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re: Optometry: LA HB 1065/SB 568: What if your Louisiana Eye Surgeon is NOT an MD?

Posted on 5/22/14 at 8:25 am to
Posted by guttata
prairieville
Member since Feb 2006
22632 posts
Posted on 5/22/14 at 8:25 am to
Exactly, however, you can legislate their ability to earn it.
Posted by Traffic Circle
Down the Rabbit Hole
Member since Nov 2013
4890 posts
Posted on 5/22/14 at 8:27 am to
quote:

You really have no clue what you are talking about


Probably not. But I often see an 'NP' or a 'PA' when I got to see an 'MD.'

It seems like the DOs are getting to do some things the MDs used to have exclusively and the MDs are not happy about it.

But the public can always chose to go to an MD if it's the best care for the money. If not, the DOs might do well with this.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/22/14 at 9:06 am to
This bill is a huge big deal. How often can the Liberals who run our nation find a group of Deep-red-state legislators confused enough to implement the left wing vision for America. Skip med school, penalize medical knowledge, and substitute the doctors out. Once they have the system the way they'd like then they can pass any regulation they want
Posted by jamarkus
Nola
Member since Oct 2007
185 posts
Posted on 5/22/14 at 9:08 am to
quote:
Exactly, however, you can legislate their ability to earn it.
-----------------------------------------------------------------------------------
Exactly, if you own the head of the Senate
Posted by oilmanNO
Member since Oct 2009
2874 posts
Posted on 5/22/14 at 9:11 am to
Get your political views the shite out of here
Posted by Traffic Circle
Down the Rabbit Hole
Member since Nov 2013
4890 posts
Posted on 5/22/14 at 9:13 am to
Don't NPs and PAs kind of already 'substitute the doctors out?' The only difference is that the doctors are making money off of them, not the DOs.

As a patient, I don't want to see a NP or a PA, I want to see the MD. But the MD is ok with it because he is still making money.

But here, the OD is off somewhere in his own practice making his own money that the MD gets no part of. Isn't that the real issue?
Posted by guttata
prairieville
Member since Feb 2006
22632 posts
Posted on 5/22/14 at 9:31 am to
MDs aren't too fond of the NPs either. PAs, they aren't too worried about because PAs fall under the medical board and they already control their scope of practice. NPs however, like optometry, have their own board who determines their scope of practice.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/22/14 at 9:33 am to
No, the problem this thread was started about is substituting out the MDs for people who did not train in med school/ residency
Posted by jamarkus
Nola
Member since Oct 2007
185 posts
Posted on 5/22/14 at 9:34 am to
Quote:
Get your political views the shite out of here
-------------------------------------------------------------
Nice one ... It's not just my political views. I know the details of EXACTLY how this was rammed down the throat of Louisiana & it stinks.
Posted by Traffic Circle
Down the Rabbit Hole
Member since Nov 2013
4890 posts
Posted on 5/22/14 at 9:41 am to
Maybe the MDs need to buck up and let more people into medical school. The need is for more providers, but the current providers want the money.

If the med schools graduated more MDs, we would have less of this type of issue. Until this happens, the vacuum will be filled.
Posted by oilmanNO
Member since Oct 2009
2874 posts
Posted on 5/22/14 at 9:49 am to
First, learn how to use the quote function on the site. Secondly, who was talking to you? I responded to latigerdoc
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/22/14 at 10:22 am to
It's impossible to discuss Louisiana and healthcare without getting off on politics. There's a push right now to centralize the whole system in America and to replace doctors and we are just playing into their hand.

Posted by oilmanNO
Member since Oct 2009
2874 posts
Posted on 5/22/14 at 10:29 am to
Medical costs are outrageous these days and it's the end users who suffer
Posted by tiger1014
Member since Jan 2011
12678 posts
Posted on 5/22/14 at 10:33 am to
quote:

Maybe the MDs need to buck up and let more people into medical school. The need is for more providers, but the current providers want the money.


You can't let in more people into med school until there are 1) enough room for more people funding-wise and 2) have more residency positions so they have a job to train in a field when they graduate

The real need is for more residency positions. You can have all the med students graduating in the world but unless they have a place to do their residency, there won't be more providers
Posted by Sal Minio
17th Street Canal
Member since Sep 2006
4434 posts
Posted on 5/22/14 at 10:49 am to
Don't you people have jobs? Go commute, go to work, whatever.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/22/14 at 10:57 am to
Yeah there is no point opening up spots for students if they cannot train after schooling. Plus you might want to talk to your State Legislature buddies about funding for the med school education.
Posted by CarRamrod
Spurbury, VT
Member since Dec 2006
58310 posts
Posted on 5/22/14 at 11:02 am to
So who is winning this argument? The doctors or the wannabe doctors?
Posted by Bleeding purple
Athens, Texas
Member since Sep 2007
25348 posts
Posted on 5/22/14 at 11:05 am to
quote:

Probably not. But I often see an 'NP' or a 'PA' when I got to see an 'MD.' It seems like the DOs are getting to do some things the MDs used to have exclusively and the MDs are not happy about it. But the public can always chose to go to an MD if it's the best care for the money. If not, the DOs might do well with this.



D.O. = Doctor of Osteopathy (same training and status as a MD with the addition of manipulative medicine)
O.D. = Optometrist



What the public generally does not understand is that paving the road to undereducated and/or inexperienced providers supplying care is a very slippery slope. There are provisions currently that force primary care providers to employ midlevels in certain situations now. The future of patient choice in healthcare is bleak. If the current changes spurred by the ACA have not convinced the public of this they are simply not paying attention. The idea of "choose to see the MD/DO if you want" instead of the midlevel or O.D. is rapidly disappearing. And that assumes that John Q. Public has been sufficiently educated on the topic to make differentiation and choice.
Posted by theunknownknight
Baton Rouge
Member since Sep 2005
60243 posts
Posted on 5/22/14 at 11:19 am to
quote:

It's impossible to discuss Louisiana and healthcare without getting off on politics.


Politics?

Ideals are nothing more than convenient opinions that die quick deaths once wallets open.

A man's politics conforms to his pocketbook, not his conscience.
Posted by jamarkus
Nola
Member since Oct 2007
185 posts
Posted on 5/22/14 at 11:31 am to
So when an optometrist gets sued for malpractice after a botched eye or lid surgery, will they have to go in front of a medical review panel like other surgeons?
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