Is the problem incentives? Naa, it's regs… let the Dr's become specialists and advance the medical arts and profit in the free markets… let the Nurses diagnose and prescribe for the flu (bird, pigs, or other wise) under the utility regime, as all deserve cheap common care… Yep its step here is a quick script…. or as usual say "yep your arm is broken, not cracked…. go see the orthopedic Mr Lack and see if he wants to do surgery or not".

In some states, NPs admit and follow their patients in hospitals. Some NPs work in emergency rooms evaluating, diagnosing and treating patients with lacerations and fractures. In 10 states, NPs can open their own clinics and offices, in 27 states they are required to work in collaboration with physicians, and in 11 states they are required to work under supervision of a physician. The American Academy of Nurse Practitioners defines Nurse Practitioners as licensed independent practitioners who practice in ambulatory, acute and long term care as primary and/or specialty care providers. They provide nursing and medical services to individuals, families, and groups according to their area of practice/specialty. In addition to diagnosing and managing acute episodic and chronic illness, they also emphasize health promotion and disease prevention, incorporating teaching and counseling of individuals, families, and groups as a major part of their practice.

Stefan Jovanovich writes:

What? Have people licensed to practice medicine who actually know how to treat illnesses and wounds? NEVER! Our medical expert, Eddie the Eagle, who wants to join Lack's ortho practice, has kept her parents entertained during her too infrequent visits home with the stories she has heard from the surgical residents. The best from this last visit was the one about the fate of the patient who stopped breathing just after being delivered to the ER. The two residents on duty were, by mischance, both on their way to becoming Gurus of Public Health (no doubt you will see them at a podium some day assuring the TV cameras that TwineFlu is not yet a pandemic). The crisis was averted when one of the Residents ran out to the ambulance in the parking lot and got the EMTs so that someone could actually revive the poor sod.


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