Mary Mundinger just declared open war with all MDs. Easy for her to do from her ivory tower, but for the NPs down in the street she just did a great disservice.
Sorry folks but NPs are not going to win a direct war with doctors. NPs can work the rural areas independently because no docs want to go there, but NPs are NOT going to displace MDs in urban settings--I'm sorry thats just not going to happen. In most of the country, NPs must be able to work with MDs in a collaborative setting. NPs need good working relationships with MDs to survive in the group practice model that the vast majority of NPs work in.
Mundinger's comments make that impossible, since she's basically arguing that NPs are SUPERIOR to MDs, not just in primary care, but the specialty fields too! Thats outrageous!
95% of DNPs are employees of doctor-owned groups. Thats not going to change, regardless of whether all NPs get doctoral degrees or not.
As for Medicare increasing NPs reimbursement to 100% of doctor-level reimbursement, thats not going to happen either. Doctors havent gotten any kind of reimbursement increase for 8 years running now, so to expect that their going to give it away to NPs is ridiculous.
The SGR formula that CMS uses wont allow that kind of increased payment. Doctors have been fighting tooth and nail every year just to prevent a DECREASE in reimbursement.
Doctors do have a choice. They can hire PAs instead of NPs. It wont matter in the rural areas, because NPs already have independent practice and doctors dont want to work there anyways. But in the urban areas, if NPs alienate doctors using the same kind of rhetoric that Mundinger spewed, then you will start seeing MDs hiring less NPs and more PAs.
Is that what Mundinger wants? Because thats what her comments will bring down on the profession.