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re: Defeat the Nurse Practitioner scope of practice expansion - Louisiana SB 187
Posted on 5/14/16 at 12:11 am to WashRSkins
Posted on 5/14/16 at 12:11 am to WashRSkins
I will go over what he said and I don't think anybody should ever practice medicine independently without completing medical school coursework. How on earth is that an outrageous idea or somehow unreasonable? We got what was promised - a fundamentally transformed America - took 8 years but here we are
1
Posted on 5/14/16 at 12:12 am to Hopeful Doc
Well then I didn't realize that. Either way I'm not disagreeing with you. I agree more hours of training and clinical work is necessary but I didn't write the bill.
I also agree that some of these NPs/DNPs are way crazy with this shite and need to take a step back and remember their role in healthcare. It should be a team effort.
I also agree that some of these NPs/DNPs are way crazy with this shite and need to take a step back and remember their role in healthcare. It should be a team effort.
Posted on 5/14/16 at 12:14 am to WashRSkins
If you like your doctor...you can keep your doctor....
wrong thread??
wrong thread??
Posted on 5/14/16 at 12:15 am to WashRSkins
It's not just more hours. It's like 10x as many hours that's needed at least. And there's other problems like the lack of medical knowledge from the difference in coursework
Posted on 5/14/16 at 12:15 am to LATigerdoc
Are you responding to me? I feel like I'm agreeing with you but what I'm saying is not clear. I don't think anything that was said was outrageous.
Posted on 5/14/16 at 12:16 am to Jimmy2shoes
No it's all related. A lot of what's coming thru in primary care right now is an effect of Obamacare and med students being afraid sometimes to go into primary care
Posted on 5/14/16 at 12:17 am to WashRSkins
I usually just click respond on the last comment. I think the 2000 hours is way off is all I meant
Posted on 5/14/16 at 12:23 am to DuppyConqueror84
quote:
Then I think about the several sales reps I know around my age who don't have a college degree (much less any medical training whatsoever) but are pulling in 6 figures to stroll into the OR lounge and hand out the brochure of the latest total hip from Striker.
Device reps can be douches but if you can't get a pharma rep job (what I have done for 20 years) without a college degree, I seriously doubt you will find a Stryker rep without one.
I have never met a rep in any area of HC (pharma, device, equipment, DME, home health, hospice, facility) without a college degree. Not once in 20 years.
Posted on 5/14/16 at 12:23 am to LATigerdoc
There is a reason people get their doctorate. Why is this even up for debate?
Posted on 5/14/16 at 12:31 am to More beer please
Naming your degree a doctorate, donning a long white coat, and lobbying to independently manage primary care diseases is deceptively portraying oneself to the public as a primary doctor
Posted on 5/14/16 at 12:41 am to LATigerdoc
Really can't see how it's hard to see this. It's trying to appear to be a doctor without doing the prerequisite work
Posted on 5/14/16 at 12:52 am to LATigerdoc
Ok fine then I am sure are ok with your paralegal taking care of your legal issues right?
You cool with your dental assistant doing all of your dental work?
Want your bookkeeper taking care of your taxes?
You cool with your dental assistant doing all of your dental work?
Want your bookkeeper taking care of your taxes?
This post was edited on 5/14/16 at 12:57 am
Posted on 5/14/16 at 8:52 am to BamaChick
quote:
I have never met a rep in any area of HC (pharma, device, equipment, DME, home health, hospice, facility) without a college degree. Not once in 20 years.
As for the pharm reps, I agree with you. I've never met a pharm rep that didn't have a degree. And actually many of them I have encountered worked as nurses before becoming reps. Should have stated that in my previous post.
But I personally know 3 ortho device reps who don't have college degrees. I believe at least one maybe two of them work for Stryker. The other I can't remember who he works for, but its one of those big name ortho device companies. Surely the vast majority of them at least have college degrees, but these dudes I know do not. And they don't do shite and make over 200K. In my PGY-6 year, I may hit 60K! Hell yeah!
I'm not saying this to argue that I should be making 200K as a resident. I went into this knowing what I was signing up for.
Healthcare professionals need to take back control of our industry. Why is it that the discussion about healthcare reform is always between two options? Its always universal government-run healthcare vs private insurance-run healthcare? frick both of them. We need to kick them both out and captain this ship ourselves. Cutting out these middle-man leeches could save shittons of money in healthcare.
But maybe we need a new thread for this discussion.
