I like analogies that are apropo. Healthcare is a cesspool of Pimps, Hoes and Johns. I discussed the transformation of medicine in this article for Authentic Medicine(authenticmedicine.com/2020/09/the-me…). I elaborated on Pimp #1(RWJF), who approached the National Academy of Medicine(NAM),
2)aka "The Hoes", for a White Paper on the Future of Nursing campaign which was designed to transition physician-led medicine to nursing-led. The Hoes didn't care that nurses aren't trained to practice medicine, they got on board with the campaign. The goal in 2010....
3)Never mind that the Hoes and Pimp #1 had no idea how to competently increase the nursing/NP pool w/o compromising education. They didn't care about that either. Enter the online, substandard NP degree mills graduating NPs who cannot even practice as nurses, let alone NPs. But
4)it expanded the pool. What makes even less sense is that the new NPs, whom the former AANP president claims "are prepared to provide, safe, high-quality, evidence based patient care from the point of graduation", aren't prepared. Hence, the necessity for these NPs to complete
5)a "residency". Does no one see the absurdity of this? What was the point of the degree mills? Welp, to get the funding the ACA, Pimp #2, so generously provided for NPs to fill the physician "shortage" in primary care. Those Hoes wanted a piece of the pie also. So how did that
6)go? For the state with FPA the longest, Oregon, not too well. Did the NPs go to the underserved areas as promised? Nope. They did what everyone else did, they went where the money and resources are, in "specialties" and urban/suburban areas. AANP stated that 75% of NPs across
7)the nation are in primary care. It's bulls**t. PPP knows it. AMA knows it. The Oregon Nurses Association(ONA) knows it. The Lund Report knows it. But the AANP won't admit it--the legislators can't know. Guess why. Hint: FPA. At all costs. thelundreport.org/content/too-fe…
8)So in summary: The Future of Nursing Campaign resulted from a 2010 White Paper written by the Hoes, funded by Pimp #1 to, again, transform physician-led medicine to nursing-led. Doesn't matter that is not what it said, that was the intent. The goals were to increase the
9)number of NPs to fill the role of physicians for an imagined shortage, which they did by funding generously provided by Pimp #2, the ACA. Education was compromised but an acceptable consequence for the Pimps and Hoes. Because, you know, it's hard for a Pimp out there. Can't fix
10)everything. So what's happening today, 10 years later? Pimp #1 and "The Hoes" have put out a new White Paper for the next 10 years. Yippee. The Future of Nursing has morphed into the Future of Medicine. They are one and the same. When you look at the goals, anyone who is a
11)nurse or physician and has been in practice long enough knows that nursing was always patient-centered. Nurses have always partnered with docs, we work symbiotically. Nothing new.
12)But this is about none of that. It's a smokescreen to appear as if these are new objectives when they already existed. It is a scam to remove physician authority/presence from the landscape of medicine. It is interfering with the Pimps in the business of medicine. The removal
13)of regulatory supervisions in place for the public's protection under the guise of allowing NPs to practice at the top of their license(still undefined) and the movement of all NP master's programs to doctorate programs by 2025...all part of the fraud to convince the public
14)that NPs are equivalent to physicians. Courtesy of all the Pimps and Hoes. Look up NAM and the Future of Medicine. You won't find it. Where are HCPs in all this? Welp, we're the streetwalkers. Still hoes, but at the bottom of the totem pole. No say in anything.
15)If we want to get paid, we do Pimp #3's bidding. Whose Pimp #3 you ask? Private equity-backed corporate medicine. Yep, we walk their walk like good streetwalkers do. And the patients? Welp, they are the John's, just looking for some kind of relief. Help. They are the victims.
