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> This isn't to say I think nurses or doctors are overpaid The probably are. Clearly hospital executives and administrators are raking in most of the money, b

> This isn't to say I think nurses or doctors are overpaid The probably are. Clearly hospital executives and administrators are raking in most of the money, but we can't sit here and pretend that caregivers don't directly benefit from such an arrangement as well. There's a reason urgent care centers and small clinics pay their doctors less than most of us make, or skip employing doctors at all in favor of nurse practitioners, and their nursing staff makes ~1/3 what they would be earning in a hospital setting. Labor is expensive; specialized labor is even more so.

devicetray0 7y ago
> skip employing doctors at all in favor of nurse practitioners Hold up. I hope you're not being negative on hiring NPs. As someone who is in favor of NPs (and knows many NPs), they provide excellent primary care and hiring them can help bring down the overall cost of healthcare. I say we should teach and hire MORE NPs to provide cheaper primary and preventative care, not blame clinics for hiring them.
- Broken_Hippo 7y ago
  This, and exactly this. NP's are great for the run-of-the-mill sicknesses and minor injuries that most adults and children get. In conjunction with a PCP, they provide excellent primary care even for more complicated patients. In addition, specialist nurses are a great addition to a specialist's team. I don't see a neurologist all that often, but I have checkups with one of the team of wonderful nurses at the office, some of which specialize in the disease I have. It works out wonderfully and allows the specialist to take care of more patients and still provide pretty wonderful service.
- mywittyname 7y ago
  I am not, I'm just stating the fact that they are replacing physicians, mainly due to costs. I'm struggling to see how you read into that statement a negative tone on the matter. FWIW, my partner was an NP before leaving direct patient care.
JBlue42 7y ago
> The probably are. Clearly hospital executives and administrators are raking in most of the money, but we can't sit here and pretend that caregivers don't directly benefit from such an arrangement as well. I agree with you but I think at least the nurses, doctors, NPs/PAs, bring more value than what I've seen within my own department at a hospital. A manager hits $100-150k pretty easy and the middle and upper middle ranks are stacked. We have someone that's a director of a three person team, and seven new middle management roles (being filled w/ no internal hires).

devicetray0 7y ago

> skip employing doctors at all in favor of nurse practitioners Hold up. I hope you're not being negative on hiring NPs. As someone who is in favor of NPs (and knows many NPs), they provide excellent primary care and hiring them can help bring down the overall cost of healthcare. I say we should teach and hire MORE NPs to provide cheaper primary and preventative care, not blame clinics for hiring them.

Broken_Hippo 7y ago
This, and exactly this. NP's are great for the run-of-the-mill sicknesses and minor injuries that most adults and children get. In conjunction with a PCP, they provide excellent primary care even for more complicated patients. In addition, specialist nurses are a great addition to a specialist's team. I don't see a neurologist all that often, but I have checkups with one of the team of wonderful nurses at the office, some of which specialize in the disease I have. It works out wonderfully and allows the specialist to take care of more patients and still provide pretty wonderful service.
mywittyname 7y ago
I am not, I'm just stating the fact that they are replacing physicians, mainly due to costs. I'm struggling to see how you read into that statement a negative tone on the matter. FWIW, my partner was an NP before leaving direct patient care.

JBlue42 7y ago

> The probably are. Clearly hospital executives and administrators are raking in most of the money, but we can't sit here and pretend that caregivers don't directly benefit from such an arrangement as well. I agree with you but I think at least the nurses, doctors, NPs/PAs, bring more value than what I've seen within my own department at a hospital. A manager hits $100-150k pretty easy and the middle and upper middle ranks are stacked. We have someone that's a director of a three person team, and seven new middle management roles (being filled w/ no internal hires).