Reply to I do not want to see an NP!

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][b]It is horrifying to me how many people are unaware of how poorly trained the far majority of NP's are.[/b]  They can get their degrees from 100% online programs (AKA degree mills).  They may be absolutely lovely in person, but the bottom line is that they don't know what they don't know.  It is an absolute travesty what they have done to the field of medicine.  Primary care is one of the most difficult things because 99% of the time, everything is fine.  But you need to see thousands of cases of normal in order to detect the abnormal.[/quote]
Exactly, I work in medicine. [b]NPs are poorly trained and are not cost effective[/b]. The patient is billed at the same rate as an MD but the reimbursement to the provider is lower. So the only person that wins is the insurance company. NPs order more tests and do a lot of unnecessary things because they do not know what they're doing. 
I don't want to see an NP because I'm alarmed at the pace at which their scope of practice is increasing. Insurance groups are pushing the NP model because its a huge profit margin for them, but telling people that an NP is the equivalent of seeing an MD/DO trained in family medicine is disingenuous. 
NPs misdiagnose all the damn time simply because they do not have the breadth of knowledge to know when something isn't right. I rarely go to the doctor but when I do I want to be seen by a physician. [/quote]

I was not aware of this, but I do go to the doctor a lot and I'm still okay with being seen by an NP. I don't know if my experience is unique, but I have never been seen exclusively by an NP over the course of treatment/management. On of two things happens: the doctor and NP or PA switch off or I see an NP to do the more thorough Q and A thing and then the doctor sees me more briefly. I would be dismayed if my first meeting with a healthcare professional about a particular issue was with an NP, but for preventative care and continued management I think it's fine, especially since you can often communicate with your doctor through a portal. And as far as I know I have never had an experience where an NP missed something or did something unnecessary. It might have happened, but I know for *sure* that my doctors have missed things.

I do think that the best model for a general practitioner is the new one that's kind of a subscription model where they are cutting insurance out of the practice and charging patients a monthly fee. Insurance companies are definitely screwing things up. They need to also [/quote]

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