In Washington State, ND's can prescribe synthetic medications just like ARNPs. 16 states currently recognize NDs - agreed, that limits the options. Personally, ND's have helped me more than MD's. My asthma and anxiety are finally under control after years of being out of control with use of steroids and anti-depressants - thanks to the help of an ND and an acupuncturist. I also respect ARNP's and MD's because there have been times where they saved my life - such as in acute asthma attacks. My heart especially respects one ARNP that discovered my mother's breast cancer and saved her life. This brings me to a feeling of wishing for balance between the two. They can compliment each other and it does not need to be all or nothing for one or the other. I want to be a doctor, but not a medical doctor. This I know. However, I know that ARNPs have a depth of knowledge that I'd like to have as well. I just don't see myself going to a cutt-throat medical school to become an MD or DO.