We are headed that way leslie. It is only a matter of time. The problem with this garbage that he is forcing on us is that it is loaded with unknowns.
I had a friend who has a grandchild that broke her arm. The parents immediately took her to the emergency room where she was seen by a PA. (Expect a lot more of this in the future.) The xray showed a complete break, but the child was sent home with orders to see an orthopedic surgeon in a few days. Now, this is extremely dangerous with kids. There are growth plates involved and there is a window within which to work in. This facility has a high level trauma unit so they should have called in the ortho guy. Her grandparents were so upset that they immediately took her to the local children’s hospital where they immediately did surgery. Their concern was potential disability and problems with the growth plates.
I think PAs are okay, but where in the world are the people who are supposed to be supervising them?
I hear where you are coming from, mcn. I think that when we all have the same coverage, the protocols will hopefully be based on best practice and will provide good care for all. That little one wouldn’t have been shunted out of the ER (like they do at Univ of Chicago ER post the policy written by MO when she was there.) if best practice medicine had been practiced.
BTW: I am seen by a PA in my doctor’s office. The visit is immediately followed by my MD who checks off everything the PA did. I feel as if I should be paying double – but I don’t let them know.
You are lucky that the PA is not left to his/her own devices. I think that the more busy that everyone gets, the worse things will get.
I don’t think Medicare is bad leslie, but Medicaid is the pits. Most of the money goes to administration of Medicaid, not the patient. I wish that I had the link to what Medicare pays in administrative costs for a doc visit. It’s $70 per incident.