• [ network ]
  • goatmatrix.net
  • gvid.tv
  • img.gvid.tv
  • games.gvid.tv
  • apps.gvid.tv
HomeUploadUpload DirectHotlinkRandomAbouttheme toggle
Expand

Nurse Practitioners Can Make Health Care Cheaper (and Doctors Want to Stop Them)

Views:1063
@ReasonVids

"The major motivation in this opposition is kind of a turf war," says Dale Ann Dorsey, a nurse practitioner who runs her own women's health clinic in Scottsdale, Arizona.

Arizona is one of 18 states that allows nurse practitioners to run independent primary care practices, with full prescribing privileges, and without the oversight of a licensed physician. Earlier this year, nurse practitioners in California pushed to liberalize scope-of-practice rules in the Golden State, only to be stopped dead in their tracks by the powerful California Medical Association (CMA), which poured more than $1 million into lobbying efforts in the first half of 2013, when the legislation was under consideration.

"Nurse practioners' training is very limited compared to physicians," says Paul Phinney, a California pediatrician and former CMA president. "They lack a certain kind of experience that I believe is very important to the safety of patients and the quality of medical care that they're providing."

He has a point. Physicians are required to obtain far more education and clinical experience than are nurse practitioners. But there's little to no evidence showing that, when it comes to primary care, all of that extra education makes any difference in patient health outcomes. A 2012 Health Affairs survey of the medical literature found no difference in patient health between the two groups and even found a slightly higher satisfaction rate among patients of nurse practitioners.

So if outcomes are similar, and patients are satisfied, why are states like California hesitant to let more nurses open their own practices, especially when groups like the Association of American Medical Colleges are expecting a doctor shortage timebomb to detonate in the near future due to the aging population? Reason policy analyst Adam Summers says that concern for the public good is a secondary consideration at best in this case.

"Licensing laws are almost always sold as being in the public interest," says Summers. "But in reality all they do is drive up prices and reduce competition, which reduces the incentive to provide good services to the consumer."

Watch the video above to learn more about the nurse practitioners' struggle for clinical independence. Scroll down for downloadable links, and subscribe to Reason TV's Youtube channel for daily content like this.

Approximately 5 minutes. Produced by Zach Weissmueller. Shot by Tracy Oppenheimer and Weissmueller. Graphics by William Neff.

