> You are getting WORSE care for the same price when you see an NP or PA. Whenever I get to choose between NP/PA or MD I will always choose the former. MDs are

> You are getting WORSE care for the same price when you see an NP or PA. Whenever I get to choose between NP/PA or MD I will always choose the former. MDs are typically overworked and condescending. Most of the time I already know what the problem is and just need a prescription from them. When I tell that to MD they get offended - I am a dumb patient and MD is a demigod with superior intelligence. Hence I'm supposed to act dumb to make sure I don't offend MD's brittle ego who will otherwise retaliate by billing for some extra "nontrivial" visit. If I see a nurse or a PA the person will speak with me like an equal, take the time to examine, won't hide their reasoning from me, maintain open notes, etc. > the hospital gets either equivalent (Oregon) or about 85% of that paid to a physician People shouldn't be going to hospitals (with rare exceptions). People should be seeing NPs through CVS Minute Clinic, One Medical, Future Amazon Clinic, etc. When you walk in to CVS clinic to see an NP you just pay a flat $45 without insurance. That's how it should be for most care. The fact that anyone (MD or NP) is being reimbursed over $75 for a short visit (let alone more realistic $300-500) is simply a flaw in the system that needs to be fixed. MDs (or midlevels) don't create enough value to be reimbursed that much.