We are a commune of inquiring, skeptical, politically centrist, capitalist, anglophile, traditionalist New England Yankee humans, humanoids, and animals with many interests beyond and above politics. Each of us has had a high-school education (or GED), but all had ADD so didn't pay attention very well, especially the dogs. Each one of us does "try my best to be just like I am," and none of us enjoys working for others, including for Maggie, from whom we receive neither a nickel nor a dime. Freedom from nags, cranks, government, do-gooders, control-freaks and idiots is all that we ask for.
"The left falls for a revealing poverty hoax".
I think it should say that the left manufaturer a poverty story that is revealed as a hoax. But why the suprise? Isn't everything we've been told in the last 5 years a lie and a hoax? Wasn't at least half of everything we've been told since the great society programs were passed into law lies and hoaxes? This is what the left does to get what they want. They are like children who have learned to lie and whine and throw tantrums to get what they want from their "parents". As long as we allow them to get away with it we are their enablers. But worse because we are their victims too. Obama has presided over more debt in his five years then all the other presidents put together. Do you think taxes won't go up in the future to pay for this. He has in effect passed (forced) the largest tax ncrease in history to pay for his orgy of spending on unions and welfare. But it gets worse. We will indeed have the largest tax increase in history when this debt finally can no longer be ignored. But we cannot pay it off so we will have both unfortunate results; a huge tax increase and a federal default. It is coming, maybe next year, maybe in two or three years but it is inevitable.
Nurse Practitioners and Physician Assistants can be a great asset to any medical practice. I have worked with some truly great ones. And some absolutely horrible ones (yes, I'm talking death here.) The longer and more intensive training that medical doctors get reinforces the critical differentials in diagnosis that many mid-level providers (NPs and PAs) lack. The odds are generally with them, that a fever or a stomach ache will resolve; and if not the patient will return in a few days. But they can and do kill patients through failure to observe and analyze.
My advice is if you know what's wrong with you and need medical care then a mid-level is fine. If you are ill with an unknown stick with a provider you know and trust.
Thanks for the steer on the album, will have to look over next trip to the big city.
Wonder who is funding the western NGOs?
The MD vs NP/PA battle is like always about the money, yet, I trust someone who does done six years as apprentice to journeyman than someone who hasn't. Hospital costs the problem, yes, saw a $60k bill marked paid in full when Blue Cross paid $28k. Was the missing 32k written off, passed along or just not a number to get the max insurance payment?
Thanks to a nurse practitioner I endured three months of physical therapy for "tennis elbow" which I never had. I finally self-referred to a neurologist who is also a customer after getting even worse symptoms. He told me that the physical therapy I endured was a complete waste (over $600 in co-pays), and the "diagnosis" was "ridiculous." A simple nerve conduction study done in a timely fashion would have produced the correct diagnosis, and timely treatment and would have prevented my now permanently numb left hand.
Sorry to hear of your discomfort. Your case is a good example of why the Nurse Practitioner idea will do little to improve health care, all the while improving your health care provider's $$$ bottom line. NPs might be capable of dealing with simple ailments, but the concern your case raises is whether a typical NP will be sufficiently well trained and familiar enough with a patient's medical history to recognize when a problem is truly simple or actually much more complicated. Even highly trained doctors make mistakes in diagnosis and fail to recognize the earliest signs of problems that may eventually evolve into serious health threats.
Here's another anecdotal NP experience. Three years ago I developed a UTI. Two different NPs (one at my GYN and the other at a walk-in clinic) diagnosed me with two different diagnoses: 1) low estrogen and 2) a candida infection. I tried their treatments (Estrace and Diflucan) and continued to feel worse and worse.
Finally, on a long drive to the beach, I developed chills and fever, flank pain, and generally felt like I was dying. A stop at a tiny ER in Barnwell, SC got me into triage where a doctor immediately diagnosed a UTI going into nephritis. He ordered IV fluids and IV Cipro. Based on my responses he did not admit me to the hospital but sent me on my way with 2 weeks worth of Cipro and orders to drink a gallon of water a day (and stay out of the sun).
I recovered. Now I call my DOCTOR if I have any signs of a UTI (only twice since then). My experience with PA's was the pits. No thank you.