Patients at Risk: The Rise of the Nurse Practitioner and Physician Assistant in Healthcare
Below are the top discussions from Reddit that mention this Amazon book.
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 • 21 mentions • top 16 shown below
87 points • Thehenryg
We should all be educating everyone we know about this. Share with them the book that came out yesterday: Patients at Risk: The Rise of the Nurse Practitioner and Physician Assistant in Healthcare by Niran Al-Agba and Rebekah Bernard
https://www.amazon.com/dp/1627343164/ref=cm_sw_r_cp_apa_fabc_8eaTFbRV67HY9
Also join PPP! https://www.physiciansforpatientprotection.org/why-join/join-now/
18 points • Restless_Fillmore
Notes for the show:
> Gerald "Jay" Baltz, a psychiatric mental health nurse practitioner, was investigated by the California Board of Nursing after allegations that he had entered into a sexual relationship with a patient who subsequently took her own life. The Board received this information in April of 2018, began its investigation, and filed a claim against Baltz on June 15, 2020. Today, six months later, Baltz continues to practice psychiatry as a nurse practitioner in California and in Washington state, where he has autonomous practice and does not require physician supervision. We are joined by psychiatrist Dr. Natasha Cervantes to discuss details of this tragic case. > > If you are someone you know is having thoughts of self-harm, help is available. Contact your physician immediately, or call the Suicide Prevention Lifeline for help at 800-273-8255. > > Learn more about this issue - get the book Patients at Risk, available at Amazon and Barnes and Noble. https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/
7 points • erbalessence
Hiya! You can check out this book, “Patients at Risk”, it is written by two prominent leaders of the PPP.
They are far from a lobby group. Just physicians caring about their patients and doing everything they can to change a system that is hurting them....
4 points • DoctorToBeIn23
Love this. We could add a “5.) Work on your bedside manners” many patients pick NPs for this exact reason.
To go with “3.)” pre order/purchase https://www.amazon.com/dp/1627343164/ref=cm_sw_r_cp_awdb_imm_t1_n8aQFbEM267NZ
8 points • CrazyWorth6379
Buy this book. Read it. Give it to all your friends, they should read it as well.
Tell everyone that the difference between NP/PA and an MD are roughly 10.000 Hours of training, probably more. Also tell them that they're allowed independent practice after just 500 shadowing hours, where they just follow someone around. thats 3 months a 40-weeks.
Also, tell all your friends and family always specifically ask for a physician, not for a doctor. its actually very sad it has come to this. everyone knows, in an healthcare setting, a doctor is a laymen-term for physician and laymen simply don't know. this gets abused by NP/PA. its actually abusive if you think about it. you trick someone into consent, by misleading them on purpose and they are fully aware of it. thats actually rape.
3 points • lulusm
Patient’s at risk. New book discussing the rise of NP & PAs
Hello, new book written by two female physicians in regards to NP & PAs and their scope of practice. Thought I’d post the amazon link so the book could get more support:
https://www.amazon.com/dp/1627343164/ref=cm_sw_r_cp_api_i_jXCOFb1PCABKR?fbclid=IwAR1_MV4kWf0J7XACnZGn0jZfzNJbEBB90JjdP745L-OJ-y3sgSAxQOix8e0
2 points • DeadlyFatalis
A book was recently published about this issue.
https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/ref=mp_s_a_1_2?dchild=1&keywords=patients+at+risk&qid=1606685143&sr=8-2
5 points • indebt4life21
The book referenced in this video is AMAZING. I could not put it down. Read it in one night. Here is the link to the book. Please leave positive book reviews on Amazon, B&N, Walmart, Google https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/ref=sr_1_1?crid=30Z92KSW6TWBS&dchild=1&keywords=patients+at+risk+the+rise+of+the+nurse+practitioner&qid=1607888754&sprefix=patients+at+%2Caps%2C372&sr=8-1
2 points • Tauk1
Good reference: https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/?fbclid=IwAR1Hiy4izlXsqxXUiaTgjTT49ew6LVvTOViyNK9KjBkkySEGPmv-Pfkj1iQ
1 points • IanGiraffe
https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164
1 points • youmustgetschwifty
Sorry to respond late been swamped with exams. It is difficult. The AANP does not have strict overarching standards such as in medicine or law or accounting. I would prefer to send my children to only physicians (MD or DO).
To give you a perspective these are their boards. You take the exam until you get an appropriate # of questions correct. Really think about that. For NCLEX about 75 out of 265. Which is a 33% correct rate. That is a joke.
In other professions, such as the Bar exam or medical boards you take the exam and must get a certain % correct. Usually set to at least 70%.
(I will take 3 sets of boards BEFORE medical school ends, and then additional specialty boards that every physician takes every 10 years to keep up with the changes in medicine)
I would really like to stress though NPs can be great. But the current state of medicine is that the # of residents are capped. (Medicare provides the funding). Hospitals can have residents for essentially slave wages. Typical salary is about 50-80k but they are typically working 80 to 120 hours a week for several years. Some surgeons will work up to 11 years. But an attending physician can make 250K+ depending where you are.
Thus, there is a huge incentive to NOT increase resident spots because you will create more attending physicians.
NPs on the other hand can get their degree completely online with "supervised hours" (not actual legitimate clinical experience) in less than 18 months.
