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Let’s allow nurse practitioners to cure America’s doctor shortage

October 09, 2018
Chip Somodevilla/Getty Images
Charlie Katebi

Young Voices Contributor

During the first week of October, America celebrates National Primary Care Week, honoring the difficult work that family physicians, pediatricians, and other primary care doctors do every day to provide routine medical care. But, unfortunately for us, there aren't enough of them to care for our country's growing medical needs. Over 84 million Americans, one-quarter of the U.S population, live in counties with a severe primary care physician shortage, according to data from the Department of Health and Human Services (HHS). From Colusa County in California to East Delaware County in New York, patients are suffering from this debilitating doctor shortage.

There is a way to bridge this gap: allowing the qualified professionals known as nurse practitioners (NPs) to perform these important services. Much like doctors, NPs are trained to provide a variety of primary care procedures including diagnosing illnesses, treating conditions, and prescribing medications. Yet despite America's growing need for more primary care providers, states around the country have laws that prevent NPs from treating their patients. In 28 states, lawmakers subject NPs to outdated regulations that prohibit them from providing services they are fully certified to offer, like annual exams and pap smears. In other instances, states will mandate that nurses practice under the supervision of a physician, which limits their capacity to serve remote communities.

RELATED: Say no to Democratic Socialism's enormous price tag

Meanwhile, America's doctor shortage is worsening. While America's aging baby boomer generation is entering retirement and demanding more health care services, many doctors are retiring and hanging up their lab coats. Researchers at the Association of American Medical Colleges estimate that by 2030 there will be 49,000 fewer primary physicians than the country will need to serve our growing health care needs. Ultimately, patients seeking basic primary care will have to travel farther, wait longer, and pay more.

Supporters of NP restrictions claim that allowing nurses to perform primary care would endanger patient health. However, these claims are baseless—nurses can perform nearly all the services of a primary care doctor at the same high standards we expect from physicians. A 2013 review of 26 peer-reviewed studies in the journal Health Affairs found that patients treated by NPs enjoy the same health outcomes as those served by physicians.

The reality is that relaxing state restrictions on NPs would dramatically expand access to high-quality primary care. Since NPs need five fewer years of training to practice than physicians, nurses can more swiftly deploy to under-served areas. And surveys conducted by the American Academy of Nursing found that nurses are far more likely than doctors to operate in rural communities and in nontraditional settings—like urgent care and in-store clinics—allowing them to reach patients who lack reliable access to a physician.

Patients save money on healthcare by going to an NP, too. Because nursing degrees cost substantially less than a physician's medical degree, NPs charge significantly less than doctors, passing along their savings to patients. According to research by economist Morris Kleiner of the Brookings Institute, preventive care for children costs 16 percent less in states that actually allow nurses to freely practice the medicine they're trained in.

The federal government is all too aware of the negative implications caused by the restrictions on NPs.

The federal government is all too aware of the negative implications caused by the restrictions on NPs. In fact, it has recommended that states remove such laws. In 2013, President Obama's HHS estimated that states could reduce America's primary care shortage by two-thirds—simply by loosening laws that prevent NPs from treating their patients independently. And earlier this year, HHS Secretary Alex Azar urged lawmakers attending the American Legislative Exchange Council conference in New Orleans to end their "barrier[s] to new competition and lower-cost [NPs]."

Medical experts and policymakers across the political spectrum recognize that NPs can make a big difference in the lives of millions of Americans who are struggling to attain primary care. Allowing these qualified nurses to independently serve patients is a bipartisan solution that states should adopt—finally granting enough medical care access to those who need it most.


Charlie Katebi is a Young Voices contributor and a policy fellow at the Millennial Policy Center.

Globalize the Intifada? Why Mamdani’s plan spells DOOM for America

Bloomberg / Contributor | Getty Images

If New Yorkers hand City Hall to Zohran Mamdani, they’re not voting for change. They’re opening the door to an alliance of socialism, Islamism, and chaos.

