Nurse practitioners bill would not improve health care
Kim Jordan’s Aug. 17 op-ed (“Why Pa.’s nurse practitioners should have more autonomy”) suggests that nurse practitioners are as capable at practicing medicine as are physicians and, therefore, should be given more autonomy in order to reduce health care costs and increase access to quality care.
How can nurse practitioners diagnose illness better than a doctor who has 15,000 hours of clinical training versus their 500 hours? How will nurse practitioners reduce health care costs when the American Association of Nurse Practitioners’ stated goal is pay parity with doctors?
How can care quality increase when a doctor must train several additional years to change specialties, and a nurse practitioner can change specialties with no further training? If nurse practitioners are equal to physicians in ability, why are they not required to pass the same state medical licensing exams and board certification exams that doctors must pass?
The facts do not support Ms. Jordan’s conclusions. To protect the quality of our health care, please ask your state representative to vote against House Bill 100.
Peter McIntyre Lower Macungie Township
over using real estate taxes to fund public education. Because an “old tax” is fully impounded into economic relationships and asset values, changing that tax will affect those relationships and values.
In the property tax case, think of every property subject to tax as being encumbered by a liability — the estimated present value of those future property tax obligations. Each such property’s value is reduced by that liability.
Now comes the tricky part to be considered when revising the “old” property tax. If formerly taxed properties are relieved of some or all of the property tax, the encumbrance mentioned above shrinks or disappears, and those properties’ values may increase relative to any taxable properties.
Therefore, those who benefit from property tax reductions do so in two ways: 1. decreased annual cash outflow, and 2. potentially increased property value.
James Largay Upper Saucon Township
that in Rep. Frank Ryan’s bill, if someone is retired under a defined-benefit pension, as many as 20 to 25% currently are, they are actually taxed on 100% of the gross of their monthly benefit, not just “income.” This actually does result in doubletaxation.
The cursory and offhand sentence “pension income would be taxed” seems designed to distract from a major problem in this bill. Opening up the door to taxation of pensions would also wreck a longstanding culture of state respect toward its senior citizens and throw them to the tax-hungry wolves in Harrisburg.
Rep. Ryan needs to swallow his pride and withdraw this bill, HB13, until this problem is properly addressed.
Dwight D. Weidman Green Township, Franklin County