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by northern_lights 3642 days ago
The regulations only look like they're in favor of the doctors to those completely unfamiliar with the field. But who keeps the money from that $8000/night hospital stay? It certainly isn't the internal medicine doc making $200k/year (admittedly a great salary, but not at all out of line with the requirements of the job). I'm an advocate for less regulation in the healthcare industry, but it's not as simple as just throwing away all barriers and allowing the free market to solve everything.

Nurse practitioners and physician assistants are new entrants in the healthcare marketplace, and they are absolutely a "disruptive force" in the healthcare market, in the original Clayton Christensen-sense of the term. In fact, these professions were even called out as such in The Innovator's Dilemma. So your argument that new entrants to the market will somehow magically make prices lower doesn't hold much water (and for those who think that these entities should be freed from the regulations which require them to be supervised by a physician...that's like advocating for a large bridge to be designed and signed off by a civil engineer 2 years out of undergrad).

As for Certificate of Need laws, which limit the amount of hospitals and sophisticated equipment that can exist in any given area...certainly most doctors I know don't love these laws. It's the hospital associations (made up of many, many people other than doctors) which continually fight to keep them on the books.