unhappy doc/letter to editor - page 2

Letters to the editor... Read More

  1. by   oramar
    I can't wait to see the flaming rebutals to this "scab" statement that will appear in the weeks to follow. Imagine being a NP who has worked long and hard to get your credentials, then imagine opening your Christmas newspaper to find yourself being called a scab. OUCH! It is not exactly a new thing for NPs in Pennsylvania to find themselves disrespected by MDs. It has been going on for a long time.
  2. by   arita2
    Quote from wtbcrna
    I can see why that physician didn't stay in the military with that kind of attitudes towards PAs and NPS.
    Well, whatever your position, you seem to lack empathy for others. I am willing to bet though that you are an NA, LPN or RN without your 4 year degree, or you would not have made such a statement.

    I would like you go through the effort and expense this doctor went through and see how you feel about less qualified individuals potentially replacing you. I am betting you would not feel any differently than she does. I think the "scab" statement (although harsh) is appropriate under the circumstances and I am glad words are not being minced. We need more individuals with courage of conviction to come forward and blow the whistle like this doctor has when our health care, and that of our patients, is at stake.

    :smiletea2:
  3. by   Noryn
    Quote from traumaRUs
    Tazzi - I agree with you to a point. However, MA's don't receive reimbursement for their services and mid-levels do.
    See I disagree with you here. MA's do receive reimbursement for their services at a lower rate than RNs do. The only difference is who is providing the reimbursement (government vs private industry).
  4. by   traumaRUs
    Arita2 - while I don't want to replace physicians (and wouldn't think that I could), my place in healthcare is to augment the physician, not take the place of. That said, I also contribute financially to my practice by seeing the less ill and thus saving the physicians for the more acutely ill where their knowledge and experience is needed.

    And your healthcare and that of your family is NOT being negatively impacted whatsoever by mid-level practitioners. Hopefully, once you get out of school and have some experience, you will be more open-minded.

    Healthcare is changing and we must change with it or lose out.
  5. by   traumaRUs
    Noryn - I will clarify - reimbursement in the way I meant it is that their services are billable to an insurance company, Medicaid or Medicare. MA's do not have a UPIN number, therefore their services are not reimbursable. Sorry for the misunderstanding.
  6. by   Noryn
    Yeah trauma I knew what you were talking about but my point was the basic principle is the same. The government paying an APN less that what a doctor would charge whereas a hospital would pay a MA less than what a RN would make.
  7. by   traumaRUs
    This goes back to the tenet that education is valued in our society. I don't object to that.
  8. by   angel337
    doctors go through hell and hot water to get the credentials M.D. most people cannot and will not even attempt to do what it takes to be a doctor. i can fully understand why she is so upset. belittling another profession is not necessary of course, but if i was a doc i would not want someone assuming that less educated health practitioners are equivalent to that of a medical doctor. its no different than the LPN/RN argument. NP's work hard for their credentials also, but in the end you still are not a doctor.
  9. by   traumaRUs
    And I guess I don't see where the argument is - I never have said I'm equal to a physician. I augment the physician services, not replace.

    Plus, I don't have to resort to name-calling to get my point across - lol
  10. by   arita2
    traumaRUs - I don't feel my mind is closed, and while I may not have years of experience in Nursing, I do have solid experience with market economies and can safely say that we are all racing to the bottom when it comes to being replaced by less qualified workers. Less is more to big businesses, and they will do with less qualified personel to make more profit. They DO need to be carefully watched in healthcare, or we all risk being short changed in the quality of care when profits are part of the equation.

    Now, there are many situations where mid-level practitioners are perfect for the level of care that is required. But you have to admitt, there is great potential for abuse by less ethical outfits.

    Again, I side with the Doctor and can understand her worry and frustration. Who knows what she has seen where she practices, and if she is concerned, it may very well mean that there is good reason for her to be and that we need monitor healthcare practices to ensure abuse is not occuring. I would not dismiss the good Doctor so lightly.

    To quote you, "Healthcare is changing and we must change with it or lose out." We just need to be sure the change is benificial and equitable to all.
  11. by   TazziRN
    Quote from Noryn
    Yeah trauma I knew what you were talking about but my point was the basic principle is the same. The government paying an APN less that what a doctor would charge whereas a hospital would pay a MA less than what a RN would make.
    Thanks, Noryn, that's what I was trying to say.
  12. by   P_RN
    Well we can be happy her Dad is happy about the Dr in front of her name. And we can be happy that we don't have to rationalize that "my dog's better than your dog"
    Oh and yes we can also be happy that there is at least one doc who can write decipherable enough for the letter to the editor person to read.

    Uh and why don't we all send her a Merry Christmas greeting. c/o the paper?
  13. by   icugirl33
    The Doctor does have a point. I started an NP program last year and stopped because I really just want to go to law school. However, it would of taken me 18 months total. I will never say a Nurse Practitioner or PA is just like a doctor because that is just not true.The education and SALARY difference speaks for itself.

    Being a healthcare provider, I notice the powers that be are always trying to replace us with lower paid "equivilants". RN/LPN LPN/MA MD/NP/PA ..etc...It can become very frustrating, as this doctor clearly is.

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