Just an end note to this, and I'm sorry in advance for any errors in posting...I'm new. there is so much hostility in this board regarding credentials. One thing I would like to address to the recent MD who posted...there are many physicians who believe that they are infinately more knowledgable than all other patient care providers. I am well aware of the training and money it takes to become a physician, as well as the dedication-my husband is a physician in specializing in Internal Medicine and who will be completing a 3 year fellowship in pulmonary/critical care. That being said, I have worked with physicians who I just do not consider(nor does my husband) to be more knowledgeable than other providers. They have a wealth of knowledge with regards to the sciences ie microbiology, biochem, etc, but are not great when it comes to assessment and diagnosis because of the lack of interpersonal skills, etc. I am not saying that mid-level providers should perform surgery. A little side note-PHYSICIANS who are not trained in surgical specialties really cannot perform surgery. The individual who posted that ridiculous comment reagrding NP vs MD is focusing on a technicality and not reality. My husband would lose his license if her performed surgery or treated a child. I do believe that NPs should receive the same reimbursement as primary care physicians for equal services. For example, if I saw a patient and treated that patient for pneumonia and my collablorating physician saw the same type of patient, we should both be reimbursed the same amount from medicare and medicaid. THAT is the real problem. We provide the same service IN THIS INSTANCE and therefore should be reimbursed the same amount. I am not an NP who feels that nurses or physician assistants should be performing surgery or high risk procedures. I also do not feel that I should handle a patient who should be referred to a specialist, such as the case with patients with pulmonary hyperstension. they have complicated medical problems and should be treated by a specialist, NOT a primary care provider, be it an NP, PA , MD or DO. For those of you who think it's ok for a chiropracter to be called a "Dr".....those individuals did not go to medical or osteopathic schools, they do not have a PhD. Therefore, they should not use the title "Dr." Of course, this is all just my humble opinion.