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0 pointsadgjlsfhk17mo ago0 comments

we also could just stop having the federal government limit the number of residency slots so we could have enough doctors trained in the US.

0 comments

ZYbCRq22HbJ2y77mo ago

https://www.beckershospitalreview.com/quality/hospital-physi...

https://pmc.ncbi.nlm.nih.gov/articles/PMC8370355/

kgwgk7mo ago

Good luck getting the federal government to stop doing what the unio..., I mean, what the American Medical Association and representatives of the nation's medical schools ask for.

https://web.archive.org/web/20200501175120/https://www.balti...

jmye7mo ago

Not just residency. Fix the cost (and capacity) of the education system as a whole, especially for mid-levels. There’s no reason this country should have such a chronic NP shortage, and you don’t need MD/DOs for most of the healthcare gaps we have.

You also make rural care viable when you don’t have folks who need to pay off astronomical loans.

kgwgk7mo ago

> you don’t need MD/DOs for most of the healthcare gaps we have

Or maybe you do! It’s for your own good.

https://www.ama-assn.org/practice-management/scope-practice/...

mindslight7mo ago

How are NPs not just the trend of enshittification? Most doctors already aren't very engaged in the tiny 15 minute slices of appointments, and now we're supposed to be happy that they'll be even less educated? The most straightforward way to address the doctor shortage is to make it so doctors are spending most of their time on healthcare, rather than appeasing "insurance" company bureaucrats with onerous paperwork.

tptacek7mo ago

Nurse-Practitioners work harder to get their certification than almost anybody who comments on HN and it is not OK to talk about them this way.

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evantbyrne7mo ago

Finding good (and available) primary care providers has always felt like going to the casino in my experience. Currently seeing an older NP who has been great. I could see a future with many more NPs. Obviously, if you know a guy or need a specialist, then do what makes sense.

jmye7mo ago

What a weird comment. What do you think you need an MD for, in your primary care visit, that an NP can’t do? What do you actually know about their education? What do you actually know about licensing? How much time, in a day, do you think doctors are spending on “insurance”, and what specific experience leads you to believe that?

(Because the actual answer is “near zero for literally any provider who isn’t completely independent, and almost none of them are, anymore”.)

Or was this just a way to memetically add “enshittification” to a conversation it doesn’t even slightly apply to, but you think that’s currently trendy?

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FireBeyond7mo ago

There are NP mills that will take you from high school, put you through an accelerated RN and prereqs and basically have you as an independent provider in just a few years out of high school (well, 4-5), that’s ridiculous.

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yablak7mo ago

And by not limit you mean fund. And I agree.

j / k navigate · click thread line to collapse

0 comments

ZYbCRq22HbJ2y77mo ago

https://www.beckershospitalreview.com/quality/hospital-physi...

https://pmc.ncbi.nlm.nih.gov/articles/PMC8370355/

kgwgk7mo ago

Good luck getting the federal government to stop doing what the unio..., I mean, what the American Medical Association and representatives of the nation's medical schools ask for.

https://web.archive.org/web/20200501175120/https://www.balti...

jmye7mo ago

You also make rural care viable when you don’t have folks who need to pay off astronomical loans.

kgwgk7mo ago

> you don’t need MD/DOs for most of the healthcare gaps we have

Or maybe you do! It’s for your own good.

https://www.ama-assn.org/practice-management/scope-practice/...

mindslight7mo ago

tptacek7mo ago

Nurse-Practitioners work harder to get their certification than almost anybody who comments on HN and it is not OK to talk about them this way.

1 more reply

evantbyrne7mo ago

jmye7mo ago

(Because the actual answer is “near zero for literally any provider who isn’t completely independent, and almost none of them are, anymore”.)

Or was this just a way to memetically add “enshittification” to a conversation it doesn’t even slightly apply to, but you think that’s currently trendy?

2 more replies

FireBeyond7mo ago

1 more reply

yablak7mo ago

And by not limit you mean fund. And I agree.

j / k navigate · click thread line to collapse