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

Posted on 5/14/16 at 10:44 pm to
Posted by beauchristopher
Member since Jan 2008
73769 posts
Posted on 5/14/16 at 10:44 pm to
Wow this has 47 pages!

I don't really care if a NP has an expanded role. More options seem nice. It's up to the patient to determine which route to go. I do like options.

A NP will come see me at the home and is cheaper, a Doctor will not.
Posted by chRxis
None of your fricking business
Member since Feb 2008
27939 posts
Posted on 5/14/16 at 10:47 pm to
quote:

Hey bro? We FB friends?

ygm
Posted by chRxis
None of your fricking business
Member since Feb 2008
27939 posts
Posted on 5/14/16 at 10:48 pm to
quote:

More options seem nice.

until you have to pay for all those options....
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/15/16 at 12:32 am to
There are some doctors who make house calls. The np gets 80% pay with maybe 20% of the education.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/15/16 at 12:34 am to
And u watch, they'll lobby for equal pay just like the optometrists have done
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/15/16 at 12:37 am to
15%
Posted by guttata
prairieville
Member since Feb 2006
22654 posts
Posted on 5/15/16 at 6:17 am to
Yea, they're crazy. The thought of equal pay for equal work. What a stupid idea.
This post was edited on 5/15/16 at 6:48 am
Posted by Womski
Squire Creek
Member since Aug 2011
2762 posts
Posted on 5/15/16 at 8:46 am to
There was a thread on here a couple of months ago on how hard nursing school is, and how people more people are kicked-out than graduate. Made it sound a lot harder than the friends I have in medical school who just smoke pot and go out in Shreveport.

If it gives us more options for a cheaper price, I'm down for it.

Yay #Capitalism
Posted by Restomod
Member since Mar 2012
13493 posts
Posted on 5/15/16 at 8:49 am to
This thread needs to be anchored.
Posted by SmackoverHawg
Member since Oct 2011
31609 posts
Posted on 5/15/16 at 9:57 am to
NEVER!!! This has been great for getting my post count up!
Posted by AFtigerFan
Louisiana
Member since Feb 2008
3735 posts
Posted on 5/15/16 at 10:01 am to
#neveranchor
#npvsdrisfun
Posted by SmackoverHawg
Member since Oct 2011
31609 posts
Posted on 5/15/16 at 10:06 am to
quote:

#neveranchor #npvsdrisfun

Upvote
Posted by SlowFlowPro
With populists, expect populism
Member since Jan 2004
477231 posts
Posted on 5/15/16 at 10:09 am to
quote:

Would you feel the same about paralegals being able to become full fledged lawyers after working an "appropriate" number of hours under one and not having to pass the bar?

for sure

many times when lawyers switch into new areas, they hire a bunch of paralegals who have worked in that field to ease the transition

lawyers used to become professionals through apprenticeships. that worked for hundreds of years before lawyers figured out that if they rigged the system via licensing legislation. it's more of a protectionist move than anything these days. seriously the bar is just an institutional benchmark that doesn't really measure much in terms of daily application of law
Posted by SmackoverHawg
Member since Oct 2011
31609 posts
Posted on 5/15/16 at 10:13 am to
quote:

for sure many times when lawyers switch into new areas, they hire a bunch of paralegals who have worked in that field to ease the transition lawyers used to become professionals through apprenticeships. that worked for hundreds of years before lawyers figured out that if they rigged the system via licensing legislation. it's more of a protectionist move than anything these days. seriously the bar is just an institutional benchmark that doesn't really measure much in terms of daily application of law



Then get to writing that legislation baw. Quit wasting time on here and make a difference!! And there will be no bar exam for them of course. They can make up their own licensing exam totally separate from the bar to license and monitor them as needed. I will support both bills then.

I actually think family practice may be better served by allowing young doc's to use much of their time to apprentice under older docs. The docs they have training most of the time now fall under the, "Those who can do. Those who can't teach."
Posted by SlowFlowPro
With populists, expect populism
Member since Jan 2004
477231 posts
Posted on 5/15/16 at 10:22 am to
quote:

I actually think family practice may be better served by allowing young doc's to use much of their time to apprentice under older docs. The docs they have training most of the time now fall under the, "Those who can do. Those who can't teach."

i think that if we think about all of these issues in terms of areas of practice it can become easier to digest

in a completely licence-less system, i don't think many NPs are going to get much market credibility trying to act as neurosurgeons

just as paralegals aren't going to get much street cred in higher-end legal fields like M/A

but can a paralegal do lower-level work like family law or criminal? oh yeah. i seent it

could NPs be a good supplement to day-to-day GP work in the medical field? almost assuredly

small bites via incremental change makes the paradigm shift easier to process
Posted by Restomod
Member since Mar 2012
13493 posts
Posted on 5/15/16 at 10:56 am to
Has anything be said about pharmacists acting as physicians , diagnosing , prescribing medications at CVS/Walgreens, etc?

They too do not have the education and training as physicians.
Posted by OceanMan
Member since Mar 2010
23222 posts
Posted on 5/15/16 at 12:11 pm to
Pharmacists at least know more about drug interactions than doctors, they are supposed to. Of course they can't prescribe, but their consultation is vital.

PharmD is 4 years, not including clinicals which are necessary for pretty much anywhere else in the field than retail.

They might not have the same training as MDs, but they are still Doctors, and their relative expertise should be respected. Also, pharmacists pay structure is completely different from the root of this issue in what is being discussed here. They nearly all get paid on salary, and their pay is not determined directly by how many patients they see.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/15/16 at 12:31 pm to
I have a ton of respect for pharmacists. They are not doctors, they should not diagnose and should not prescribe
Posted by Womski
Squire Creek
Member since Aug 2011
2762 posts
Posted on 5/15/16 at 12:39 pm to
I'm all for spreading the wealth across the medical field, but stay away from trying to give paralegals more of a bite; these medical malpractice boards are already tying up my paydays for sometimes several years.
Posted by Restomod
Member since Mar 2012
13493 posts
Posted on 5/15/16 at 12:53 pm to
quote:

Pharmacists at least know more about drug interactions than doctors, they are supposed to. Of course they can't prescribe, but their consultation is vital.


Actually, some Pharamacists can diagnos and subscribe.. This is no different than a Independent NP.
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