Medical Economics February 15, 2024
It seems like the U.S. government has officially given up on the idea of physician-led primary care, and according to a quote from Senator Bernie Sanders, Americans had better just get used to it. Instead, legislators like Sanders aim to have patients receive primary care from community health centers by nurses and physician assistants practicing without physician oversight.
This idea is nothing new. Federal policy to replace physicians has been around for decades, beginning with the Rural Health Clinic Act of 1977, which tied funding to rural healthcare centers to the mandate that at least 50% of all services be provided by nurse practitioners or physician assistants. Beginning in the 1980s, the government enacted policies to restrict physician growth, including...
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