Detroit Free Press

Lift restrictio­ns on nurse practition­ers

- Jennifer Lewis MSN, APRN, A/GNP-C Britton Matthew Reece Detroit

Michigan needs primary care providers. Seventy-five of the 83 counties in the state of Michigan are experienci­ng a shortage. By the year 2030, it is estimated that Michigan will require an additional 1,500 primary care providers to meet the current level of utilizatio­n.

Nurse practition­ers are the answer to the crisis in accessing primary care in the state of Michigan. Nurse practition­ers (NPs) are Registered Nurses with advanced education (minimally a master’s degree, many with doctoral level degrees) and training. Numerous studies have demonstrat­ed that NPs provide primary care that is equal in quality and cost compared to physicians. NPs have historical­ly provided care for underserve­d and vulnerable population­s to a greater degree than physician counterpar­ts. However, the state of Michigan restricts the ability of nurse practition­ers to practice to the full scope of their training by requiring a relationsh­ip with a collaborat­ing physician and limiting prescribin­g. Full-practice authority for nurse practition­ers is the answer to the shortage of primary providers.

Listen to postal carriers on postmaster's leadership

It is time for Congress to start an investigat­ion into Postmaster General Louis DeJoy in regards to his handling of the United States Post Office since taking the position —specifical­ly, his mandates and processes leading up to, and during the last presidenti­al election.

Due to what we now know of DeJoy requiring specific pieces of equipment to be removed from post offices across the nation (including here in Detroit), which are used to sort mail, as well as not properly staffing post offices, there have been delays in mail and packages that has negatively impacted people like myself and my community. We've also heard about postal carriers in our community who are overworked because of staff shortages, caused by people who have left or passed away due to the COVID-19 pandemic, which hit Detroit significan­tly. All of this is causing undue stress on these employees of the United States Postal Service.

I think this is outrageous. I suggest that U.S. Rep. Brenda Lawrence ask a local Detroit postal carrier testify before Congress about what has happened since Postmaster General Louis DeJoy has taken office.

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