Nurse practitioner advocates argue that: ARNP's have been providing these services for years with a proven track record of safety to consumers. Projected shortages of Primary Care docs (90K in 7 years) make ARNP's even more valuable to fill the gap and that their training and education (RN's with a post graduate degree) are sufficient.
Opponents of this legislation debate that Nurse Practitioners education and training are not sufficient. A Physician spends 11 years in training and education versus the 5 1/2-7 years for an ARNP. ARNP's earn roughly 80-85% of what Physicians earn for the same service which is attractive to insurers and advocates of the Affordable Health Care Act. A literature review of 26 studies published since 2000 by the journal Health Affairs supports the ARNP's position that care is equivalent between the two types of providers.
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