State facing shortage of doctors and nurses

There are 10 comments on the May 16, 2013, KOB-TV New Mexico story titled State facing shortage of doctors and nurses. In it, KOB-TV New Mexico reports that:

Two big reasons: an aging population, and more New Mexicans now with health coverage under the Affordable Care Act.

Join the discussion below, or Read more at KOB-TV New Mexico.

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“Each Thought Creates A Reality”

Since: Nov 08

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#22 May 20, 2013
Wrongo. Look at UNM Admission requirements for an example...6 years...you are talking about a BA to get into PA program. Sure, you can get in with a BS, but what BA is in a hard science? Follow the money. UNM has a PA program. You go to them. They will do great.

The CNP, at least, does have your 6 years. BSN. CNP. Work Experience. You obviously don't work in the field. And look at the curriculum and courses. At least some were EMT's.

The issue is we spend all this time on the rules and laws etc...and oopsies...hundreds of thousands added to the rolls and we didn't have enough chairs at the table. Built from the top down. Like taking a Royce to JiffyLube. Ain't taking my body through that system.

“US Navy”

Since: Jan 10

Location hidden

#23 May 20, 2013
fmer505-1951 wrote:
NM has ALWAYS had a shortage of nurses and doctors, it is not something new. There used to be billboards all over Albuquerque, and out on the highway begging for nurses. Hard work, long hours, pay okay, but you certainly earn it. People go into nursing, then get burned out and leave it. It is not an easy profession.
Very true, my DiL is an RN and has moved from the floor into more of the administrative side of the field. I have the utmost respect for those in the medical field, far from an easy job for sure.

“Each Thought Creates A Reality”

Since: Nov 08

Location hidden

#24 May 20, 2013
http://blog.aarp.org/2013/03/29/nurse-practit...

AARP with their two cents worth. NP's the Answer to the Doctor Shortage? Want to see turf battles? Autonomy. You had only 5000+ hours of training while we have over 20,000 hours?

A good summary of the issues. Bottom line. The math doesn't add up. Build a school. Have all the students. Don't have the staff to staff it. Then everyone gets the same. Maybe No Care is MoBettah. Could be safer.
Ex- El Paso Resident

Las Cruces, NM

#25 May 20, 2013
From MSNBC today

Get ready for the latest twist in the Obamacare overhaul: the spread of bare-bones health insurance plans.

When the Affordable Care Act goes into effect in 2014, employers with more than 50 full-time workers will be required to provide health insurance plans. Some companies are crying foul, pointing to the $15,745 annual premium for employer-sponsored family health plans as unsustainable.

Enter the Band-Aid health insurance policy. These low-benefit plans, which cover preventive services but often skip coverage for surgery, X-rays and hospitalization, are getting pitched to companies as a way to meet the letter of the law while avoiding a government fine, according to The Wall Street Journal.

Under Obamacare, companies that fail to provide insurance will pay a $2,000 penalty per employee. Some companies have said they will drop plans, figuring the penalty would be less costly than providing insurance, as MSN Money reported in April. Some businesses, such as Regal Entertainment Group (RGC -0.14%), are scaling back employee hours to avoid the health coverage mandate for full-time employees.

The Band-Aid policies would mean employers would pay premiums of only $40 to $100 a month per employee, making the priciest versions only $1,200 a year per worker. That beats paying a $2,000 fine, and it may explain why some businesses are perking up at the idea.

"For certain organizations, it may be an ideal solution to minimize the cost of opting out," David Ellis, the chief executive of LifeStream Complete Senior Living, told the Journal. His company, which employs 350 workers, was recently pitched such a bare-bones plan and is considering the idea.

Administration officials told the Journal they're surprised that some employers are mulling such plans. "Our expectation was that employers would offer high-quality insurance," Robert Kocher, a former White House health adviser who worked on the legislation, told the publication.

That may strike some people as evidence that the administration is out of touch with corporate realities. After all, anyone who's run a business knows keeping costs down is always top of mind.

"What our goal was all along was to make (offering coverage) financially palatable for the company as a whole, so we didn't do damage and have to let people go or slow down our growth," Brian Livingston, the chief financial officer of Firebird Restaurant Group, the owner of El Fenix, told the Journal.