It only took 25 years for New York City to go from the resilient, flag-waving pride following the 9/11 attacks to a political fever dream. To quote Michael Malice, “I'm old enough to remember when New Yorkers endured 9/11 instead of voting for it.”

Malice is talking about Zohran Mamdani, a Democratic Socialist assemblyman from Queens now eyeing the mayor’s office. Mamdani, a 33-year-old state representative emerging from relative political obscurity, is now receiving substantial funding for his mayoral campaign from the Council on American-Islamic Relations.

CAIR has a long and concerning history, including being born out of the Muslim Brotherhood and named an unindicted co-conspirator in the Holy Land Foundation terror funding case. Why would the group have dropped $100,000 into a PAC backing Mamdani’s campaign?

Mamdani blends political Islam with Marxist economics — two ideologies that have left tens of millions dead in the 20th century alone.

Perhaps CAIR has a vested interest in Mamdani’s call to “globalize the intifada.” That’s not a call for peaceful protest. Intifada refers to historic uprisings of Muslims against what they call the “Israeli occupation of Palestine.” Suicide bombings and street violence are part of the playbook. So when Mamdani says he wants to “globalize” that, who exactly is the enemy in this global scenario? Because it sure sounds like he's saying America is the new Israel, and anyone who supports Western democracy is the new Zionist.

Mamdani tried to clean up his language by citing the U.S. Holocaust Memorial Museum, which once used “intifada” in an Arabic-language article to describe the Warsaw Ghetto Uprising. So now he’s comparing Palestinians to Jewish victims of the Nazis? If that doesn’t twist your stomach into knots, you’re not paying attention.

If you’re “globalizing” an intifada, and positioning Israel — and now America — as the Nazis, that’s not a cry for human rights. That’s a call for chaos and violence.

Rising Islamism

But hey, this is New York. Faculty members at Columbia University — where Mamdani’s own father once worked — signed a letter defending students who supported Hamas after October 7. They also contributed to Mamdani’s mayoral campaign. And his father? He blamed Ronald Reagan and the religious right for inspiring Islamic terrorism, as if the roots of 9/11 grew in Washington, not the caves of Tora Bora.

Bloomberg / Contributor | Getty Images

This isn’t about Islam as a faith. We should distinguish between Islam and Islamism. Islam is a religion followed peacefully by millions. Islamism is something entirely different — an ideology that seeks to merge mosque and state, impose Sharia law, and destroy secular liberal democracies from within. Islamism isn’t about prayer and fasting. It’s about power.

Criticizing Islamism is not Islamophobia. It is not an attack on peaceful Muslims. In fact, Muslims are often its first victims.

Islamism is misogynistic, theocratic, violent, and supremacist. It’s hostile to free speech, religious pluralism, gay rights, secularism — even to moderate Muslims. Yet somehow, the progressive left — the same left that claims to fight for feminism, LGBTQ rights, and free expression — finds itself defending candidates like Mamdani. You can’t make this stuff up.

Blending the worst ideologies

And if that weren’t enough, Mamdani also identifies as a Democratic Socialist. He blends political Islam with Marxist economics — two ideologies that have left tens of millions dead in the 20th century alone. But don’t worry, New York. I’m sure this time socialism will totally work. Just like it always didn’t.

If you’re a business owner, a parent, a person who’s saved anything, or just someone who values sanity: Get out. I’m serious. If Mamdani becomes mayor, as seems likely, then New York City will become a case study in what happens when you marry ideological extremism with political power. And it won’t be pretty.

This is about more than one mayoral race. It’s about the future of Western liberalism. It’s about drawing a bright line between faith and fanaticism, between healthy pluralism and authoritarian dogma.

Call out radicalism

We must call out political Islam the same way we call out white nationalism or any other supremacist ideology. When someone chants “globalize the intifada,” that should send a chill down your spine — whether you’re Jewish, Christian, Muslim, atheist, or anything in between.

The left may try to shame you into silence with words like “Islamophobia,” but the record is worn out. The grooves are shallow. The American people see what’s happening. And we’re not buying it.

This article originally appeared on TheBlaze.com.

