Lower the Hurdles and You Get….

We have pointed out the ridiculous ways to become an NP and DNP.   We have pointed out the monstrous differences in training between a doctor and NP or DNP.  We have even pointed out how our governing bodies are too afraid to resist this overreach.

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And here is the result:

Nurse Practitioner Demand Eclipses Doctors As States Lift Hurdles

“The demand for nurse practitioners has never been higher,” American Association of Nurse Practitioners President Cindy Cooke said. “With the rise of full practice authority in 22 states and the District of Columbia, more patients than ever have direct access to high-quality nurse practitioner care in every setting–including the veterans’ health system.”

If you don’t know how this started then here is a glimpse:

In 1965, Loretta Ford and Henry Silver, a nurse and a physician, created the first training program for nurse practitioners. The curriculum focused on health promotion, disease prevention, and the health of children and families. According to Ford, society’s demand for primary care services and nursing’s potential to meet the need were the reasons for the development of nurse practitioners; the physician shortage merely provided the opportunity. Others describe the physician shortage as the rationale for the expansion of nurse practitioner programs nationwide.

It was all created to find someone to fill physician deprived areas. Fifty years later and do you really think that is where they are going?  It was a trojan horse and now it can’t be stopped.  And the AMA and the AAFP did nothing.

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Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  12 comments for “Lower the Hurdles and You Get….

  1. Jerald Campbell
    June 11, 2017 at 6:09 pm

    Using your logic, Family Practice medicine wouldn’t exist. Only cardiologists, internal medicine, pediatricians, etc., could take care of patients because of their increased education and training. Based on comments I’ve heard by some OB/GYN physicians, they think you’re inexperienced and undertrained too. But I work with some great Family Practice physicians who are very good. I don’t want them to be restricted by others who desire control and financial gain. You need a hug.

    • Doug Farrago
      June 11, 2017 at 6:45 pm

      Based on your logic there is no need for training or education.

      • Jerald Campbell
        June 11, 2017 at 7:00 pm

        Doesn’t follow the definition of logic but it’s your website. Adios.

  2. Jerald Campbell
    June 10, 2017 at 9:47 am

    Dr. Farrago:

    I’ve enjoyed a 45 year healthcare career mostly as a Certified Registered Nurse Anesthetist (CRNA) practicing independently in rural hospitals. I’ve been blessed to work with talented, caring physicians as well as nurse partitioners and physicians assistants. Your whining about advanced practice nurses is getting old. I’ve heard the same self serving crap about CRNAs my entire career. Are you afraid of competition? Provide true scientific research that proves these professions are unsafe. You can’t. Professional liability insurance companies would not provide coverage for any of these providers if they were paying inordinate claims. If you’re so worried about patient care, focus on improving your profession.

    • Doug Farrago
      June 10, 2017 at 10:32 am

      You are a LELT snowflake. Go away.

      • Jerald Campbell
        June 10, 2017 at 4:56 pm

        Quite the fact filled, intellectual response. I enjoy forwarding protectionist attitudes like yours to my congressman. I really enjoyed using some of them when I testified before our state HHS committee with some of your like minded colleagues in attendance. The committee members didn’t like financially self serving physicians trying to establish monopolies. Please continue responding with snarky comments. I love to copy, paste, and forward them.

        • Doug Farrago
          June 10, 2017 at 10:55 pm

          There is no arguing with idiots like you. Go ahead and paste the ad for getting a DNP online. Go ahead and paste the differences in education and training.

          • Jerald Campbell
            June 11, 2017 at 10:05 am

            You still can’t come up with any peer reviewed, published scientific research about adverse patient outcomes. Personal attack is your only weak response. Saul Alinsky would be proud of you. I used to enjoy your publications and shared some of your articles. Your wit and humor has turned to anger and divisiness for some reason. I could recommend a good Advanced Practice Registered Nurse, DNP mental health counselor. You are right about one thing. This is waste of time. I wish you good health, a happy life and stay out of the sample closet.

          • Doug Farrago
            June 11, 2017 at 12:40 pm

            No, you’re right. More education and training doesn’t matter.

      • Bonnie Carcione
        June 17, 2017 at 2:59 pm

        YOU are the one who should just….melt away…. another angry & jealous so called DR who is only interested in the almighty $ & can’t stand to think that an ADVANCED PRACTICE NURSE DOES A BETTER JOB THAN YOU!!!!

        • Doug Farrago
          June 18, 2017 at 6:10 am

          Sure you do. LOL

  3. George Voigtlander
    June 6, 2017 at 8:02 am

    I testified against the bill removing collaboration requirements on nurse practitioners. The committee was composed of seven senators, all of whom were cosponsers of the bill. The only evidence for the bill was an article from a NP magazine and “expert opinion”. Opponents to it provided hard data, hours of training, improved morbidity and mortality data associated with Physicians (MDs and DOs) and increased frequency and severity of paid claims to plaintiffs. Also, the vast majority of NPs stay in urban areas. The Rural communities want Physicians. More MDs go to rural areas.
    We are fighting against superior marketing. The triumph of fluff.

Comments are closed.