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

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We need to all pull together and exert our collective authority. Until that happens, we are gonna keep getting screwed worse and worse. Of course, my arse will be long since retired by then. Just hate to see where it's headed.

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You've done a great job confirming my view that doctors are generally pricks who are more worried about their egos than anything else. I've dealt with many, many, doctors as friends and as their patient over the years. The one constant is their victim/God complex where they constantly complain about how horribly tough their career has been and expect others to pity their overworked and underpaid they are while none of my doctor friends still work a full work week, at the same time fully expecting to be treated like little spoiled princes.

The bottom line is there is a SEVERE shortage of physicians due to physicians restricting the supply of a badly needed service. OF COURSE we would all be better off being treated by the smartest and most trained person available, BUT THAT'S NOT POSSIBLE. There simply are not enough doctors to go around. Some care is better than none.

People very often forego visits to their doctor because by the time they get an appointment, their ailment will have either gone away or developed into a more serious condition requiring an emergency room visit. Doctors created the shortage and once again are fighting reasonable efforts to provide at least some care to those who now can't get any.

And PLEASE don't continue the charade about being concerned for the patients. You, I, and everyone else knows this is about nothing more than money for 95% of the players involved; doctors, nurses, insurance companies, and lobbyists. The ONLY people who are currently suffering (and dying) under the current system are the patients you pretend to be concerned for.

The facts are that not only are there too few doctors due to doctors artificially limiting supply, and the ones out there are working fewer and fewer hours due to the back breaking burden of complying with insurance and government regulations that business owners have been dealing with for decades. Welcome to the real world.

Doctors are on a complain level with teachers and nurses these days. What do they all have in common? Too much time on their hands and protected job status.

The false choice you're offering of either a smart doctor or a dumb NP is actually a choice between zero care and possibly someone who can either treat the condition or insure the patient see a 'real' doctor who can deal with it. As soon as you're ready to provide enough doctors to delivery care to the people who need and want it, the NPs and patients who have no access to a doctor will leave your oh so thin wallet alone.

cheers

You lack reading skills.

Please call my office to schedule a new pt appointment. You can get in to be seen to discuss your problems tomorrow.

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No don't defeat it, support it stop allowing doctors to keep artificiality driving the costs of healthcare up to feed their insatiable greed

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See my link 2 pages back. States where they can practice like this have insignicantly higher salaries for MDs than states that don't. So you're only worsening or having no effect on this claim.

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The false choice you're offering of either a smart doctor or a dumb NP is actually a choice between zero care and possibly someone who can either treat the condition or insure the patient see a 'real' doctor who can deal with it. As soon as you're ready to provide enough doctors to delivery care to the people who need and want it, the NPs and patients who have no access to a doctor will leave your oh so thin wallet alone.

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NO. You're the one giving the false choice. We are not try to ban NP's only require appropriate supervision. It not a choice of all doctors and no NP's.

This legislation doesn't change the supply of care in any way and may in fact limit it. You think students are going to be more or less interested in primary care?

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Welcome to the real world.

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shite, my life is good.

Real world? Guess you don't know me. I'm winning at this shite. Just trying to drop some knowledge on you guys.

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Are you really suggesting that getting an doctor's appointment in a reasonable time for most people is not a critically serious problem?

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At my office? For an established pt? Not at all.

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Ole War Skule

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I can call my doctor right now and walk in tomorrow at 7:30am. Availability or access to healthcare is not an issue at all.

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I can call my doctor right now and walk in tomorrow at 7:30am. Availability or access to healthcare is not an issue at all.

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Another rocket scientist 'proving' the shortage doesn't exist because he is not affected by it

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People very often forego visits to their doctor because by the time they get an appointment, their ailment will have either gone away or developed into a more serious condition requiring an emergency room visit.

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The ailments that go away before getting an appointment (less than 24 hours in almost every primary care office I've seen excluding UCC/free care to a very small population) don't need to be seen, usually.

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or developed into a more serious condition requiring an emergency room visit.

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More often than not, these are things that don't need to be in the ED. See above. Most people actually gain an ailment, call, schedule an appointment, and are seen in a reasonable time frame to treat it.


See how an argument without statistics on either side is kind of worthless? You forgot to include any data in your link supporting your claim. As did I, intentionally. However, my experience is true. When's the last time you had a problem, called your PCP to be seen, and weren't seen within the next day? If that did happen, did you go to the ER? And if you went to the ER, were you admitted to the hospital?

Unless the answers are "yes," "yes," and "yes" you actually hadn't been put off for an unreasonable time.

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And PLEASE don't continue the charade about being concerned for the patients. You, I, and everyone else knows this is about nothing more than money for 95% of the players involved; doctors

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I'll post it again: Physician salaries increased more rapidly in states where bills like this one were passed than in states that are more restrictive
Your rebuttal to this point alone would be sufficient.

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The facts are that not only are there too few doctors due to doctors artificially limiting supply

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How do you believe doctors are created? Doctors that can see patients without oversight are created by residency. Residencies are under the funding of the federal government. The federal government has created the shortage of physicians by not increasing these spots. You won't find a physician in favor of limiting residency spots.

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The facts are

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misundertood by you in a quite obvious way based on your next statement...

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The false choice you're offering of either a smart doctor or a dumb NP is actually a choice between zero care and possibly someone who can either treat the condition or insure the patient see a 'real' doctor who can deal with it. As soon as you're ready to provide enough doctors to delivery care to the people who need and want it, the NPs and patients who have no access to a doctor will leave your oh so thin wallet alone.

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Please explain your thought process. The bill at hand does not stop NPs from seeing patients, nor start them to allow to see patients. They can already see them under the supervision of a physician. This does not increase access to care at all. And where exactly does your line of thinking that NPs will "leave your oh so thin wallet" alone? They bill for their services, too. And they do so at 85% the rate of a physician in the State of Louisiana. Meaning that when you show up for a cough and are offered reassurance, they'll charge $51 instead of $60. Anecdotally, they're more likely to order lab tests, actually passing off a cost increase to the patient rather than a saving.