Here, edited for clarity, is what Nasca has to say about the assistant physician role:
HLM: The proponents of this legislation say it's a plausible and creative solution for a doctor shortage in a region that is one of the 10 most medically underserved states in the country. It would put to work some of the 7,000 to 8,000 medical school graduates who otherwise would be cooling their heels waiting to get into a residency slot. What's the truth?
Nasca: The vast majority of these 7,000 to 8,000 graduates who didn't get a residency slot are graduates of osteopathic or allopathic medical schools outside the United States. There are very few graduates of domestic schools who do not get residency positions. About 40% are U.S. citizens who went to medical school outside the U.S. because they couldn't get into medical school in the U.S.
So I'm very concerned about what's going on in Missouri. What's proposed is precedent-setting, and very concerning, on a number of fronts.
The question for the public is, do we want to be in a circumstance where we are back in the 1950s? With physicians caring for patients without accredited U.S. graduate medical education? That's the fundamental question.
I believe that the American public does not want physicians who have not been formally trained to practice medicine. Even with a limited license. The American public does not deserve second class care.