Patients at Risk

The Rise of the Nurse Practitioner and Physician Assistant in Healthcare

De: Dr. Niran Al-Agba, Dr. Rebekah Bernard

Narrado por: Manny James

Patients at Risk: The Rise of the Nurse Practitioner and Physician Assistant in Healthcare exposes a vast conspiracy of political maneuvering and corporate greed that has led to the replacement of qualified medical professionals by lesser trained practitioners. As corporations seek to save money and government agencies aim to increase constituent access, minimum qualifications for the guardians of our nation’s healthcare continue to decline - with deadly consequences. This is a story that has not yet been told and one that has dangerous repercussions for all Americans.

With the rate of nurse practitioner and physician assistant graduates exceeding that of physician graduates, if you are not already being treated by a non-physician, chances are, you soon will be. While advocates for these professions insist that research shows that they can provide the same care as physicians, patients do not know the whole truth: that there are no credible scientific studies to support the safety and efficacy of non-physicians practicing without physician supervision.

Written by two physicians who have witnessed the decline of medical expertise over the last 20 years, this data-driven book interweaves heart-rending true patient stories with hard data, showing how patients have been sacrificed for profit by the substitution of non-physician practitioners. Adding a dimension neglected by modern healthcare critiques such as An American Sickness, this book provides a road map for patients to protect themselves from medical harm.

©2020 Universal Publishers (P)2021 A Doctor Writes

Eye-opening

I wouldn’t trust the flight attendants to fly in place of the pilot; why are we tolerating this in healthcare?

Revealing

I had heard the same NP talking points but hearing that the original studies showed NPs less safely managing patients, thus requiring oversight and not saving costs.

Thank you for the enlightenment!

Very well written and educational. Would recommend to any future doctors as well as patients. Thank you so much for elegantly writing this book.

One more emergency, we need to face

This was a great summary of the disaster unfolding in every clinic in the United States right now.

The idea that lesser train people could handle. The job of. Physician was always ridiculous. But people involved in the money side of business only looked at the dollars. We have paid and will continue to pay the price for this shortsightedness. Thank you to the authors for a great summary of the problem.

Brutally Honest!

I am a physician specializing in Psychiatry. I just completed my 4 year residency in Psychiatry in the US and a 6 year medical school in India , took 3 part USMLE exam ( US medical licensing exams) before I was licensed to practice independently in the US. On top of that I just got board certified by the American Board of Psychiatry and Neurology as a testimony to my expertise in my field. Overall I have finished 10 years of medical education, 5 licensing exams, each of which were 8-9 hour long, USMLE step 3 being a 2 day exam and have cost me over $10000 to be designated as a board certified physician in the US. These exams included hundreds in of questions in Medicine, surgery, pediatrics, OBGYN, ethics, Biostats before I was allowed to be licensed.

When I started practicing in the real world with NPs just a few months ago, I was aghasted by the misdiagnosis and poly pharmacy that’s happening on our mentally ill patients. This is the most vulnerable population with limited insight and can be adjudicated to have forced treatment. In my opinion, NPs and PAs should undergo 1-2 year of standardized in person training in the field they choose to practice in and never be allowed to practice without a physician overview. The book helped me appreciate the widespread mismanagement and encroachment in different fields of medicine and the importance of organized medicine and patient advocacy by physicians. If I am a patient, I expect to be treated by a physician like me or at least see a physician during my encounter as was the case throughout my residency training where all patients saw an attending physician during the visit after seeing me. It’s time when corporates stop making money out of us and treat medical field as a business.