Could China OWN our National Parks?

Jonathan Newton / Contributor | Getty Images

The left’s idea of stewardship involves bulldozing bison and barring access. Lee’s vision puts conservation back in the hands of the people.

The media wants you to believe that Sen. Mike Lee (R-Utah) is trying to bulldoze Yellowstone and turn national parks into strip malls — that he’s calling for a reckless fire sale of America’s natural beauty to line developers’ pockets. That narrative is dishonest. It’s fearmongering, and, by the way, it’s wrong.

Here’s what’s really happening.

Private stewardship works. It’s local. It’s accountable. It’s incentivized.

The federal government currently owns 640 million acres of land — nearly 28% of all land in the United States. To put that into perspective, that’s more territory than France, Germany, Poland, and the United Kingdom combined.

Most of this land is west of the Mississippi River. That’s not a coincidence. In the American West, federal ownership isn’t just a bureaucratic technicality — it’s a stranglehold. States are suffocated. Locals are treated as tenants. Opportunities are choked off.

Meanwhile, people living east of the Mississippi — in places like Kentucky, Georgia, or Pennsylvania — might not even realize how little land their own states truly control. But the same policies that are plaguing the West could come for them next.

Lee isn’t proposing to auction off Yellowstone or pave over Yosemite. He’s talking about 3 million acres — that’s less than half of 1% of the federal estate. And this land isn’t your family’s favorite hiking trail. It’s remote, hard to access, and often mismanaged.

Failed management

Why was it mismanaged in the first place? Because the federal government is a terrible landlord.

Consider Yellowstone again. It’s home to the last remaining herd of genetically pure American bison — animals that haven’t been crossbred with cattle. Ranchers, myself included, would love the chance to help restore these majestic creatures on private land. But the federal government won’t allow it.

So what do they do when the herd gets too big?

They kill them. Bulldoze them into mass graves. That’s not conservation. That’s bureaucratic malpractice.

And don’t even get me started on bald eagles — majestic symbols of American freedom and a federally protected endangered species, now regularly slaughtered by wind turbines. I have pictures of piles of dead bald eagles. Where’s the outrage?

Biden’s federal land-grab

Some argue that states can’t afford to manage this land themselves. But if the states can’t afford it, how can Washington? We’re $35 trillion in debt. Entitlements are strained, infrastructure is crumbling, and the Bureau of Land Management, Forest Service, and National Park Service are billions of dollars behind in basic maintenance. Roads, firebreaks, and trails are falling apart.

The Biden administration quietly embraced something called the “30 by 30” initiative, a plan to lock up 30% of all U.S. land and water under federal “conservation” by 2030. The real goal is 50% by 2050.

That entails half of the country being taken away from you, controlled not by the people who live there but by technocrats in D.C.

You think that won’t affect your ability to hunt, fish, graze cattle, or cut timber? Think again. It won’t be conservatives who stop you from building a cabin, raising cattle, or teaching your grandkids how to shoot a rifle. It’ll be the same radical environmentalists who treat land as sacred — unless it’s your truck, your deer stand, or your back yard.

Land as collateral

Moreover, the U.S. Treasury is considering putting federally owned land on the national balance sheet, listing your parks, forests, and hunting grounds as collateral.

What happens if America defaults on its debt?

David McNew / Stringer | Getty Images

Do you think our creditors won’t come calling? Imagine explaining to your kids that the lake you used to fish in is now under foreign ownership, that the forest you hunted in belongs to China.

This is not hypothetical. This is the logical conclusion of treating land like a piggy bank.

The American way

There’s a better way — and it’s the American way.

Let the people who live near the land steward it. Let ranchers, farmers, sportsmen, and local conservationists do what they’ve done for generations.

Did you know that 75% of America’s wetlands are on private land? Or that the most successful wildlife recoveries — whitetail deer, ducks, wild turkeys — didn’t come from Washington but from partnerships between private landowners and groups like Ducks Unlimited?

Private stewardship works. It’s local. It’s accountable. It’s incentivized. When you break it, you fix it. When you profit from the land, you protect it.