16)They've got no voice and no choice. They are incidental. The Pimps and the Hoes, they need their money though. So whatever it takes, get the John's money. Yeah, it's hard for a Pimp out there.🙄
All EM docs and residents out there in Twitterland need to view this video. Summarizes the f***ed up situation with my beloved specialty--in a nutshell. Beautifully done. I remember the days when I would be hired for a job, sight unseen. Sent in my CV and
2)boom, I was hired. My training was spectacular and my attendings supportive. And I recall when I became concerned about the changing landscape of EM, especially when CMGs began to become more prominent and small democratic groups sold their practices. We did this. We gave away
3)EM. To everybody. It took a while for the damage to manifest, but now it's here. I'm so proud of the beginnings of EM. The goal was to improve care to critically ill and trauma patients by aggressive intervention. And we did, we improved survival rates. Now we are going
CA docs: I was unaware of the class action lawsuit against Sutter Health, the largest health care system(and a non-profit) in northern CA. They settled a $575 million dollar antitrust class action lawsuit alleging anticompetitive practices that drove up revcycleintelligence.com/news/judge-app…
2)the cost of health care services in the region. Just when the case was set to go to trial in 2019, they decided to settle. It is interesting to note that in November 2017, Sutter was sanctioned by the judge for "intentionally destroying 192 pieces of evidence that were relevant
3)to antitrust issues". It is mind-boggling that costs were much higher in northern than southern CA, considering southern CA has a higher cost-of-living and is more congested. Sacramento, my home town, has the most expensive maternity care IN THE NATION! More expensive than the
Deception is so common in scope creep that it barely raises an eyebrow. Words matter, context matters. So a bit of education...Here is an ad seeking a "collaborating" or supervising doc for a NP practice in MA. Collaboration is not supervision. By the ad, the poster is clearly
2)seeking a doc to function as a safety net; however, a lot of NPs hate the term "supervision". They prefer the misnomer, "collaboration", which connotes being on an equal plane with doctors. Here's the kicker though. MA is an unsupervised state, the governor signed it into law
3)in Jan 2021. So exactly what "supervisory regulations" have to be met? In addition, this highly desirable position is offering the "collaborating" physician a whopping $400-$500/month for the use of his license in case s**t goes south. That's about one hour's compensation for
Can we physicians, for the love of God, stop qualifying our opposition to FPA/OTP and misappropriation of titles with "NPPs are an important part of the team"? Since dirt, RNs, NPs, PAs have, in some capacity, even prior to their official designations, always worked alongside
2)docs. Who doesn't know this s**t? "Team" is not a neologism. No man is an island. Teams have also existed since dirt, so how about we stop perpetuating corporate medicine's rhetoric as if there have been no teams until the 21st century? Medicine would not function w/o
3)teams--is there anyone who does not know this? What has been forgotten in the NPPs umbrella organizations' push to blur the lines and perpetrate physicians is the patient. Physicians are not innocent in this mess when we support that s**t. How the f**k have we forgotten that
A FYI for followers: State insurance commissioners are consumer advocates. They deal with insurance fraud as well as health, homeowners, life, flood, etc. companies which tend to be obstructive when it is time to pay the piper. Health insurance is the worst. This is MedTwitter,
2)so I will focus on the health insurance scumbags. If you and your doctor determine that your health insurance company is denying a claim or refusing to honor a medication and instead is telling your doctor how to practice medicine, you as a consumer can contact your state
3)insurance commissioner and file a complaint against your insurance company as well as the medical director or physician who denied your claim. You can ask the insurance company for the name and medical license number of the physician to provide to the commissioner. Many times,
I'm asking all TX physicians, as well as the citizens of TX, to please support Betty's Law. This law "would require healthcare workers providing direct patient care and practicing in freestanding ERs and urgent care clinics to wear a photo identification change.org/p/greg-abbott-…
2)badge." The law was introduced by the parents of Betty Wattenbarger, after their 7 y/o autistic little girl was misdiagnosed by a pediatric nurse practitioner(PNP), sent home and died from complications related to sepsis/pneumonia. The PNP did not identify herself as a Nurse
3)Practitioner nor did she have a badge that was visible-so the parents thought she was a physician. Similar laws do indeed exist on the books; however, the associated consequences don't. Violation of Betty's Law may lead to the medical facility being sepsis.org/faces/betty-wa…***