3 ms·

It will be 10+ years of seeing a variation of the exact same type of scenarios that they have seen before - which is very different then getting education and t

by ejb999 3y ago

It will be 10+ years of seeing a variation of the exact same type of scenarios that they have seen before - which is very different then getting education and training across all disciplines - which is my entire point. Primary care NPs are good at what they do, but what they do is very limited - most of them will admit it. Anything they haven't seen before comes along, first thing they want to do is call an ambulance and send them to the hospital or a specialist - or they will pull in an actual MD to ask them what they should do. So if an NP has 10 years of experience working in a primary care facility - what problem does it solve to somehow 'promote' them to an MD based on that experience? Will they magically now be able to see more patients per hour? How does that solve any systemic health care system issues? It doesn't - it simply allows them to get paid like a real MD, when they aren't - so if anything, drives up costs.

IG_Semmelweiss 3y ago
I think you are grossly underestimating the power of incentives. A magic promotion means they now have incentives to open their own practice. Or work at another practice at a promoted level. Or they can simply develop further into a specialty. It simply opens doors where the need is more need and gives them rewards for doing hard work. Getting motivated people moving up in the pipeline opens more avenue for care of patients, relieving the stress on the existing system. The fact that you think it drives up costs actually goes against the rules of reality. If you have more supply of something, it simply lowers the cost of that supplied. The problems we have in healthcare in USA is not one of quality. People from all over the world go to USA, seekign help. The problems in healthcare are related to access and cost. Both of which, this is a magic bullet for. Why would you keep someone hostage at an underpaid role where they have no way of advancing unless they bend the knee and pay tribute to the powers that be, even though they are perfectly qualified to the role and have more experience than virtually all applicants? If you are concerned because you had to pay your way thru med school, think of it this way: 1) MD paid in dollars and sweat equity to afford that BMW at age 32. 2) NPs will pay in opportunity cost to afford to promote into an MD at age 32. No BMW yet either.

by ejb999 3y ago

IG_Semmelweiss 3y ago

I think you are grossly underestimating the power of incentives. A magic promotion means they now have incentives to open their own practice. Or work at another practice at a promoted level. Or they can simply develop further into a specialty. It simply opens doors where the need is more need and gives them rewards for doing hard work. Getting motivated people moving up in the pipeline opens more avenue for care of patients, relieving the stress on the existing system. The fact that you think it drives up costs actually goes against the rules of reality. If you have more supply of something, it simply lowers the cost of that supplied. The problems we have in healthcare in USA is not one of quality. People from all over the world go to USA, seekign help. The problems in healthcare are related to access and cost. Both of which, this is a magic bullet for. Why would you keep someone hostage at an underpaid role where they have no way of advancing unless they bend the knee and pay tribute to the powers that be, even though they are perfectly qualified to the role and have more experience than virtually all applicants? If you are concerned because you had to pay your way thru med school, think of it this way: 1) MD paid in dollars and sweat equity to afford that BMW at age 32. 2) NPs will pay in opportunity cost to afford to promote into an MD at age 32. No BMW yet either.