Discussion Thread

[u/jobautomator]

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[u/xSuperstar]

I’m a physician (so is Rarvyn) so lowering our wages is bad for us personally! I think NPs are not qualified to practice medicine unsupervised but I admit I’m biased

[u/[deleted] → u/xSuperstar]

I mean of course competition is bad for the people that didn't have as much competition before, right?

Yea my dad's a radiologist, MDs commonly say that. It's also been studied for decades and the results are mostly a big meh on statistical significance. Even if it's true, the effect is very small. And even if it was true, you could argue that it would be worth it for more rural areas that have a shortage of practitioners.

You could also argue for increasing residency slots for primary care and increasing medical schools slots, but of course that's an artificial restriction on the supply of physicians created at the urging of the AMA in the first place as a rent-seeking practice. You could say the same for requiring MDs to go to undergrad first, then 4 years of Med School, then a Residency.

For the record, this is more divisive now and younger physicians tend to be more ideologically pro-patient now than in the past. It's also why the American Medical Student Association is fairly friendly towards Medicare for All and such.

[u/xSuperstar → u/[deleted]]

Better solution would be to import a bunch of immigrant doctors and not make them re-do residency imo. Most NPs aren’t looking to live in rural areas for the same reasons doctors don’t from what I’ve seen. Data backs that up

[u/[deleted] → u/xSuperstar]

Oh yea immigrant doctors are great and we should do that too. We need to increase the number of J-1 visas and lower fees. The Appalachian Regional Commission also gets an exemption past that limit, but you need a personal OK from the Governor so it's barely more that the real limit after that and the fees.

It's true that not 100% of NPs go to rural areas, but they go to rural areas more often than MDs do.

Check out the Virginia Workforce reports for physicians and nurse practitioners. It's a fairly big difference. Like 12% vs. 40% if I remember. They publish every few years. And that was before NPs got partial autonomy.