This Doc Still Supports NP/PA Led Care … With Caveats

Two years ago, I argued that independent care from nurse practitioners (NPs) and physician's assistants (PAs) would not have ill effects on health outcomes. To the surprise of no one, NPs and PAs embraced the argument; physicians clobbered it.

My case had three pegs: one was that medicine isn't rocket science and clinicians control a lot less than we think we do. The second peg was that technology levels the playing field of clinical care