[Ozy_Flame]

Family doc gotta pay for that 80% NP as part of their staff with already razor-tight overhead. Additionally, not all patients are critical cases that require physician primary care, so the physician wouldn't be billing for patients they normally would if now an NP is doing all that work. And if NPs are expected to do all most of what a physician can do but spend a fraction of the cost and time on education, don't need nearly the same bedside experience to get near equal pay and be treated like a physician, what incentive is there to go through med school/residency/clinic operation as the physician?

One more thing: Physicians also have to clean up after NP's regularly that do things like over-prescribing narcotics, issued inappropriate benzodiazepine regiments, conduct unnecessary testing, send urgent care/ED patients sent home with inadequate care, and correct/interject in conversations with patients that require physician know-how.

This basically is getting GP's to ask, what's the point? Not worth it if the government wants NPs to run most of the show.

I'm a peripheral observer pretty close to the situation but I'm sure AFireInside has more context this.