If all of this sounds familiar, that's because it is. It's the old he-said-she-said argument that keeps raging, despite the fact that a growing number of states allow for licensure of independent nurse practitioners, despite the fact that organizations from the National Center for Policy Analysis to the Institute of Medicine have called for the expansion of APRN's scope of practice.
But what makes this report a little different—and maybe a little dangerous—is that it puts forth the idea that nurse practitioners provide second-rate care.
"The interests of patients are best served when their care is provided by a physician or through an integrated practice supervised directly by a physician," report says. "We must not compromise quality for any American, and we don't have to."
"The subtext is 'don't get fooled,'" into getting second-class care, Lisa Summers, CNM, DrPH, a senior policy fellow at the American Nurses Association, told me. "The thing that bothers me about that is that it feeds into this [idea that] there are two classes of care."