Whats the Problem with Nurse Practitioners?

In Government Reforms, Health care, Obama on February 4, 2015 at 11:54 pm

Whats the Problem with Nurse Practitioners?  Today’s counterpoint in Investors Business Daily is a telling problem.  IBD ran a rebuttal by Joy Kiviat a new graduate in a fine profession who would like us to believe that because of Nurse Practitioners medicine is now better than before.   You remember before, when you saw a Doctor not a PA.  The doctor had 8 years plus of college and had served a residency where he was exposed to all sorts of problems.  Now the initials on the jacket usually read PA.  An assistant…

Ms Kiviat writes:

“As a newly graduated family nurse practitioner, I am fully aware of what I have to offer my patients and also of the limitations to my knowledge.

I take thorough medical and personal histories on my patients, treat and manage those conditions that are appropriate given my training and experience, and refer patients to specialists when I recognize that their needs are outside my scope.”


Wow, Congratulations Ms Kiviat on your hard work and great degree in an honorable profession.  However, years ago it took a Registered Nurse 4 year of schooling to assist a doctor in an office or hospital.  Now is less than 3 years you no longer need a physician in the room?

I know you feel that PA’s have worked hard to fill the void but lets be honest, “You don’t know, what you don’t Know”.  And No you are not yet “FULLY AWARE” of your inabilities because they have yet to become known. No one is perfect and yours will as is many in the medical profession cost lives and do damage.  Doctors also face this, but youth allows for over abundance of confidence.   Yes, there are a variety of medical procedures that you can fill, take care of and diagnose.  But where did it become the law of the land, When was it decided the PA was going to be my primary care giver?  OBAMA CARE!  That’s when it was decided that your 3 years of schooling would become my care.  Well, hospitals now have PA’s as the front guard to Nero Surgeons, Cardiologist and other difficult specialists all front loaded with PA’s on the front lines. Adding cost in my eye’s as these sweet, newbies attempt to see if they can guess what the doctor might say is wrong.  As we have added 30 million new uninsured who have never paid in, I’m not sure why I need another layer of well trained (3 years) PA’s in front of my Doctor and Specialist.

The solution for both of us is,  OBAMA CARE to offer free medical care.  Lets put PA’s in every Walmart free of charge to the patients.  Now the hard working PA’s can help the very people OBAMA CARE promised to take care of, the Uninsured. When you find something that a PA can’t cure, they could be sent onto the hospital or physician.    If each Walmart was offering PA’s in their capacity as a medical professional the GOP and the Democrats could get behind a health care system that would offer front line protection for many more Americans.  This would be a Free Service provided by the Federal Government to get the lines out of the Private Hospital and Emergency Rooms.  Most people need advise and medical assistance.  Ms Kiviat is trained and willing to be that professional offering that service, lets give her this chance where it belongs, to the people.

Your column in IBD did less to sway me towards your heartfelt argument than it did to make many of us scream at whats wrong with the entire PA system.  We need many health care providers and may you and your fully trained associates become the best medical service you can be.  But not all of us,  wish to give up our options.

There two links to find the original print.  Thank you IBD for giving Betsy McCaughey a voice.



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