It’s votes that count
Ithink the government’s actions are unconscionable. The sustainable growth rate jeopardizes more than the elderly. Smaller rural practices will not be able to survive a 21.2% cut and will have to close.
All the talk of healthcare reform will be for naught if there are no providers to deliver the care. It is time for all physicians to take a stand.
I am shocked at the lack of patient knowledge on this topic. When we talk to our patients, they have no idea that this cut is looming nor what it could mean to their access to care. Where is the American Medical Association? Lobbying is fine but we need to have the patients (votes) behind this—it’s the only thing politicians listen to.
Ron Haselnus Chesapeake Eye Center
Berlin/Salisbury, Md. ment in a medical home. Whether that “home” is owned and operated by an nurse practitioner/physician assistant or physician is not important. What is important is that the proper tests are done within the framework of national guidelines and that appropriate care is given and referrals made when they are indicated.
Do you know why patients love nurse practitioners and physician assistants? It’s simply because we speak their language, take the time to sit down and describe their problems and how to both prevent and care for them. We offer assistance in getting them medications by being knowledgeable of pharmaceutical companies that have special incentives and programs for those who cannot afford medications and do not have health insurance.
Robert M. Blumm Immediate past president American College of Clinicians
Natick, Mass. Academy of Family Physicians would oppose one viable option to reduce the burden of chronic illness for families and communities by trying to limit or restrict scope of practice—not to mention the potential savings to the U.S. healthcare budget.
Retail or convenient-care clinics using board-certified nurse practitioners with master’s or doctorate degrees, evidence-based guidelines, and working in collaboration with physician colleagues, offer a sound opportunity to identify and initiate early treatment of chronic illnesses, such as diabetes and hypertension, while helping patients access a medical home and ongoing physician services.
For the AAFP to feel threatened makes me wonder how we as a country will ever agree to the health reforms necessary to provide accessible and affordable healthcare to all when one group feels entitled to own or control all health-related issues and interventions. Shame on you.
Karen Ivantic-Doucette Family nurse practitioner