His chain, which employs 1,200 workers, will offer limited plans that will cover preventative care and drugs but won't pay for surgery or hospitalizations.

“Each Thought Creates A Reality”

Since: Nov 08

Location hidden

#26 May 20, 2013
And their response makes sense given it is a mandate with all the regs and paperwork. Not something of their choosing. Good thing Insurance premiums won't go up.

“US Navy”

Since: Jan 10

Location hidden

#27 May 20, 2013
Administration officials told the Journal they're surprised that some employers are mulling such plans. "Our expectation was that employers would offer high-quality insurance,"
Yeah, right, and the tooth fairy is real too. Just goes to show you how far out of touch with reality the WH officials are -IF- that was true. Being as we all know its BS, anyone with a brain knows that they knew full well this would occur but ignored it hoping to make Obamacare seem more palatable. Just another of the many BOHICA's being uncovered in the Obamanation known as Obamacare. Every two weeks another cost is uncovered screwing the 53%ers.

“Each Thought Creates A Reality”

Since: Nov 08

Location hidden

#28 May 20, 2013
Cost has doubled already from the estimates and it hasn't even landed. A boon for all the mid-level practitioners.

“US Navy”

Since: Jan 10

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#29 May 20, 2013
One has to ponder how long until round one of the inevitable reforms will occur for Obamacare. And since nobody read it, how these reforms will further screw people.

“Eys so hendsum!”

Since: Jun 09

Ol' Juarez

#30 May 20, 2013
Willothewisp wrote:
Wrongo. Look at UNM Admission requirements for an example...6 years...you are talking about a BA to get into PA program. Sure, you can get in with a BS, but what BA is in a hard science? Follow the money. UNM has a PA program. You go to them. They will do great.
The CNP, at least, does have your 6 years. BSN. CNP. Work Experience. You obviously don't work in the field. And look at the curriculum and courses. At least some were EMT's.
The issue is we spend all this time on the rules and laws etc...and oopsies...hundreds of thousands added to the rolls and we didn't have enough chairs at the table. Built from the top down. Like taking a Royce to JiffyLube. Ain't taking my body through that system.
This is directly from the Department of Labor, and I did check UNM, and they do recommend that you take something like Organic chem, microbiology, etc.





Which Requires More Education a Nurse Practitioner or Physician's Assistant? thumbnail
Women currently dominate both professions, as of 2010.

Physician's assistants can work independently of the supervising physician, according to the U.S. Bureau of Labor Statistics, but must refer to the physician and keep him up-to-date. Nurse practitioners act as primary care providers and have the license to prescribe medicine. Both professions require formal educations, licensure and continued education.

Physician's Assistant Education and Training

All states require physician's assistants to complete formal training and pass an exam before becoming licensed, according the U.S. Bureau of Labor Statistics. The requirements for entering the programs vary, says the Bureau, but most applicants already have a college degree and experience in the health industry. Bachelor's degrees typically take four years to earn, and master's degrees take another two years, meaning assistants complete six years of education.




Candidates interested in becoming a nurse practitioner must already hold a bachelor's degree in nursing, according to the U.S. Bureau of Labor Statistics. Bachelor's degree usually take four years to obtain, after which a nurse must enter a master's program, which takes another two years, totaling six years of education. There are accelerated master's programs that combine the bachelor's and master's, and these last three to four years.
.
Conclusion

According to data collected from the U.S. Bureau of Labor Statistics, both physician's assistants and nurse practitioners typically spend six years in college to earn their roles. Nurse practitioners can reduce this time to three to four years if they attend accelerated courses. Both professionals earn relatively the same amount of money.

Sometimes PA's or CNP's are less hurried and take the time to listen to the patients complaints. I have seen, and worked with good doctors, lousy doctors, good PA's, lousy PA's, and the same for CNP's. It depends on how committed that person is, and their reason for going into the profession.
Ultimately it is the individual's choice as to whom they are most comfortable with.

“Each Thought Creates A Reality”

Since: Nov 08

Location hidden

#31 May 20, 2013
You choose the PA. I wish it on you actually. You are obviously not in the field. YadaYadaYada. You really are a hoot. Follow the money. And as you said, a BSN to become a CNP...You can have an art degree (which gives you your 4 years) and apply and be accepted to PA school. Read UNM's Admission criteria for PA's. You really are a hoot.

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