NPs will prescribe more drugs, order more tests, and send out more referrals. What does this mean? more money for corporate healthcare. Thus there is absolutely no incentive to do away with NPs. Look anywhere else in the WORLD, NPs do not exist. Why? Because healthcare should not be governed by money.
There are many great NPs. Many of whom I learn a lot from. But as a whole, would you want your own care to be under someone who is under-trained?
All in all, pretty screwed up situation. Lots of patients will continually be hurt and those of us in medicine often see horror stories of inadequate care all for the pursuit of the dollar.
I really wish we had socialized medicine and I wouldn't have to decide between drugs that simply cost less in consideration for my patient when I could just choose the best evidence based care.
[Side-note: I love Norway's model where medical students go to medical school for free, but their pay is just above the median income. Thus, physicians do not make much money ~ on par with teachers (though Norway teachers make MUCH more than American teachers). Therefore, the focus is simply on doing what you love which is caring for patients and your fellow man.]
Sorry for the rant.
1 points • NeuroMedSkeptic
The new book Patient’s At Risk (https://www.amazon.com/dp/1627343164/ref=cm_sw_r_cp_awdb_imm_t1_peVVFb5FREEND). Does a fantastic analysis of the articles included in the Cochrane review of this issue. And all the studies are flawed in their use to further the narrative of “just as good if not better” sinc every single one followed intensely supervised mid levels.
Also a really poignant comment was how it would never pass an institutional review board to do a true RCT of independent NP/PA to physician care beucase well... it’s deemed a risk to patients.
1 points • drzquinn
$10 on kindle.
Or Barnes/Noble $28
https://m.barnesandnoble.com/w/patients-at-risk-niran-al-agba/1137936919?bvnotificationId=2c31046c-2cd8-11eb-96a9-0eb24078700f&bvmessageType=REVIEW_CONFIRMATION&bvrecipientDomain=gmail.com
Or Amazon print version $25
https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/ref=mp_s_a_1_3?dchild=1&keywords=patients+at+risk+the+rise+of+the+nurse+practitioner&qid=1606917659&sprefix=patients&sr=8-3
2 points • RazBomBeet
Donate to your state and local PACs and:
PPP: https://www.physiciansforpatientprotection.org
AMA PAC: http://www.ampaconline.org
Political Advocacy: https://doctorsinpolitics.org
Buy and hand this book out to everyone:
Patients at Risk: The Rise of the Nurse Practitioner and Physician Assistant in Healthcare
https://www.amazon.com/dp/1627343164/ref=cm_sw_r_cp_api_glc_fabc_vkp6Fb256HHND
1 points • Antigunner
i will link this post here that you need and have not responded to yet.
also, it wasnt a dumb and hyperbolic comparison because that's what we're seeing in health care right now. Nurse Practitioners are gaining FPA in many states (or have gained it) while being underqualified for it. Only 3 studies have been conducted in the USA and all of them were under physician supervision. even under physician supervisino, NP's patients had higher complications. likewise, we do not want any underqualified expert whether that's a phd, md/do, or DNP in a position where they do not fit for the pandemic
the education difference between nurse practitioner and physician is huge due to the amount of years a physician dedicates their life to the profession.
i recommend this book: https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164
0 points • aizver_muti
/u/readitonreddit34 wrote some points about this:
> I want people who watch this video to note a few things:
> - The AANP fought tooth and nail to prevent this clip from being aired. They mailed their members this email to try to prevent it from being shown. They actually mention this at the beginning of the video.
> - After the clip was aired, the AANP leadership posted a response. I linked it so you all can read it for yourselves but they basically sound the alarm of “how dare you attack frontline workers in a pandemic?” Without actually responding to any of the information presented. They basically use the pandemic and the death of the COVID patients to invoke outrage and cover up the problem.
> - The YouTube video has been unlisted. You can’t search for it. I am not sure why but I am assuming something nefarious.
> - If you want more information please visit Physicians for Patient Protection who is a grassroots organization that has been a voice of reason in this fight. You can also visit the American Medical Association who have only lately started speaking about this issue. You can also visit the American College of Emergency Physicians who have been vocal about this issue.
> - Read Patient At Risk it is the book written by Dr. Al-Agba (in the video) and Dr. Bernard. It goes into much more detail and with statistical evidence about this problem. Edit: somebody wanted me to comment about the amount and quality of the training difference between MD/DOs vs. NP/PA’s. The rough numbers are that MD/DOs get about 16,000-27,000 hours (depending on how much they choose to specialize) vs. NP/PAs get about ~ 500 hours. These hours are also not equal. Training for MD/DOs is rigorous and grueling. NP/PA hours are more or less shadowing. You can also read more about this in the book.
> - It is important to note that the issue isn’t the existence of nurse practitioners and physician assistants. Much like Dr. Agba says, there are many qualified ones that contribute positively to patient care. The problem is the IMPROPER USE of midlevel practitioners and the lobbying that’s going towards independent practice in order to cut corners and save healthcare corporations money. This is a view point that physicians, nurse practitioners, and physician assistants agree with.
> - You can do nothing. This problem probably won’t affect 90% of the avg Reddit users that see this post. You can like and move on. But one day, you or a loved one will get sick and will have to be seen in an urgent care or an ED and that person who presents themselves as doctor can make a mistake that can be fatal or injurious, what then?