While I don't disagree with the general comments on PMC status and the waste from overly restrictive supply of Dr.s. It's important to note that among some milieus PA/NP (even to some degree RN) are high status careers. Yes, they are largely working class jobs, but they are among the highest status working class jobs so you are getting many of the most competent folks in those milieus. Is it the same caliber as the marginally rejected medical student? probably not (our education system is pretty good at pulling out the occasional truly super bright folks that pop up and setting them on different paths).
It's a point of contention, but it is not at all established that care from NPs and, in particular, PAs is "vastly inferior" to care from Doctors for the situations they are typically used in. Studies on this matter are mixed (some have found PAs to provide equivalent or even in some cases better care, and, amusingly, generally much better documentation, while others have come to opposite conclusions on quality of care).
For 12 my understanding is the current guy was elected on an 'eliminate this useless position' platform and supports the amendment.
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" The long plan is outlined in meticulous detail in Chinese on a Google Docs form by MIL."
Ha, about 20 years ago went to China with (future) MIL. She sent out an itinerary for the 10 days with an apology note for the sloppiness and imprecision of the schedule as the software she was using forced all activities to be a multiple of 15 minutes.
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