[NPInfo] Fwd: Let's contribute our thoughts to the New England Journal regarding the future of heathcare.

Fri Aug 22 19:21:45 PDT 2008

AFter watching the video on the link in Dave's email, I have to agree  
with Windy. There are some awfully pompous people and a lot of hot  
air, if you can stand to watch it to the end. I bet most of the MDs  
there are more concerned with protecting physicians' income than  
having affordable health care for all. They want the lawyers (most  
legislators are lawyers) to help them out against the insurance  
industry. I also think they are kissing up to the lawyers--otherwise  
their natural enemies--so those lawyers who are in positions of power  
and influence will stand by without acting when the MDs try to  
enforce their monopoly and force out the NPs and PAs. I see  
cardiologist and ex-Senate majority leader Bill Frist is one of the  
people in that little group. Isn't he anti-NP? For some reason his  
name carries a negative connotation for me.

Stephanie

On Aug 22, 2008, at 5:32 PM, nursinglaw at aol.com wrote:

> 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/??
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>> ?
> ?
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