This is not about selling out. It’s about buying in — to freedom, to responsibility, to the principle of constitutional self-governance.

So when you hear the pundits cry foul over 3 million acres of federal land, remember: We don’t need Washington to protect our land. We need Washington to get out of the way.

Because this isn’t just about land. It’s about liberty. And once liberty is lost, it doesn’t come back easily.

This article originally appeared on TheBlaze.com.

EXPOSED: Why the left’s trans agenda just CRASHED at SCOTUS

Anna Moneymaker / Staff | Getty Images

You never know what you’re going to get with the U.S. Supreme Court these days.

For all of the Left’s insane panic over having six supposedly conservative justices on the court, the decisions have been much more of a mixed bag. But thank God – sincerely – there was a seismic win for common sense at the Supreme Court on Wednesday. It’s a win for American children, parents, and for truth itself.

In a 6-3 decision, the Supreme Court upheld Tennessee’s state ban on irreversible transgender procedures for minors.

The mostly conservative justices stood tall in this case, while Sotomayor, Kagan, and Jackson predictably dissented. This isn’t just Tennessee’s victory – 20 other red states that have similar bans can now breathe easier, knowing they can protect vulnerable children from these sick, experimental, life-altering procedures.

Anna Moneymaker / Staff | Getty Images

Chief Justice John Roberts wrote the majority opinion, saying Tennessee’s law does not violate the Equal Protection Clause. It’s rooted in a very simple truth that common sense Americans get: kids cannot consent to permanent damage. The science backs this up – Norway, Finland, and the UK have all sounded alarms about the lack of evidence for so-called “gender-affirming care.” The Trump administration’s recent HHS report shredded the activist claims that these treatments help kids’ mental health. Nothing about this is “healthcare.” It is absolute harm.

The Left, the ACLU, and the Biden DOJ screamed “discrimination” and tried to twist the Constitution to force this radical ideology on our kids.

Fortunately, the Supreme Court saw through it this time. In her concurring opinion, Justice Amy Coney Barrett nailed it: gender identity is not some fixed, immutable trait like race or sex. Detransitioners are speaking out, regretting the surgeries and hormones they were rushed into as teens. WPATH – the World Professional Association for Transgender Health, the supposed experts on this, knew that kids cannot fully grasp this decision, and their own leaked documents prove that they knew it. But they pushed operations and treatments on kids anyway.

This decision is about protecting the innocent from a dangerous ideology that denies biology and reality. Tennessee’s Attorney General calls this a “landmark victory in defense of America’s children.” He’s right. This time at least, the Supreme Court refused to let judicial activism steal our kids’ futures. Now every state needs to follow Tennessee’s lead on this, and maybe the tide will continue to turn.

Insider alert: Glenn’s audience EXPOSES the riots’ dark truth

Barbara Davidson / Contributor | Getty Images

Glenn asked for YOUR take on the Los Angeles anti-ICE riots, and YOU responded with a thunderous verdict. Your answers to our recent Glennbeck.com poll cut through the establishment’s haze, revealing a profound skepticism of their narrative.

The results are undeniable: 98% of you believe taxpayer-funded NGOs are bankrolling these riots, a bold rejection of the claim that these are grassroots protests. Meanwhile, 99% dismiss the mainstream media’s coverage as woefully inadequate—can the official story survive such resounding doubt? And 99% of you view the involvement of socialist and Islamist groups as a growing threat to national security, signaling alarm at what Glenn calls a coordinated “Color Revolution” lurking beneath the surface.

You also stand firmly with decisive action: 99% support President Trump’s deployment of the National Guard to quell the chaos. These numbers defy the elite’s tired excuses and reflect a demand for truth and accountability. Are your tax dollars being weaponized to destabilize America? You’ve answered with conviction.

Your voice sends a powerful message to those who dismiss the unrest as mere “protests.” You spoke, and Glenn listened. Keep shaping the conversation at Glennbeck.com.

Want to make your voice heard? Check out more polls HERE.