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re: Defeat the Nurse Practitioner scope of practice expansion - Louisiana SB 187
Posted on 5/19/16 at 12:04 pm to LucasP
Posted on 5/19/16 at 12:04 pm to LucasP
quote:
2. Anyone fighting against the robo docs will be doing so to preserve their income, not to ensure quality care.
I won't argue that at all.
quote:
Just look at early in in this thread, all the docs talked about getting patients the care that they needed, but it was pretty transparent what they were really arguing for.
Or that.
2
Posted on 5/19/16 at 12:08 pm to MSMHater
Safety
Posted on 5/19/16 at 12:09 pm to LATigerdoc
My wife is doc, but I make her dress up like a nurse on role play night. Win-win.
Posted on 5/19/16 at 12:10 pm to LATigerdoc
Access
Posted on 5/19/16 at 12:10 pm to LATigerdoc
What is the current status of the bill? Have they scheduled a vote for it yet?
Posted on 5/19/16 at 12:12 pm to WeeWee
I think they vote today
Posted on 5/19/16 at 12:12 pm to MSMHater
Posted on 5/19/16 at 12:18 pm to MSMHater
If you were completely for access you would let Walmart treat you
Posted on 5/19/16 at 12:29 pm to LATigerdoc
quote:
intricacies and too much higher order thinking necessary
next you're gonna say "it's as much art as science"
Posted on 5/19/16 at 12:39 pm to LATigerdoc
Nm
This post was edited on 5/19/16 at 12:42 pm
Posted on 5/19/16 at 12:39 pm to LATigerdoc
Don't be stupid and obtuse. You know damn well that's a bullshite, weak retort to what is a required pillar to any successful Healthcare delivery system. Cost, quality, access. You've made your preferred hierarchy of those 3 very clear throughout this thread.
There is nothing wrong with protecting your own interests, even at the expense of others (capitalism FTMFW!). Hell, its my job to help you do as much. But hiding behind "safety" to achieve it is bullshite and completely transparent.
There is nothing wrong with protecting your own interests, even at the expense of others (capitalism FTMFW!). Hell, its my job to help you do as much. But hiding behind "safety" to achieve it is bullshite and completely transparent.
This post was edited on 5/19/16 at 12:43 pm
Posted on 5/19/16 at 12:55 pm to MSMHater
I'm
Not
In
Primary
Care
Not
In
Primary
Care
Posted on 5/19/16 at 1:20 pm to LATigerdoc
I never implied you were 
Posted on 5/19/16 at 1:42 pm to MSMHater
Where'd you get your face with the arms? I need some of those. I feel like it livens up the commentary
Posted on 5/19/16 at 2:07 pm to LATigerdoc
Anybody know details of today regarding the bill?
Posted on 5/19/16 at 2:22 pm to LATigerdoc
quote:
Anybody know details of today regarding the bill?
Postponed to next week because it was scheduled on a day typically with not many legislators in attendance.
Posted on 5/19/16 at 2:42 pm to MSMHater
quote:
But hiding behind "safety" to achieve it is bullshite and completely transparent.
Please read my previous posts. You are just plain wrong. This is not about some narcissistic money grab by docs. It is about protecting patients and offering great quality care in as wide as platform as possible.
Posted on 5/19/16 at 2:55 pm to Chuker
quote:
Real talk, If we want to bring down the cost of medical care in this country then embracing NPs is a strong step in that direction. Though I think Docs are perfectly fine with the status quo of "hi how are you, hmmhmmm mmhhmm yep I'll write you a prescription for this drug and my secretary will write you a bill for $200. Have a nice day."
If you want to bring down the cost of medical care expenses, then it might behove you to do some research into where the money is spent and what models show the most savings. HINT: physician salaries are not the problem and Family Physician over sighted care is where the savings are seen.
Posted on 5/19/16 at 3:29 pm to Bleeding purple
quote:
This is not about some narcissistic money grab by docs.
Sorry, BP. I think even some of the posts in this thread prove otherwise, not to mention the anecdotal evidence from the years I have managing doctors. You're, of course, not a monolithic group with a single ideology. You all have different intents. And I don't even fault those attempting to protect their financial interest. It's human nature to do so. And it's not a "money grab", just protecting your territory.
quote:
It is about protecting patients and offering great quality care in as wide as platform as possible.
I sincerely believe YOU believe that. I've interacted with you enough on here to know you have good intentions.
But I think your phrase is actually right on point. Research suggest you don't have the capacity to do the above, despite how much you may want to. And our current medical education system sure as hell doesn't incentivise (sp?) new physicians to fill in the gap. So the question becomes "do we risk the level of quality care currently provided in an effort to further widen the platform?".
I think the passage of the ACA, and most healthcare trends in general (including this bill), shows healthcare professionals aren't the ones making those fundamental decisions. And the people that do make those decisions have decided that access to substandard care is preferable to limited or no access. Hell, they seemingly have decided quality is a distant 3rd to both access and costs, though their cost "fixes" have been an obamanation (pun intended).
Additionally, as a provider, what would you suggest to "expand the platform"? How do we get enough docs to the Rio Grande Valley, urban city centers, Appalachia, or any of the other approximately 6000 designated MUA's in the country? Is the status quo good enough?
This post was edited on 5/19/16 at 3:34 pm
Posted on 5/19/16 at 3:35 pm to Bleeding purple
Can someone please explain how this bill will save money? I would love to hear your rationalization
Access to care is such a bullshite, smoke and mirrors argument. Let's be real clear, it's a RURAL access to care problem. There are a few shotty studies that suggest NPs would be more willing to practice in rural areas, but the studies seem biased to me. The overwhelming majority of primary care residents that applied for loan forgiveness programs that would have required them to practice in a rural area are denied every year. Why? If there is such a rural access to care problem
My prediction is that all you will see happen from this bill is there will be triple the amount of urgent care facilities all over new orleans, Metairie, etc. All of which are profit driven machines designed to order as many tests they can and give everyone a steroid shot. The cost of a NP visit is $85 vs $100 for a MD. Those savings will be easily offset by just a HANDFUL of unnecessary tests and referrals that will be ordered.
Access to care is such a bullshite, smoke and mirrors argument. Let's be real clear, it's a RURAL access to care problem. There are a few shotty studies that suggest NPs would be more willing to practice in rural areas, but the studies seem biased to me. The overwhelming majority of primary care residents that applied for loan forgiveness programs that would have required them to practice in a rural area are denied every year. Why? If there is such a rural access to care problem
My prediction is that all you will see happen from this bill is there will be triple the amount of urgent care facilities all over new orleans, Metairie, etc. All of which are profit driven machines designed to order as many tests they can and give everyone a steroid shot. The cost of a NP visit is $85 vs $100 for a MD. Those savings will be easily offset by just a HANDFUL of unnecessary tests and referrals that will be ordered.
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