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

Posted on 5/24/16 at 9:00 pm to
Posted by EmperorPenguin
Metairie
Member since May 2016
182 posts
Posted on 5/24/16 at 9:00 pm to
quote:

Past blunders do not dictate that we continue with present and future blunders. If anything, we should stop and go back and fix past mistakes


Couldn't agree more. I wish this was how politics worked.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/24/16 at 9:20 pm to
Right but all patients are equal and deserve the care of an MD. City folk are not any more important than country people.

Hold these truths to be self evident, that all men are created ...
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/24/16 at 9:23 pm to
7. Duh
10. Not equivalent

And the part about NPs being more likely to go to rural areas, I think there's stats saying currently a larger percentage of primary doctors practice in the rural areas than the percentage of NPs. Pretty sure I read that recently

So that would negate that point
Posted by EmperorPenguin
Metairie
Member since May 2016
182 posts
Posted on 5/24/16 at 9:24 pm to
Mhmm. You are stating a problem, but not giving a solution. I agree that MD care does not equal PA or NP care.
Posted by EmperorPenguin
Metairie
Member since May 2016
182 posts
Posted on 5/24/16 at 9:28 pm to
Well this bill would only affect NP's in primary care shortage areas.
Posted by chadg
The Avoyelles Parish
Member since Dec 2007
2878 posts
Posted on 5/24/16 at 9:30 pm to
quote:

The collaborative agreement allows a licensed independent provider to allow an NP to practice under his license at a level he's comfortable with with restrictions set in place by him on an individual level based on the NP and the amount of trust he has for the NP.


Wrong again... A practicing NP is under his/her license, not the collaborating physician. Hate to keep correcting you, but it seems you have some bad information.
Posted by EmperorPenguin
Metairie
Member since May 2016
182 posts
Posted on 5/24/16 at 9:34 pm to
Why do people think this stuff? Where are they getting this?
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/24/16 at 9:34 pm to
That map tries to include like most of Louisiana.

Have you ever thought that legislation like this actually worsens the primary care doctor shortage by driving med students away from primary care ?!?
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/24/16 at 9:35 pm to
Are y'all both NPs?
Posted by chadg
The Avoyelles Parish
Member since Dec 2007
2878 posts
Posted on 5/24/16 at 9:36 pm to
quote:

I don't think y'all get it what we are saying - we have serious legitimate concern that patients will preventably die of missed cancers and diseases due to lack of training and lack of understanding of some diseases without ANY supervision.

It's a set up for bad problems


Just like they have been doing in New Mexico? Oh never mind, that isn't happening...
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/24/16 at 9:39 pm to
Got outcome data?

The best the np "truth" video could say is --- we have good outcomes - our proof is a full waiting room and parking lot. That is not sufficient evidence
Posted by EmperorPenguin
Metairie
Member since May 2016
182 posts
Posted on 5/24/16 at 9:39 pm to
No, I'm not an NP. Sorry for telling you the truth. I'll let you think your own thoughts now.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/24/16 at 9:40 pm to
You're a legislator...
Posted by tigerinthebueche
Member since Oct 2010
38055 posts
Posted on 5/24/16 at 9:55 pm to
How is this thread still going?
Posted by chadg
The Avoyelles Parish
Member since Dec 2007
2878 posts
Posted on 5/24/16 at 9:55 pm to
quote:

Got outcome data?


Guess i could ask you the same thing. You are the one claiming that this will result in terrible patient outcomes. Show me those results from the other 22 states that there is no collaborative agreement required.

Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/24/16 at 10:01 pm to
The burden of providing evidence/data is on the parties attempting to change the law
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/24/16 at 10:01 pm to
They've yet to vote. It's tomorrow
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/24/16 at 10:05 pm to
I think the lack of training is evidence enough
Posted by chadg
The Avoyelles Parish
Member since Dec 2007
2878 posts
Posted on 5/24/16 at 10:12 pm to
quote:

Why do people think this stuff? Where are they getting this?


Have no clue, but there is a lot of incorrect information out there that MDs have put out.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/24/16 at 10:14 pm to
There's a lot of misinformation put out there by the LANP
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