Nurse practitioners win first round against doctors with bill to expand patient care

[TexasTowelie]

Nurse practitioners, who undergo more training than registered nurses, have been lobbying the Legislature for years to care for patients on their own without a physician’s approval. They’ve argued this change in state law would ensure the state’s aging population has access to medical care.

The California Medical Assn., the powerful lobbying arm for the state's doctors, has so far blocked those efforts. But this year could be different, with a key lawmaker, Assemblyman Jim Wood (D-Healdsburg), switching sides.

Wood, who voted against a 2015 bill to grant autonomy to nurse practitioners, is authoring this year’s version of the legislation. Wood said he became convinced a change was needed because of the growing gap between primary care providers and patients, particularly in rural and inner-city areas. He hopes other reluctant lawmakers will flip, too.

“A lot of people are lacking care,” said Wood, who is a dentist. “As we expand more and more to offering care to everyone, to not have providers is an empty promise and we can’t do that in California.”

Read more: https://www.latimes.com/politics/la-pol-ca-nurse-practitioners-scope-of-practice-legislature-20190409-story.html

[mopinko]

1. such nasty crap goes on in these protective cabals.

i had 4 kids at home, after having the first in the hospital.
night and day.
but the turf wars between the hospital docs and the home birth docs and the midwives. jeeebus.
and not just harmless chest beating either. i fell into the cracks of that shit and almost bled to death.

just fucking cut it out you clowns.
take care of people.

[TexasTowelie]

2. In the small town where I'm located

the turf wars started between the hospital and the OB/GYNs. They eventually closed the maternity section in the hospital.

The next turf war was between the hospital and the EMS. EMS started to take the patients with more serious problems that would require either surgery to the next town up the road towards Houston.

Then the other specialists left the hospital and their office consultations across the street at the clinic in town.

All that was left were people with routine injuries requiring X-rays, a few referrals for the CT Scan, and the people that were either on indigent care or Medicaid. So the hospital struggled and finally closed its doors after not paying most of the employees for weeks of work.

The owner of the hospital drained every penny out of the hospital and deserves to be in jail since he pulled that crap a few other times in California, Chicago, Ohio and Washington, D.C. However, he is living in an exclusive resort community in Arizona instead.

[mopinko]

3. hmmm. do you know the name of the chgo hosp?

your post had me thinking about one of the worst hospitals in chicago that had the "contract" or whatever, to take the 911 ambulances. but it got looted and thankfully closed. edgewater hospital.
now they take you to the catholic hospital. you cant ask to go somewhere else.
this is why i would only call 911 for someone who was not breathing.

[TexasTowelie]

4. There were actually two hospitals:

Michael Reese Hospital and Grant Hospital. Both owned by Doctors Community Healthcare Corporation of Scottsdale, Ariz

[mopinko]

5. ha! reese was the one the original post was about.

i nearly bled to death because they wouldnt let my family practitioners do a d&c, cuz they werent ob/gyns. so, instead they let me bleed while the ob resident slept.
they were md's, totally trained to do a simple procedure. after that they started doing them in their own office if they were needed.

[TexasTowelie]

6. Do a search on Paul R. Tuft.

You will find that he has been involved in some shady dealings dating back into the 90s. He (and his son) have run hospitals into the ground while living extravagant lifestyles.