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

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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 In 28 states, lawmakers subject NPs to outdated regulations that prohibit them from providing services they are fully certified to offer, like annual exams and pap smears.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.

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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.

TRUMP: The twilight hour of socialism has arrived

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The other day, at Florida International University in Miami, facing large American and Venezuelan flags, President Trump gave a rousing speech in Miami, including this line, the "twilight hour of socialism has arrived."

Trump went on to say:

Socialism is about one thing only—power for the ruling class. They want the power to decide who wins and who loses, who's up and who's down…and even who lives and who dies.

He then repeated a phrase that helped define his State of the Union address this year:

America will never be a socialist country.

Fittingly, Fox News posted an article yesterday exposing the overlooked evils of Che dangers of socialism that all too often disappear behind a flashy design on a t-shirt.

  1. Guevara said he killed people without regard to guilt or innocence. In an interview, Guevara said, "in times of excessive tension we cannot proceed weakly. At the Sierra Maestra, we executed many people by firing squad without knowing if they were fully guilty. At times, the Revolution cannot stop to conduct much investigation; it has the obligation to triumph."
  2. Humberto Fontova, author of "Exposing the Real Che Guevara," told Fox that Guevara created system that put gay people in labor camps. "The regime that Che Guevara co-founded is the only one in modern history in the Western Hemisphere to have herded gays into forced labor camps."
  3. Guevara opposed a free press: "In 1959, leftist journalist José Pardo Llada reported that Guevara told him: 'We must eliminate all newspapers; we cannot make a revolution with free press. Newspapers are instruments of the oligarchy.'"
  4. Guevara made racist statements: Guevara went on to write: "the black is indolent and a dreamer; spending his meager wage on frivolity or drink; the European has a tradition of work and saving."

These are just some of the many historical examples of the failure of socialism. President Trump is right. If the frivolities of Alexandria Ocasio-Cortez and Bernie Saunders catch on and spread, we could have an unbelievable problem on our hands.

Poor Jussie: His narrative is falling apart completely

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Here's how the media works now: Find a story that confirms their narrative, run it constantly and relentlessly. When the real story comes out, minimize exposure of the correction. Repeat.

We're seeing this pattern play out over and over again.

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Here are some of the knee-jerk reactions that the media had to this Jessie Smollett hoax, from Insider Edition, CNN, E! News, Headline News, CNBC, TMZ, to name a few:


Montage: Watch the Media Uncritically Accept Another Outlandish 'Hate Crime' youtu.be


And those are just the reactions on TV. It was just as bad, at times worse, in print and online. I'll give you one special example, however. Because, you know the situation is bad when TMZ is connecting the dots and seeing through this guy's story:

The sources say there were red flags from the get go. Cops were extremely suspicious when Jussie took them out to the area where he said he was attacked and pointed to an obscure camera saying how happy he was that the attack was on video. Turns out the camera was pointing in the wrong direction. Cops thought it was weird he knew the location of that camera. And there's this. We're told investigators didn't believe the 2 alleged attackers screamed 'This is MAGA country' because 'Not a single Trump supporter watches 'Empire.''

Here's the man himself, in an interview just days after the alleged beating…I'm sorry, the alleged "modern day lynching." Here he is in an interview with ABC News, complaining about people making up stuff:



Strong words, spoken by a man who, allegedly, created the whole narrative to begin with.

This compromise is an abomination

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Three decades ago, "The Art of the Deal" made Donald Trump a household name. A lot has happened since then. But you can trace many of Trump's actions back to that book.

Art of the Deal:

In the end, you're measured not by how much you undertake but by what you finally accomplish.

People laughed when he announced that he was running for President. And I mean that literally. Remember the 2011 White House Correspondents' Dinner when Obama roasted Trump, viciously, mocking the very idea that Trump could ever be President. Now, he's President.

You can't con people, at least not for long. You can create excitement, you can do wonderful promotion and get all kinds of press, and you can throw in a little hyperbole. But if you don't deliver the goods, people will eventually catch on.

This empire-building is a mark of Trump.

RELATED: 'Arrogant fool' Jim Acosta exposed MSM's dishonest border agenda — again.

The most recent example is the border wall. Yesterday, congress reached a compromise on funding for the border wall. Weeks of tense back-and-forth built up to that moment. At times, it seemed like neither side would budge. Trump stuck to his guns, the government shut down, Trump refused to budge, then, miraculously, the lights came back on again. The result was a compromise. Or at least that's how it appeared.

But really, Trump got what he wanted -- exactly what he wanted. He used the techniques he wrote about in The Art of the Deal:

My style of deal-making is quite simple and straightforward. I aim very high, and then I just keep pushing and pushing and pushing to get what I'm after.

From the start, he demanded $5.7 billion for construction of a border wall. It was a months' long tug-of-war that eventually resulted in yesterday's legislation, which would dedicate $1.4 billion. It would appear that that was what he was after all along. Moments before the vote, he did some last-minute pushing. A national emergency declaration, and suddenly the number is $8 billion.

Art of the Deal:

People think I'm a gambler. I've never gambled in my life. To me, a gambler is someone who plays slot machines. I prefer to own slot machines. It's a very good business being the house.

In a rare show of bipartisanship, Senate passed the legislation 83-16, and the House followed with 300-128. Today, Trump will sign the bill.

It's not even fair to call that a deal, really. A deal is what happens when you go to a car dealership, fully ready to buy a car, and the salesman says the right things. What Trump did is more like a car dealer selling an entire row of cars to someone who doesn't even have a licence. When Trump started, Democrats wouldn't even consider a wall, let alone pay for it.

Art of the Deal:

The final key to the way I promote is bravado. I play to people's fantasies. People may not always think big themselves, but they can still get very excited by those who do. That's why a little hyperbole never hurts. People want to believe that something is the biggest and the greatest and the most spectacular. I call it truthful hyperbole. It's an innocent form of exaggeration—and a very effective form of promotion.

He started the wall on a chant, "Build the wall!" until he got what he wanted. He maneuvered like Don Draper, selling people something that they didn't even know they wanted, and convincing them that it is exactly what they've always needed.