To The Daily Sun,
It seems that Tony Boutin is at it again. His letter to the editor, published Sept. 8, shows just how DEEP AND ALL ENCOMPASSING HIS IGNORANCE IS. It reminds me of one of my favorite Mark Twain’s quotes, "The more you explain it, the more I don't understand it”.
Tony, you have this unnatural fear of Obamacare, Your world of health care woes starts and ends seven years ago with the beginning of the Affordable Care Act.
Tony, I quote your letter: “All products in short supply sooner or later become rationed. It's already taking place. Millions of people now have DOCTOR SUBSTITUTES called PHYSICIANS' ASSISTANTS (PAs). The disappearance of the doctor and rise of the PA is the product of government health care price fixing. Warren Buffet has it exactly right. Government has made the same corrupted.” Can we please dissect this piece of truly awful and grammatically incorrect piece of writing. First, "doctor substitutes.” what are you like 8 YEARS OLD? Who uses that term anyway?
Second, please explain just what a physicians’ assistants (your spelling ) is. Your incorrect use of an apostrophe is really quite comical. By using this term in this way, you are lumping anyone who assistants a physician together. For example someone who hands a surgeon a surgical instrument , would be seen as assisting the physician. Someone dressing a sutured wound would be assisting a physician. Someone mopping a physician’s office would be seen as assisting the physician. The correct term is physician assistant. This has been the acceptable term since the early 1990s —twenty-seven years ago. Welcome to the real world, Tony. Finally, the first physician assistant class took place in 1965 at Duke University — fifty-two years ago. Millions of people have always had PAs as their primary care providers, it is not a new phenomenon as you seem to suggest coming from Obamacare.
This is an article written in 1979 from the Annals of Internal Medicine: “A remarkable development in primary care is the recent emergence of a new class of health professional: nurse practitioners and physician's assistants. These practitioners diagnose and treat a wide variety of medical problems, usually with supervision by physicians. Their clinical competence has been evaluated in over 40 studies. Twenty-one studies in which care given by nurse practitioners or physician's assistants was directly compared with that given by physicians are analyzed. These studies show that nurse practitioners and physician's assistants provide office-based care that is indistinguishable from physician care. Because these studies were limited in scope, there is no experimental basis for extending this conclusion to care given outside the office, care that is unsupervised, or care of the seriously ill patient” (Please note this study was written before the acceptance of the current term, physician assistant.
The following come from an article in Physician News Digest: "PAs also received top marks when it comes to patient satisfaction, with 93 percent of respondents who had seen a PA agreeing that PAs provide excellent patient service. In fact, more than one-third of Americans who have seen a PA in the last 12 months reported that their usual healthcare provider is a PA (36 percent)."
"In one study of 1,500 patients. and family members the study “found that 93 percent of Americans who have interacted with a PA (including those who have accompanied a loved one to see a PA) in the last year agree that PAs are going to be part of the solution to address a shortage of health care providers.
It is a shortage of primary care providers, as the real reason for the growth of PAs, as was first noticed in the early 1960s, this notion is what gave birth to profession of a physician assistant.
Mirno C Pasquali PA-C
- Written by Edward Engler
- Category: Letters
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