[NPInfo] Fwd: Let's contribute our thoughts to the New England Journal re...

Fri Aug 22 16:11:53 PDT 2008

Windy,
I don't think your perspective is so radical. I agree 100%. I  see no harm in 
responding to the NEJM with an editorial comment. However, the  plans and 
designs that we advocate for the future of health care should be  published in 
the nursing literature. 

In Kentucky, the Kentucky Coalition of Nurse  Practitioners and Nurse 
Midwives is taking a public stand on issues,  has just prepared a questionnaire for 
candidates running for public office, and  has embarked on a campaign to make 
NPs and CNMs more visible. We have NPs  attending public forums and town hall 
meetings, where they identify themselves  as NPs. Slowly, very slowly, state 
government officials have started to ask our  opinion on issues and are mindful 
that our legislative support is  beneficial.

Beth Partin

In a message dated 8/22/2008 4:33:56 P.M. Central Daylight Time,  
nursinglaw at aol.com writes:

Is it  reform when your voice is discounted?
Why use a medical journal to  articulate a nursing perspective?
Why let medicine interpret your  opinions??

We have been debating many of the same issues for the last  twenty years -- 
little has changed if we listen to the diatribes on this list  serve.? I don't 
dispute their preiminence of the journal, but I believe our  decisions to use 
this venue to publish our thoughts?reinforces their use as  authorities on 
nursing and further reinforces our need to have medicine  interpret perspectives 
on nursing.? I think we would be better off sending  those comments to nursing 
journals, regional newspapers, writing editorials in  the NYT and the 
Washington Post, referring them back to our own  journals.

I know my perspective is radical on this one, but I believe  we are 
reinforcing using?medical journals for authoritative guidance, instead  of buttressing 
our own journals up to that point.? Remember all of us respect  Barbara 
Safriet, but she published her original, seminal works, not in the  NEJM but instead 
in the Yale Journal on Regulation.? Recognizing the  importance of what she 
said, we and others went to her.? And, the medical  journals sought her out 
afterwards. . . .

Winifred Carson-Smith,  Esq.
CarsonCompany,  LLC
http://www.carsonco.net
nursinglaw at aol.com
202-232-5193
202-232-5194(fax)

-----Original  Message-----
From: David Mittman <dmittman at comcast.net>
To: NP  Info <npinfo at nurse.net>
Sent: Thu, 21 Aug 2008 6:18 pm
Subject:  [NPInfo] Fwd: Let's contribute our thoughts to the New England 
Journal  regarding the future of heathcare.

Sorry, here is the  URL.?
http://www.nejm.org/perspective/health%2Dof%2Dthe%2Dnation%2Dvideo/?
?
Begin  forwarded message:?
?
> From: David Mittman  <dmittman at advancedprac.com>?
> Date: August 21, 2008 6:17:21 PM  EDT?
> To: NP Info <npinfo at nurse.net>?
> Subject: Let's  contribute our thoughts to the New England Journal > 
regarding the future  of heathcare.?
>?
> Windy: Agree and disagree.?
> Like it or  not, the New England Journal (which will still NOT print > PA-C 
after  someone's name, only their academic degree) is one of the > two  
authoritative voices in American healthcare-if you want to get > your ideas  
published and read. Ask almost any NP and you will see > that if they  authored an 
article on something groundbreaking, they > would want it  published there or 
in JAMA. That's why the NP outcomes > article was  published in JAMA. If you do 
medicine, that is where > opinion changes. We  can argue whether NPs do 
medicine, but many will > agree they do and blend  it with nursing. Another reason 
is, again, > like it or not, physicians  have a huge amount of clout. We all 
work > with them, even if we are in  solo practice. Can't get around that. > If 
they are going to come up with  an alternative healthcare plan I > want it 
done with OUR input. They more  they understand us the > better. The more we 
understand their views, the  better it is for us. > They may not listen!
but if 40 of us post  they are more likely to, > and more likely to realize 
we are watching and  ARE players. A > resounding quietness will keep us quiet. 
No med students  or > residents posted, but I did. That's a message.?
> Part of it MAY  be because I am a PA, but I think now socialized > enough 
where I argue  pro-nursing points with NPs who argue pro-> medicine points. We 
should have  a voice where ever and whenever > reform is being discussed.?
> Here  is the URL.?
>?
> Dave?
>?
> On Aug 21, 2008, at 5:15  PM, nursinglaw at aol.com wrote:?
>?
>> I appreciate what you are  advocating, but why are we doing it here??
>>?
>> I believe  that we need to change the paradigm in the regulation, >> 
practice and  policy associated with nursing.? When we are >> followers, not 
leaders  we allow those who lead to frame the >> discussion or debate.? Why can't  
we frame our own discussions of >> issues?? Why can't we bring together  
advanced practice nursing and >> physician assistant thought leaders to  come up 
with a vision of >> what health reform should be like?? We need  to come together 
to >> address our future within the health care  system.? Then we are >> 
better able to assess whether our vision  addresses the issues of >> concern which 
exist related to not just our  respective disciplines, >> our clients and 
costs of  care.?
>>?
>> Who do we identify as thought leaders and what  are they saying >> about 
health care reform?? I write for me --  NursingLaw Alert and >> NursingLaw 
Digest, but I also write for others  AJNP and AJN.? You >> identify them, I will 
ask them and develop an  article on health >> care reform from the nonphysician 
 perspective.?
>>?
>>  I?
>>?
>>?
>> Winifred Carson-Smith,  Esq.?
>> CarsonCompany, LLC?
>>  http://www.carsonco.net?
>> nursinglaw at aol.com?
>>  202-232-5193?
>>  202-232-5194(fax)?
>>?
>>?
>> -----Original  Message-----?
>> From: David Mittman  <DMITTMAN at comcast.net>?
>> To: ACC  <acc-circle at listserve.com>; NP Info <npinfo at nurse.net>;  
paforum at mc.duke.edu?
>> Sent: Thu, 21 Aug 2008 11:43 am?
>>  Subject: [NPInfo] Let's contribute our thoughts to the New England >>  
Journal regarding the future of  heathcare.?
>>?
>>?
>>  http://www.nejm.org/perspective/health%2Dof%2Dthe%2Dnation%2Dvideo/??
>>  _______________________________________________??
>> NPInfo mailing  list??
>> NPInfo at nurse.net??
>>  http://lists.nurse.net/mailman/listinfo/npinfo??
>>  *****************************??
>>?
>>  _______________________________________________?
>> NPInfo mailing  list?
>> NPInfo at nurse.net?
>>  http://lists.nurse.net/mailman/listinfo/npinfo?
>>  *****************************?
>?
?
_______________________________________________?
NPInfo  mailing  list?
NPInfo at nurse.net?
http://lists.nurse.net/mailman/listinfo/npinfo?
*****************************?

_______________________________________________
NPInfo  mailing  list
NPInfo at nurse.net
http://lists.nurse.net/mailman/listinfo/npinfo
*****************************

**************It's only a deal if it's where you want to go. Find your travel 
deal here.      
(http://information.travel.aol.com/deals?ncid=aoltrv00050000000047)