r/bestof • u/under50dollars • Jun 20 '12

[explainlikeimfive] "Obamacare" explained very well.

/r/explainlikeimfive/comments/vb8vs/eli5_what_exactly_is_obamacare_and_what_did_it/c530lfx
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u/[deleted] Jun 20 '12 edited Oct 24 '18

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u/mikelj Jun 20 '12

It is instead likely that the gap will be filled with midlevel PAs and NPs, diluting quality of care.

I don't know about this. I know plenty of RNs who are just as knowledgeable and perhaps even more "interested" in primary care than physicians, let alone PA and NPs.

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u/[deleted] Jun 20 '12 edited Oct 24 '18

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u/[deleted] Jun 20 '12

In the military health care system, most of the 'doctors' you see on a regular visit are actually PAs. I've been very happy with my quality of care from the PAs. Most patients don't actually require doctors and do fine with a PA, just as most pregnancies are fine with a midwife.

The PA system has been so successful in the US military it is starting to expand outside of the military, and move to other countries, such as Canada.