With the Boeing engineers the outsourcing wasn't obviously an issue to individuals outside the system until the 737 MAX was grounded and 346 people were dead. R

With the Boeing engineers the outsourcing wasn't obviously an issue to individuals outside the system until the 737 MAX was grounded and 346 people were dead. Requiring such a sentinel event before the value of US engineering was known to the public suggests to me that it was not trivial for the Boeing engineers to prove their value. Doctors are at a greater disadvantage as there is not likely to be a sentinel event that kills 189 people at once. Nothing about the US medical system is trivial. Consider the private equity run emergency department in the article, I am sure that they could make more profit off of NPs and that doctors wouldn't save private equity costs. The article suggests that NPs are saving private equity money while costing patients and taxpayers more. Speaking of quality, why should private equity care about quality if it doesn't effect their bottom line?