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Message
re: Defeat the Nurse Practitioner scope of practice expansion - Louisiana SB 187
Posted on 5/20/16 at 12:22 am to Hopeful Doc
Posted on 5/20/16 at 12:22 am to Hopeful Doc
Its not that they can see and NP for everything that can see an MD for..only somethings. But it's those things that the MDs will lose that has them shitting on their leather recliners.
0
Posted on 5/20/16 at 12:22 am to Ken M
quote:
protect your cash flow.
What?
There is a physician shortage. remember? I don't think he's worried about not having customers
Someone already posted a link showing that physician salaries went up in states where bills like this were passed.
So back up your claims with something more reasonable
Posted on 5/20/16 at 12:24 am to LSUfan4444
quote:
But it's those things that the MDs will lose that has them shitting on their leather recliners.
Motherfricking boom. This entire thread is an exercise in self-interests lobbying this board to oppose something with fear tactics, not because there is real danger from seeing an NP, but because these cocksuckers are worried about their income.
Posted on 5/20/16 at 12:25 am to Ken M
quote:
The passage of this bill lowers your medical costs, increases your providers, and has absolutely zero downsides.
Hahahahaha
All of the above couldn't be further from the truth. We have been over it a thousand times.
Posted on 5/20/16 at 12:28 am to Ken M
You can see a NP today. Noone is stopping you. If you like them so much you never have to go to a doctor again. You could literally get all of your care from a NP.
Why can't you understand that?
Why can't you understand that?
This post was edited on 5/20/16 at 12:30 am
Posted on 5/20/16 at 12:33 am to WaWaWeeWa
There
Are
Not
Nps
In
My
Field
I believe in safety and education and advocacy and medicine and the oath of Hippocrates
Are
Not
Nps
In
My
Field
I believe in safety and education and advocacy and medicine and the oath of Hippocrates
Posted on 5/20/16 at 12:34 am to WaWaWeeWa
Posted on 5/20/16 at 12:34 am to Ken M
There
Are
Not
nps
In
My
Field
Are
Not
nps
In
My
Field
Posted on 5/20/16 at 12:34 am to Ken M
quote:
You ever seen a NP? They treat you like a human 100x more than a doctor. They also don't treat you like a cog in an assembly line.
people complain of their NP being assholes all the time. Do you mean to suggest that all doctors treat people like money and all NPs are the most down to earth people ever? With no variance? These are broad generalizations that are far from consistent with my view of reality.
quote:
Do you think for one second that a NP who wants to consult with someone over a patient's condition wouldn't do so?
An NP is a mid-level provider. They should absolutely consult with someone over a patient's condition when they aren't comfortable doing so.
But they shouldn't be practicing medicine without a medical license.
quote:
The passage of this bill lowers your medical costs, increases your providers, and has absolutely zero downsides.
1) it keeps you (the patient's) costs the same. The insurance company sends less money to the provider and keeps more for itself and to spend on the higher rate of tests and referrals generated by midlevels
2) it does not increase the number of providers. You can already schedule and appointment with an NP today. They're overseen by MDs. removing MD oversight does not increase the number of NPs
3) it does have downsides. Currently in Louisiana, every time you go to a physician's office, whether you're seen by an NP or an MD, you're getting medical care under someone practicing under a medical license. And in LA thst means that they're held to the standard of a board-certified physician in that field. The passage of this bill would remove the need for a medical license to practice medicine and allow the board of nursing to lower those standards. I believe that is a downside. Perhaps you think the standards are too high and that lowering them is not a negative.
Posted on 5/20/16 at 12:36 am to LSUfan4444
quote:
But it's those things that the MDs will lose that has them shitting on their leather recliners.
Did you catch either of my links or references to my links stating that physician salaries increase at a more rapid rate in states where NPs practice without oversight vs with? This won't affect physician reimbursement or payment one bit.