health care (issue)
,
nurse practitioner (occupation)
,
affordable healthcare
,
affordable healthcare act
,
obamacare
,
occupational licensing
,
competition
,
health care market
,
free market (idea)
,
libertarian
,
reason magazine
,
doctors versus nurses
,
doctors vs. nurses
    Thumbnail for Officers on Trial in Killing of Kelly Thomas2:16
    Officers on Trial in Killing of Kelly Thomas
    ReasonVids
    1089 views
    Thumbnail for Before the Web: The 1980s Dream of a Free and Borderless Virtual World (Pt.1)11:27
    Before the Web: The 1980s Dream of a Free and Borderless Virtual World (Pt.1)
    ReasonVids
    1080 views
    Thumbnail for Atlas Arms | Turning a Dagny Dagger Jacket - Armor piercing2:36
    Atlas Arms | Turning a Dagny Dagger Jacket - Armor piercing
    3dpew
    1312 views
    Thumbnail for Flamethrower1:04
    Flamethrower
    bestofupgoat
    381 views
    Thumbnail for Blockland - TTT Ave Maria0:42
    Blockland - TTT Ave Maria
    Queuenard
    194 views
    Thumbnail for Meet Christopher, the EIGHT-GPU Robot Quagsire | Zack Freedman21:32
    Meet Christopher, the EIGHT-GPU Robot Quagsire | Zack Freedman
    invidious
    404 views
    Thumbnail for Trump Praises JD Vance's Remarks On European Speech: 'Brilliant' | Newsweek0:54
    Trump Praises JD Vance's Remarks On European Speech: 'Brilliant' | Newsweek
    invidious
    135 views
    Thumbnail for ROCKEFELLER'S 1991 SPEECH5:07
    ROCKEFELLER'S 1991 SPEECH
    bestofvoatxyz
    1219 views
    Thumbnail for Is the Ocean Soup? (objection.lol) | SPOON SUPERMARKET2:44
    Is the Ocean Soup? (objection.lol) | SPOON SUPERMARKET
    invidious
    318 views
    Thumbnail for Drone strikes in Yemen -- yay or nay?1:59
    Drone strikes in Yemen -- yay or nay?
    ReasonVids
    1001 views
    Thumbnail for His Wife Cheated On Him But He Had The Last Laugh… #shorts | Andy Jiang1:00
    His Wife Cheated On Him But He Had The Last Laugh… #shorts | Andy Jiang
    invidious
    175 views
    Thumbnail for CDC, increased infection risk in vaccinated - Dr John Campbell13:45
    CDC, increased infection risk in vaccinated - Dr John Campbell
    AOUisgay
    555 views
    Thumbnail for Cody Wilson Thwarts Another Attempt To Stop Ghost Guns14:50
    Cody Wilson Thwarts Another Attempt To Stop Ghost Guns
    ReasonVids
    996 views
    Thumbnail for The Future of School Choice in America1:01:13
    The Future of School Choice in America
    ReasonVids
    893 views
    Thumbnail for Can Genetically Modified Mosquitoes Save The World From Zika?5:50
    Can Genetically Modified Mosquitoes Save The World From Zika?
    ReasonVids
    862 views
    Thumbnail for shieeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeet0:12
    shieeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeet
    bestofvoatxyz
    449 views
    Thumbnail for Goats 🐐 are hilarious #shorts#goat | Amelias Persian cats 1:00
    Goats 🐐 are hilarious #shorts#goat | Amelias Persian cats
    invidious
    180 views
    Thumbnail for Filling Up Prisons Without Fighting Crime: Mark Kleiman on America's Criminal Justice System7:04
    Filling Up Prisons Without Fighting Crime: Mark Kleiman on America's Criminal Justice System
    ReasonVids
    1036 views
    Thumbnail for Tucker Carlson on Sarah Palin0:39
    Tucker Carlson on Sarah Palin
    ReasonVids
    1085 views
    Thumbnail for School Choice Is A Moral and Financial Imperative19:22
    School Choice Is A Moral and Financial Imperative
    ReasonVids
    870 views
    Thumbnail for Can a White Libertarian Man Represent NY's Chinatown? Meet Dan O'Connor.4:11
    Can a White Libertarian Man Represent NY's Chinatown? Meet Dan O'Connor.
    ReasonVids
    1048 views
    Thumbnail for Peter Schiff at Occupy Wall Street: Full Version, Almost 2 Hours Long!1:48:29
    Peter Schiff at Occupy Wall Street: Full Version, Almost 2 Hours Long!
    ReasonVids
    778 views
    Thumbnail for CANDYLAND | William Strobeck27:15
    CANDYLAND | William Strobeck
    invidious
    309 views
    Thumbnail for ЧПУНЬК ВЕРНУЛСЯ В РОЛИКИ + НОВОЕ ВЫЖИВАНИЕ 250 МОДОВ | EdisonPts1:00
    ЧПУНЬК ВЕРНУЛСЯ В РОЛИКИ + НОВОЕ ВЫЖИВАНИЕ 250 МОДОВ | EdisonPts
    invidious
    352 views
    Thumbnail for Race Car Ya-Yas1:21
    Race Car Ya-Yas
    invidious
    128 views

points

Permalink
Reply
health care (issue)
,
nurse practitioner (occupation)
,
affordable healthcare
,
affordable healthcare act
,
obamacare
,
occupational licensing
,
competition
,
health care market
,
free market (idea)
,
libertarian
,
reason magazine
,
doctors versus nurses
,
doctors vs. nurses
TOS  •  Add Keywords  •  Donate  •   Analytics  •   DMCA  •   Puzzle