Posted on 5/14/16 at 9:18 am to LATigerdoc
My apologies LATigerdoc, for continually getting off topic in this thread. But the issue with this bill is just a symptom of the fundamental problem with our healthcare system. Middle men leeches (government and insurance companies) are at the helm. Issues like this wouldn't exist if physicians and other providers had more control of our industry.
If this bill is defeated, which hopefully it will be, it will only be a temporary fix. Just like slapping on a bandaid. Doctors are outnumbered in this. We are seen as money-grubbing assholes that just want more money, make patients wait too long in the waiting rooms, and don't spend enough time with the patients once they actually get in front of us. The funny thing that no one understands besides those in the industry, is that the physicians aren't the ones responsible for the rising healthcare costs. Its the government and insurance companies!
Ultimately it will come down to who is louder and tugs at the politicians' heart strings more effectively. The best way to do that under our current system is to say "I can provide this service for less money." The politicians making these decisions don't give a shite about who is more qualified. All they see is dollar signs and budgets.
The government and insurance companies need to be removed from the control room. Years from now, we could all look back and say the solution to the American healthcare crisis was born on tigerdroppings.com. RTR.
If this bill is defeated, which hopefully it will be, it will only be a temporary fix. Just like slapping on a bandaid. Doctors are outnumbered in this. We are seen as money-grubbing assholes that just want more money, make patients wait too long in the waiting rooms, and don't spend enough time with the patients once they actually get in front of us. The funny thing that no one understands besides those in the industry, is that the physicians aren't the ones responsible for the rising healthcare costs. Its the government and insurance companies!
Ultimately it will come down to who is louder and tugs at the politicians' heart strings more effectively. The best way to do that under our current system is to say "I can provide this service for less money." The politicians making these decisions don't give a shite about who is more qualified. All they see is dollar signs and budgets.
The government and insurance companies need to be removed from the control room. Years from now, we could all look back and say the solution to the American healthcare crisis was born on tigerdroppings.com. RTR.
This post was edited on 5/14/16 at 9:21 am
Posted on 5/14/16 at 9:48 am to LATigerdoc
For triage and family medicine/non-specialty purposes you get pretty much the same thing from an NP and MD. Antibiotic, steroid shot, further testing,etc. Most people attending a family practice are seeing NPs already. And if you think the 'oversight' is rigorous guess again.
Posted on 5/14/16 at 10:29 am to LATigerdoc
Who is pushing such a heinous thing? I'm all for accountability when it comes to doctors, and there are plenty of doctors who would add in exams/procedures amongst questionable data, but still, I don't think this is even close.
Posted on 5/14/16 at 11:56 am to Upperaltiger06
My solution for this whole issue which is solving shortage of primary care providers especially in rural areas.
1) Return to the days of requiring RN work experience prior to be accepted into an NP program. No more green nurses.
2) Require oversight of a collaborative physician until NP has X (8-10,000) number of hours of clinical experience under a collaborative physician.
3) Somehow limit the scope of which an NP can practice.
I understand both sides of the argument. But all things aren't black or white. There is some grey area here and the challenge is finding a balance that is best for the consumer/patient in all areas.
1) Return to the days of requiring RN work experience prior to be accepted into an NP program. No more green nurses.
2) Require oversight of a collaborative physician until NP has X (8-10,000) number of hours of clinical experience under a collaborative physician.
3) Somehow limit the scope of which an NP can practice.
I understand both sides of the argument. But all things aren't black or white. There is some grey area here and the challenge is finding a balance that is best for the consumer/patient in all areas.
Posted on 5/14/16 at 12:07 pm to DuppyConqueror84
quote:
The government and insurance companies need to be removed from the control room.
this is somewhat ironic
licensing is a controlling move by government. reducing licensing is "removing the control room" from government
quote:
Doctors are outnumbered in this. We are seen as money-grubbing assholes that just want more money, make patients wait too long in the waiting rooms, and don't spend enough time with the patients once they actually get in front of us. The funny thing that no one understands besides those in the industry, is that the physicians aren't the ones responsible for the rising healthcare costs. Its the government and insurance companies!
let me just say that i believe in the free market. i don't think doctors are "money-grubbing" and i respect doctors. allowing free people to make their own decisions and form their own opinions isn't some terrible thing to me. that's how free markets work
Posted on 5/14/16 at 12:08 pm to LATigerdoc
quote:
It's trying to appear to be a doctor without doing the prerequisite work
shouldn't we allow the people to decide their opinions of what "a doctor" means to them?
Posted on 5/14/16 at 12:10 pm to sostan
quote:
There is some grey area here and the challenge is finding a balance that is best for the consumer/patient in all areas.
what is so terrifying about letting the market sort out this balance?
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