that the practice of medicine should be governed by the State Medical Board rather than creating a division where APRNs are allowed to practice as "independent mid-levels" (a term I admittedly cannot fully comprehend) creating division and "tiers" of care.

They want to practice medicine under a nursing license. I'd be more than happy for them to practice independent if they had to apply for licensing through the LSBME. Standards would be, well, standards.


See, as it stands now, any physician in Louisiana who does any particular thing that falls under any "field" of medicine is held to the standard of a board-certified physician in that field. That means if I perform and bill for a formal chest x-Ray and miss a finding that the average radiologist wouldn't have, I've committed malpractice. To ensure the quality of care remains at a high standard, most of us simply want the people performing it to be adequately trained or overseen by someone who is held to that standard.

Family medicine specialists and internal Medicean specialtists and pediatric specialists know more about FM, IM, and peds than any other Doctor.

I feel the same way about this as I do about optometrist wanting more privileges. If NP's get more scope of practice there needs to be clear cut lines drawn on their limitations. Medical school isn't just some racket where we all went to dick around. It's grueling and competitive for a reason.

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It's an attempt to remove the requirement of supervision for nurse practitioners and to make them autonomous providers of healthcare without completing medical school or residency training

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You sound very butthurt that someone who didn't spend a shitload of money for med school might get to do your job without your supervision. If they can do the job, then I see no reason to bar them from practicing. If they can't, they just won't be successful. If med school made you such a superior practicioner, you should have nothing to worry about.

Not all docs have Nps

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Seriously? Substandard care will lead to more hospital admissions and further burden on the system.

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Not to mention they are way less efficient. Midlevels order waaay more labs, imaging and specialists referrals. And more visits to treat the same complaint. And Cheaper? Not for the pt. Insurance saves money, but it's not passed on.

This isn't an attack on NP's, it's just common sense that they need oversight. And the good ones will continue as is. Only the bad ones that can't find a job or are shady as frick will venture out. Once they get hit with higher malpractice and have to pay their overhead, they will regret that shite. especially when only getting 80-85% reimbursement of physicians and there are many things they don't get paid for at all. It's just an invitation for some bullshite. I don't even live in LA. Do what y'all want.

And take money out of my pockets? No. The desirable pts prefer doctors....good doctors. And the good NP's prefer to have appropriate back-up and limited liability.

The problem is you can't really limit what walks in the door to these "independent mid-levels" independent primary clinics. So Pandora's box is pretty hard to limit

I'm
Not
In
Primary
Care