Patients at Risk: The Rise of the Nurse Practitioner and Physician Assistant in Healthcare

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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 twenty 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 roadmap for patients to protect themselves from medical harm.

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Niran Al-Agba

Reddit Posts and Comments

0 posts • 23 mentions • top 11 shown below

r/Residency • comment
215 points • pshaffer

The book “Patients at Risk” is now delivering. Written by the President of PPP – Rebekah Bernard and Niran Al-Agba, it goes into great detail about the midlevel crisis. I will re-iterate that copies purchased in the next few days can have a substantial impact on public visibility of the issue. It is already number 1 on the nursing best seller list and the health policy list. However, it needs to be higher on the more general lists (i.e. “non-fiction”) to get more attention. It has gotten enough attention that it will be in Barnes and Noble, but the higher it goes, the more it is displayed prominently. Needless to say, with higher placement on these lists, comes more notoriety in the form of media interviews and coverage. You can do your part to help by buying one or more copies. I am going to buy copies for the members of the Ohio House Health subcommittee. (Kindle purchases count in these best seller lists)

https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare-ebook/dp/B08M9YJQR3/ref=sr_1_1?crid=324APQCUILSEG&dchild=1&keywords=patients+at+risk&qid=1605526336&sprefix=patients+at+ri%2Caps%2C194&sr=8-1

Appended below are some reactions of NPs prominent in the effort to reform their education. I am mystified how they can recognize the issue, see that we see it and want it corrected also, yet still push for more NP authority, with the full understanding they are pushing for incompetents to be allowed to care for patients without supervision.

ALSO – (Busy days here) – this is an accompanying podcast, in which I was the guest commenter. The topic is their literature and the vacuous claim that “hundreds of publications show NP care is just as good as physician care”. Cochrane reviewed over 9000 studies in 2018, and found only 3 from the US that were of sufficient quality to review. The one that is most influential, mentioned in nearly every discussion, and presented to legislators, was one by Mary Mundinger. It is the ONLY randomized study ever to be done. There have been no others in the subsequent 20 years. It is pivotal. We have investigated this and found that she purposely hid critical aspects of the methods. The people she refers to only as NPs (and thence implies they are the same as the ones who got 18 months + 500 hours of training) were in fact NOT simply NPs, but were associate professors of nursing who had been given 9 months of a medical resident’s clinical training. She states straight out that she knew without this additional training, they would have no chance against the physicians, it wouldn’t be a fair comparison(using her words here). But, she did not disclose this. We have documentation this was the case.
https://podcasts.apple.com/us/podcast/patients-at-risk/id1539719940

(this is the number 2 podcast in the list of medical podcasts)

r/GrassrootsMedicineUSA • post
26 points • avuncularity
The book “Patients at Risk” is now delivering.

Written by the President of PPP – Rebekah Bernard and Niran Al-Agba, it goes into great detail about the midlevel crisis. I will re-iterate that copies purchased in the next few days can have a substantial impact on public visibility of the issue. It is already number 1 on the nursing best seller list and the health policy list. However, it needs to be higher on the more general lists (i.e. “non-fiction”) to get more attention. It has gotten enough attention that it will be in Barnes and Noble, but the higher it goes, the more it is displayed prominently. Needless to say, with higher placement on these lists, comes more notoriety in the form of media interviews and coverage. You can do your part to help by buying one or more copies. I am going to buy copies for the members of the Ohio House Health subcommittee. (Kindle purchases count in these best seller lists)

https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare-ebook/dp/B08M9YJQR3/ref=sr_1_1?crid=324APQCUILSEG&dchild=1&keywords=patients+at+risk&qid=1605526336&sprefix=patients+at+ri%2Caps%2C194&sr=8-1

Appended below are some reactions of NPs prominent in the effort to reform their education. I am mystified how they can recognize the issue, see that we see it and want it corrected also, yet still push for more NP authority, with the full understanding they are pushing for incompetents to be allowed to care for patients without supervision.

ALSO – (Busy days here) – this is an accompanying podcast, in which I was the guest commenter. The topic is their literature and the vacuous claim that “hundreds of publications show NP care is just as good as physician care”. Cochrane reviewed over 9000 studies in 2018, and found only 3 from the US that were of sufficient quality to review. The one that is most influential, mentioned in nearly every discussion, and presented to legislators, was one by Mary Mundinger. It is the ONLY randomized study ever to be done. There have been no others in the subsequent 20 years. It is pivotal. We have investigated this and found that she purposely hid critical aspects of the methods. The people she refers to only as NPs (and thence implies they are the same as the ones who got 18 months + 500 hours of training) were in fact NOT simply NPs, but were associate professors of nursing who had been given 9 months of a medical resident’s clinical training. She states straight out that she knew without this additional training, they would have no chance against the physicians, it wouldn’t be a fair comparison(using her words here). But, she did not disclose this. We have documentation this was the case.

https://podcasts.apple.com/us/podcast/patients-at-risk/id1539719940

This is the number 2 podcast in the list of medical podcasts!

^(Credit to u/pshaffer for the write up)

r/healthcare • post
21 points • katskill
[News] [Discussion] The Book Patients at Risk is now for Sale- a comprehensive look at the topic of midlevel scope of practice

Patients at risk just went on sale this week Written by the President of PPP – Rebekah Bernard and Niran Al-Agba They also have a podcast

This is a must read, must listen to topic to educate yourself about this very important topic in US Healthcare. People throw a lot of rhetoric around on either side of this issue, however the authors here have taken the time to go through all the available data and explain it clearly. If you were wondering “where is the data?” look no further.

r/premed • comment
10 points • Zemiza

This is a 1 star review left on the book Patients at Risk: The Rise of the Nurse Practitioner and Physician Assistant in Healthcare

https://www.amazon.com/dp/B08M9YJQR3/ref=cm_sw_r_cp_api_zJHUFb1GJ78H0

r/Residency • comment
30 points • anonmd20

[Patients at risk](https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare-ebook/dp/B08M9YJQR3/ref=sr_1_1?crid=324APQCUILSEG&dchild=1&keywords=patients+at+risk&qid=1605526336&sprefix=patients+at+ri%2Caps%2C194&sr=8-1) just went on sale this week from the heads of PPP They also have a [podcast](https://podcasts.apple.com/us/podcast/patients-at-risk/id1539719940) Folks at PPP are working to get this on the best seller list so that it can get mainstream distribution.

r/Residency • comment
5 points • SnooMachines8275

Just bought this kindle book yesterday and already done. It is a GREAT read. Patients at Risk: The Rise of the Nurse Practitioner and Physician Assistant in Healthcare https://www.amazon.com/dp/B08M9YJQR3/ref=cm_sw_r_cp_api_tIbTFbMV9CXQB

r/Residency • comment
2 points • YoungTMC

https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare-ebook/dp/B08M9YJQR3

r/Residency • comment
9 points • slamchop
r/Residency • comment
2 points • NobleSixSeven
r/medicine • comment
0 points • aglaeasfather

So, no, you haven’t. I thought not.

And here’s a whole book on it.

It’s amazing to me that you have such a “we’re totally fine it’s all good attitude” but yet when confronted about it you know literally nothing about the topic or, worse, you’re sealioning.