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

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Im all for NPs having access to the procedure codes that are being discussed.

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There are literally zero procedure codes being discussed or enumerated by this legislation.

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Just like the Ophalmologists didn't want ODs near their procedure codes,

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Optometrists go to school to learn to be independent practitioners of their field and have a very deliberate scope of practice which they are trained to do.
Nurse practitioners train to coexist with physician oversight. This bill doesn't expand their scope of practice or let them do anything they couldn't do before with one exception: they would be allowed to do it all without oversight from care providers who trained to be independent practitioners of care (physicians)

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It's a money game and has very little to do with patient outcomes.

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I've posted the link twice and will happily do so again. Physician salaries rose at a (albeit insignificantly different) faster rate in states where bills like this were passed. It won't affect physician salaries and actually point toward physicians making more- specifically Family Medicine, Pediatrics, and general surgeons. The people who stand to make money are your chain pharmacies who will open these "Minute Clinics."

The real concern, though, is that should you increase the number of primary care providers, their scope is more limited than someone who's done an internal medicine, family medicine, or pediatrics residency. So they'll generate more referrals to subspecialists (and there's a real shortage of them) for things that a lot of the aforementioned could fairly easily manage pretty easily.

Sure. LINK

Lines 29 thru 5 on Pages 4 and 5 of this most updated bill.

Can I vote twice?

If the majority of systems allowed PCPs to practic genral medicine the way it should be practiced this shite wouldn't be so desired. As far as community docs go, most of them at who caught up in how it used to be they can see how it should be...I am 100% all in for patient options then let the market figure it out.

The patient (from a provider side) has taken a back seat to profit. When someone (pharma, CMS, urgent cares, ANYONE) does anything that threatens their revenue they shite themselves.

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And clinic is where the money is at. No matter what they say.

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that's what they tell me. I don't think I'd ever want to give up inpatient altogether. But cutting, sewing, and injecting is supposed to pay better than taking care of those septic and volume overloaded folks. Never made sense to me, but I sure will be happy to do it.

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you want them to be able to cut on people with no training?

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I want the patient to have the option then let the market figure it out. I know though.....Those codes!!!!

No they didn't ...they wanted certain procedure codes. Stop distorting reality

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Lines 29 thru 5 on Pages 4 and 5 of this most updated bill.

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So those are brand new additions to the original bill. Hot off the press. How are you involved with the legislature?

Not bad, it's a step in the right direction. Atleast they are addressing the issues. I would still like to see a longer collaboration period that has some standardized training and milestones to pass.... That part seems very vague

Oh my god this thread needs to be anchored.

There was a thread on here recently discussing how nursing school was tougher than med school and had more people drop out. Definitely sounds harder than all my friends in med school who just smoke weed and go out in Shreveport.

As a general rule, general practice physicians were the bottom of their class in med school. If nurses can shake up the market, sounds like they've earned that right.

I don't trust legislative optometrists as much as you do

An optometrist is not a physician/doctor