Posted on 5/20/16 at 12:36 am to Hopeful Doc
Who cares if they hug you 12 times? What matters is what happens to you physiologically. What are we kindergarteners
Posted on 5/20/16 at 12:40 am to Bmath
quote:
Bmath
quote:
Ken M
quote:
LSUfan4444
In no way shape or form have you even come close to responding to any of the facts that have been presented with any logical argument
Go see a NP. No one is stopping you. No one is charging you more or less.
IT'S ALL IN YOUR HEAD
Hopefully they can prescribe antipsychotics
This post was edited on 5/20/16 at 12:48 am
Posted on 5/20/16 at 12:49 am to WaWaWeeWa
I've made minimal arguments for NP's, most have been for Optometrists. Alas, you're too self-absorbed to actually notice that.
ETA: Looking back at my older posts I never really made an argument for NP's. I asked a question about access to better training, and received a thoughtful answer from another poster.
It's nice when people aren't condescending and assume you know nothing of which you speak. Just a simple "hey look I disagree because" would get you much further than "I have all this medical training that they don't so I'm automatically better."
Time and time again, I've seen you post assumptions about levels of training that are incorrect. At times you have good points, but you act like such an insufferable douche that no one is going to take you seriously.
ETA: Looking back at my older posts I never really made an argument for NP's. I asked a question about access to better training, and received a thoughtful answer from another poster.
It's nice when people aren't condescending and assume you know nothing of which you speak. Just a simple "hey look I disagree because" would get you much further than "I have all this medical training that they don't so I'm automatically better."
Time and time again, I've seen you post assumptions about levels of training that are incorrect. At times you have good points, but you act like such an insufferable douche that no one is going to take you seriously.
This post was edited on 5/20/16 at 12:59 am
Posted on 5/20/16 at 12:52 am to WaWaWeeWa
quote:
In no way shape or form have you even come close to responding to any of the facts that have been presented with any logical argument
Go see a NP. No one is stopping you. No one is charging you more or less.
IT'S ALL IN YOUR HEAD
Hopefully they can prescribe antipsychotics
Notice how when you get left alone without a response for 30 minutes, you keep blabbering like a psychotic, rejected girl?
Tell me more about how you are not defending your wallet with this asinine stance. I'll listen for 30 more minutes so you can make 10 posts telling me how I'm wrong, you're right, and it's not about money.
Posted on 5/20/16 at 12:55 am to Hopeful Doc
quote:
Did you catch either of my links or references to my links stating that physician salaries increase at a more rapid rate in states where NPs practice without oversight vs with? This won't affect physician reimbursement or payment one bit.
You combine this bill with the serious upheaval the medical field is going to experience through wearable devices, more government takeover of medical costs, and technological shifts, the value of an MD's degree is going to plummet.
Posted on 5/20/16 at 12:56 am to Bmath
I think that guy is in my field. We don't have any competition with NPs at all. We just see their referrals and so know when they send something that hasn't been managed right. Or they call you with a consult and you can't even tell what they're referencing
Posted on 5/20/16 at 12:57 am to Ken M
Why do you have such distaste for physicians who spent so much of their lives studying about how to help people
Posted on 5/20/16 at 12:57 am to Ken M
quote:
You combine this bill with the serious upheaval the medical field is going to experience through wearable devices, more government takeover of medical costs, and technological shifts, the value of an MD's degree is going to plummet.
Sounds logical. Darn it, career choice.
Posted on 5/20/16 at 1:00 am to LATigerdoc
quote:
Why do you have such distaste for physicians who spent so much of their lives studying about how to help people
Mostly because he's considered by some to be the greatest troll on the Internet.
Posted on 5/20/16 at 1:01 am to LATigerdoc
And for the Record I'm not sure how you defend optometrists. What they've done legislatively is almost unbelievable. Some decades ago they could not prescribe anything except glasses/contacts. They have created their own field and made it whatever they want it to be
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