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Hosts: Scott LaMar and Mary Wilson

Smart Talk: Changes for nurse practitioners in PA?; Battle of Bunker Hill author

Written by Scott LaMar, Smart Talk Host/Executive Producer | May 12, 2014 2:23 PM

What to look for on Smart Talk Tuesday, May 13, 2014:

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Nurse practitioners seem to be taking a on larger role in treating patients in Pennsylvania.  They are able to evaluate, diagnose, order and interpret tests, and manage treatments, including prescribe medications for patients.

What they can't do in Pennsylvania is operate independent offices or clinics because nurse practitioners must be affiliated with doctors.

The Pennsylvania Coalition of Nurse Practitioners want that changed.  They say it would make healthcare more accessible and affordable

Doctors who oppose any change in law counter that physicians with their extensive training must be involved in decisions that could impact the health of patients.

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Susan Schrand

On Tuesday's Smart Talk, we'll talk with Susan Schrand, Executive Director of the Pennsylvania Coalition of Nurse Practitioners.

Also, the American Revolution essentially began in one colony -- Massachusetts, where war with Great Britain was orchestrated by a small group of men.

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The back story of what led to hostilities is not what American school children have learned over the years.

Appearing on Tuesday's program is Nathaniel Philbrick, author of the book The Battle of Bunker Hill - A City, A Siege, a Revolution.  In the book, Philbrick describes the era in and around Boston from the Boston Tea Party in 1773 to the first major battle of the war at Bunker Hill.

Nathaniel Philbrick will be appearing at Calvary Church in Lancaster Thursday at 1:30 as part of a fundraiser for Lancaster County Public Libraries.

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Comments: 7

  • Robert Colgan img 2014-05-13 09:21

    Nurse practitioners being granted autonomy to practice medicine is being opposed by the very powerful AMA and the physicians who dominate the way medicine is being conducted in PA.

    Part of their opposition is said to be "for patient protection"-----which, upon scrutiny, is as bogus as claiming that doctors are the only ones who can deliver babies. For thousands and thousands of years midwives, women with experience in childbirth, were the primary practitioners to women giving birth. Along comes the AMA....and prestochangeo !!---suddenly midwives no longer know anything about helping in childbirth.
    It has taken years for midwives to again be included among those who can help mothers throughout the pregnancy and delivery of their children. The AMA is constantly creating the argument that physicians are the ONLY people who can help people who are ill, hurt, sick, injured, in crisis.. . . and we know that this is patently a lie.
    Every competent familiy physician knows how valuable it is to have others involved in the care of patients: their role primarily one of diagnostician and overseer of treatment.
    The role of nurse practitioners is NEVER one outside the medical hierarchy of physicians as the most important members of a patient's care, and ALWAYS one in assistance to that patient's care. There is a team concept here----and the AMA knows it. But the true opposition from the AMA has to do with territorialism. . .they do not want their incomes lowered because others are seeking a place in the healthcare market. This is not only a false territorialism, it is working against the best interests of the entire healthcare apparatus which seeks to provide the highest possible care, in timely fashion based on need, and for the greatest number of people.

    The AMA knows this---but their campaign money to members of the PA legislature carries more weight than any facts or convincing truthful argument. Votes get purchased in PA, sad to say. Money talks.

    The nurse practitioners should be allowed to work autonomously, but fully within the guidelines and partnership of their patients' physicians. The bill should be passed.
    But it won't be for the reasons I described.

    • Deirdre Folkers img 2014-05-13 14:02

      In the case of certified nurse-midwives, physicians organizations have made two contradictory assertions:

      1) that the consistently good outcomes of nurse-midwife assisted births (particularly out of hospital births) have come about solely because they deal with "low-risk" women and

      2) that nurse_midwives should not be allowed to attend births (particularly out of hospital births)because any woman can cease to be low-risk in an instant.


      I have personally had three good births -- a physician-attended birth in a hospital and two certified nurse-midwife (CNM)/certified nurse practitioner (CNP) births out of the hospital. The quality of care provided by the CNM/CNPs throughout pregnancy, labor, and the post birth period was consistently higher -- in terms of length of appointments, depth of information provided, personal attention and attention to established standards.

      Certainly, this is a small sampling (and no one should make decisions based on anecdotes) -- but larger studies back up my personal experience.

  • Jim Foster img 2014-05-13 12:54

    Enjoyed the interview with Nathaniel Philbrick. Scott and his guest mentioned Joseph Warren, who both said almost no one has heard of. Probably true. But, I am a native of northwestern PA, specifically Warren County, whose county seat is Warren, PA. Take a wild guess who both are named for?

    • Scott LaMar img 2014-05-13 13:01

      Jim:

      I never would have guessed that. In The Battle of Bunker Hill, Joseph Warren is a real hero and probably would have been mentioned with Washington, Adams, Hancock and other patriots of the era if he wasn't killed at Bunker Hill.

      • Jim Foster img 2014-05-13 13:41

        Yes, Scott check out his entry in Wikipedia. Counties, cities, etc. all over the country were named for him. Fascinating to speculate what might have happened if he had lived. Maybe he'd have become our first President & General George might have gone back to farming in Virginia. We'd all be throwing stones at the Pres. & Congress in Warren, DC. ;-)

      • Jim Foster img 2014-05-13 13:42

        Yes, Scott check out his entry in Wikipedia. Counties, cities, etc. all over the country were named for him. Fascinating to speculate what might have happened if he had lived. Maybe he'd have become our first President & General George might have gone back to farming in Virginia. We'd all be throwing stones at the Pres. & Congress in Warren, DC. ;-)

  • Jim Foster img 2014-05-13 12:55

    Enjoyed the interview with Nathaniel Philbrick. Scott and his guest mentioned Joseph Warren, who both said almost no one has heard of. Probably true. But, I am a native of northwestern PA, specifically Warren County, whose county seat is Warren, PA. Take a wild guess who both are named for?

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