My understanding is the following: MD's who are greedy/in areas without many MD's use DNP's/PA's to run large practices that would otherwise be impossible with a single MD. So the people who are doing a lot of work autonomously feel like they should be able to run their own practices. This seems fair to me in that regard. But at the same time, it cannot be denied that nurses have much less training than doctors. So, when a patient goes to a clinic run by a DNP, what kind of care will they get? Should these clinics be limited to small procedures that even a nurse can do without insane knowledge? I personally feel like there is a role for DNP's having independent clinics as it will allow rural areas to get medical care but at the same time, it can be dangerous as their knowledge base is much smaller than doctors.