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Ok folks, it is down to the wire. AB 890, the bill in CA granting NPs unsupervised practice, is down to the wire. It was in the appropriations committee. Voted on Saturday; however, they did not allow anyone to call in to oppose or support. They did not want to hear from the
2)the public or docs. And it passed 4:2. The writing is on the wall. The legislators have been swayed by Jim Wood. They are not interested in what physicians in this state have to say. They have removed standardized procedures completely. I have added what standardized procedures
3)are so you understand they will no longer exist. The NPs will not be restricted anymore. It afforded the public some protection. Not anymore. No supervision. No standardized procedures. A corrupt nursing board. The writing is on the wall. It was never about the patient, it is
4)and always was about politics. The rural areas in which they could have worked because they were not prevented(despite the straw man argument that supervision was restraining them) will remain w/o access. Medspas(which are already a problem in CA), hormone clinics, dermatology/
4)aesthetic clinics, etc. will abound, unrestrained. The legislators just don't get it...that medicine and nursing are not the same and no amount of pontification will make them the same. And it is that lack of respect for the differences that will lead to predictable
5)consequences. They can't say they didn't know, we physicians told them. This is our area of expertise. They demanded we prove a negative, that NPs can't do what we can do. Absurd.
"The practice of medicine is the gold standard by which all other disciplines of health provision
"The practice of medicine is the gold standard by which all other disciplines of health provision
6) are measured. The onus is on you to prove, with VALID evidence of sound quality and unquestionable standards and methodology, that your discipline measures up." That has not been done, nor do legislators care. Because they will have doctors providing their care. A two-tiered
7)system. That is what California will have. California physicians, understand what is presumed in the bill is that we will provide the education, for free, for NPs to go practice unrestricted, unsupervised and unaccountable in our state. He never asked us for our permission.
8)Like the corporate whores for whom some of us work, Jim Wood, the dentist, has decided what our role would be. The NPs never asked either, just assume we will be available for their needs. But our concerns? Dismissed. Physicians, you are either part of the solution or part of
9)the problem. The BOM decided it was a good idea to restrict interns, who had been working in rural areas after one year of internship, to three years minimum of residency before they can do this. But a NP freshly graduated from an online degree mill can work under a physician
10)for a few years and then go practice, unfettered. No standardized competency exam before leaving the physician's employ, no training certificate consistent with the practice of medicine. Nope. Three years and out of the nest. To do whatever he/she desires. Jim Wood made sure
11)included that NPs send any complications to the docs. Doesn't matter if the complication is the result of someone practicing medicine w/o a license, because they will not be held accountable. It will be the doc who ends up with the patient. Why do we keep taking this s**t?
12)If they can do what we do, then why the hell are we in the picture? For the reason we always are. To be the safety net. To own the liability. The patients? They are not part of the conversation. As usual. I'm just so tired of this s**t. Call the Senate and harass them. Please.
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