[NPInfo] Fwd: Let's contribute our thoughts to the New England
Journal regarding the future of heathcare.
David Mittman
dmittman at comcast.net
Fri Aug 22 20:17:09 PDT 2008
I think he is a physician. Just a mild "allergic reaction"
Dave
Dave
On Aug 22, 2008, at 10:21 PM, Stephanie Walker wrote:
> 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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