Reply to I do not want to see an NP!

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]The devolution of the US medical system to increasingly poor quality levels is the fruit of corporatization, abetted by the appalling power insurance companies have been permitted to amass over what constitutes “appropriate” care. Corporate-owned practices (which increasingly are the only thing you can find if you want to use your preposterously overpriced insurance) hire non-physicians to do what properly is physician’s work because the non-physicians are more readily available, are significantly cheaper and allow vastly increased financial leverage and a concomitant increase in profit. People say that their non-physician “provider” is great and will refer them if anything is “serious.”  [b]The problem is that few patients have even the slightest ability to determine how “serious” their condition is[/b]; regardless of their misplaced self confidence, non-physicians lack the training to avoid mistakes that a physician would catch. Given the rate of physician error, it is terrifying to think how much non-physicians may be missing. I am alive today because a physician noticed a deadly skin cancer when I was in for something else entirely. I have very little confidence that a non-physician would have caught that. [/quote]
You've hit the nail on the head. Most consumers of healthcare do not have perfect information and simply cannot objectively judge if they are receiving good care. Sometimes its left up to the NPs judgment if they involve a physician, that's absolutely crazy. 
People are putting their lives in the hands of someone that did a few hours of school online. There are places that offer NP training online in as little as a year! There is no universe where 1 year of online school replaces med school, residency, fellowship etc. [/quote]

This is true about doctors too! I have been to doctors who had all the perfect credentials and seemed amazing, and later it turned out that they actually sucked. I've learned that for the layperson, the best indicator of the quality of a healthcare professional, regardless of credentials, is how many questions they ask and how well they listen to the answers before they start poking at you and deciding what to do next. When they get that bored look in their eyes as you explain to them what's going on, or when they seem really cocky about their knowledge and defensive about questions you have for them, you should get suspicious.

Of course feel free to insist on a doctor but don't tell those of us who are okay with being seen by NPs alongside a doctor that we are ignoramuses. [/quote]

There are bad doctors that's a given. I'm simply pointing out that the NP vs MD training is vastly different.[/quote]

True, but what we need are people who are willing to get routine and basic medical care including primary care routine visits handled by NPs and PAs.  There are way too many people now who are like OP for all care, not just specialized care.  But we don't have enough MDs in primary care and so trying to get people in to see MDs when they don't need one is part of the problem.  I don't know what OP needs to be seen for, but if OP wants to see an MD for basic routine care, like a checkup or exam, then they are part of the problem. Making it harder and harder for the limited number of MDs in primary care to see all the patients that they need to see.[/quote]

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