and everything you read is very likely published by the AANA has a very heavy lobbying body fighting to get independent practice rights universally.

Living color is different.

I do agree, a physician isn’t always needed. However, a lot of BIG bad stuff gets missed when someone not sufficiently trained thinks it’s simple. Economic impact is more than just how much they cost, it’s also in how much they need to spend to workup something or how much they save by not missing something.

Case in point today, a Mid level provider (PA/NP) functioning independently overnight have a patient a medication based off a poor understanding of its effect...caused a stroke that’ll cost the hospital millions.

Or a few months ago, a nurse anesthestist fresh out of training did not understand a patients cardiac physiology in an otherwise simple case, gave an inappropriate medication after things were all done...patient coded in the hallway and was dead on a few minutes.

So much nuance that never makes it to the journals.