The Sign of Things to Come?

Doctors are being replaced by those who are lesser educated and lesser trained. These are the facts and they are indisputable. Was it our fault? No. Did doctors help enable it? Absolutely. The sign you see above was from a hospital. To them, doctors are providers and the same as NPs and PAs. The trend is to confuse the public, treat us as if we were the same as NPPs (non physician providers), and then get rid of those with the highest income, which is the doctors.

This phenomenon is moving so fast that it has even convinced the NPPs that they are the same. The Dunning-Kruger effect is undefeated.

The war is almost over now. NPs just got full practice authority in California. The rest of the country will fall like dominos. The politicians are clueless (or paid off) and think the NPs are being discriminated against and getting FPA is their “right”. The question is what are you going to do about it?

The following is a conversation on Facebook. It comes from an NP and directs its venom towards an MD. This is becoming more and more common.

Remember these three things she brings up:

  1. “We are not trying to be equivalent to an MD because were are better than MDs.”
  2. “Because we actually listen to our patients.”
  3. “A doctor is a doctor is a doctor.”

Again, the Dunning-Kruger effect in full display.

This website ( has, over and over again, shown why NPs getting FPA is wrong. We have shown how their studies are inaccurate, poorly done, or fraudulent. It looks like it doesn’t matter anymore and more and more patients will be hurt by those with little training and poor education.

What can you do about it?

  • You can join groups like Physicians for Patient Protection.
  • You can STOP letting NP students train with you to get their so-called clinic hours.
  • You can STOP hiring NPs and PAs to increase your income.
  • You can STOP agreeing to contracts where you have to oversee NPs.
  • You can share cases of NPPs mismanagement with attornies that are protecting patients.
  • You can talk to your professional medical organization and/or medical society and get them to ADVERTISE or MARKET the differences between doctors and NPPs.

The choice is now yours. It is not about protecting your income (a common retort from the NPPs whenever doctors speak up about this travesty). It is about protecting our healthcare system. It is about protecting patients.

Please share this.

(Any nasty NPPs that get on here to pile on and comment will have that comment deleted. Don’t waste your time.)

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A Collaborative Work From Some of the Writers at Authentic Medicine

These editorials are from some of the writers here at Authentic Medicine. The opinions expressed by these authors do not necessarily purport to reflect the opinions or views of other writers of this blog. Each collaborative work may, in fact, be from different authors.

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8 Responses

  1. BethK says:

    A doctor is not a doctor. For instance, someone with a PhD in history is rightly called “doctor”, but I’m sure not going to allow him to remove my appendix! Likewise, I’ve had NPs and PAs insist upon ludicrous treatments – things that I can hear in any drug ad, but not considering a distinct problem with that treatment for me.

  2. Kurt says:

    Boy, this is getting bad. I just retired July 1st. (Lucky me!)
    If I was just starting out in med school, I’d bust my buns to specialize, period.
    Unfortunately, many docs have no choice when it comes to associating with NP’s. Their corporate practice forces them. I had one for over 20 years and shared the same practice area. She didn’t do hospital work and would grab me to pick my brain whenever she had a difficult case to sort out. It worked out well and she did a great job as I had to review a fair percentage of her records. She told me out right several times that there was no way in Hades she would want to practice independently. She’d bring this up sometimes out of the blue and it indicates she recognized how difficult practicing medicine is.

    I remember one time when an “uppity” PA did a biopsy of a nevus and it came back melanoma. The idiot came to one of the surgeons of the group and asked, “How much more tissue should I remove?” Needless to say, the surgeon took over the care of the patient and that PA didn’t last long at the practice.

  3. William J. Carbone says:

    Doctors may be doctors but please, please stop using this general term. Doctors may be doctors but damn it, they are NOT always physicians. There is a major and significant difference.

    Only physicians are physicians. Period.

    Thank you.

  4. Pat says:

    I feel like Charlton Heston in “Planet of the Apes’…first I’m screaming “It’s a madhouse!!!”, then I’m pounding my fist on the sand, screaming, “You maniacs…you blew it up..!”

    Big NP can take their “team approach” and stick it up their collective ass.

  5. Stewart says:

    We so completely brought this on ourselves.

    The AAFP has spent two decades telling the world that one receives medical care not from a physician but from a “team.”

    And now they act butt-hurt that family physicians are considered expendable?

    Cry me a river.

  6. arthur gindin says:


  7. arthur gindin says:

    We need to protect what is OURS! GETTING A DOWNGRADE TO AN NP IS RIDICULOUS!

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