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Requesting ATOT Effect

GasX

GasX

Lifer
PR Newswire is a service that gets out "articles" written by companies and special interest groups. Unfortunately, the current state of journalism is such that these things get picked up and run as news stories.

Case in point: Article aimed at blocking legislation in Maryland to allow AA's to practice there

If you know what a Physician's Assistant (PA) is, you can understand what an AA is - a similarly trained professional trained exclusively in anesthesia. AA's currently practice in 18 states and this number is growing. Maryland currently has legislation on the floor to bring the number to 19. The issue is that CRNA's (Nurse Anesthetists) don't want the competition and thus fight the expansion of AA practice. Since they have no legitimate arguments, they resort to lies, half-truths and propaganda to sway public opinion.

My request is simple. Help me get this article remove from Yahoo News.

  1. click here
    Look for "Remove this article"
    Vote for it
Thank you

I am happy to explain why this article burns me up if anyone actually cares. In the meantime, have at it!
 
Until one can show where the article is untrue and allow the disputed points to be analyzed, you have two groups fighting of one slice of the pie.
 
Originally posted by: Common Courtesy
Until one can show where the article is untrue and allow the disputed points to be analyzed, you have two groups fighting of one slice of the pie.
Click to expand...
Fair enough - give me 10 minutes.
 
Here are some key "assertions"
  1. CRNA's are more qualified than AA's.
    AA's practice in 10 states
    No studies have been done to evaluate AA safety
    AA's work under the supervision of an Anesthesiologist who might be in another room.
    Licensing AA's is fiscally irresponsible
    Civil War anesthesia experience is highly relevant
    Adding AA's to Maryland's anesthesia options would create a rural shortage
1. This is debatable but, of course, it is presented as fact.
2. AA's are licensed to practice in 17 states plust the district of Columbia
3. There is a study with a large sample size that demonstrates NO DIFFERENCE in safety between CRNA's and AA's.
4. Increasing supply tends to drive prices down not up. Epic fail on econ 101
5. There is absolutely nothing in common between what a nurse anesthetist did then and does now and that tidbit has zero relevance
6. Increasing supply also doesn't tend to create supply shortages...
 
How do you even get to the page without the direct link or search? I don't see it anywhere on the site when I try to navigate to it.
 
Sounds interesting. Can you link to the research article you referred to? I've never heard of AA's.
 
Before I vote, where's YOUR interest in the subject?

Are YOU an AA trying to defend your industry?

Are you an anesthesiologist trying to help another group?
 
Originally posted by: GasX
Civil War anesthesia experience is highly relevant
Click to expand...

I don't think that 160-year olds should be allowed to practice.

But since you're on ATOT and I don't care either way, I voted twice.
 
Originally posted by: GasX
CRNA's are more qualified than AA's.
Click to expand...

If AAs and CRNAs are equally qualified, then why is it that AAs MUST work under the supervision of an anesthesiologist, but a CRNA does not? I would say that this points to the CRNA being more qualified than the AA.

-Tom
 
Originally posted by: BoomerD
Before I vote, where's YOUR interest in the subject?

Are YOU an AA trying to defend your industry?

Are you an anesthesiologist trying to help another group?
Click to expand...

I will be entering AA school in June
 
Originally posted by: Soccer55
Originally posted by: GasX
CRNA's are more qualified than AA's.
Click to expand...

If AAs and CRNAs are equally qualified, then why is it that AAs MUST work under the supervision of an anesthesiologist, but a CRNA does not? I would say that this points to the CRNA being more qualified than the AA.

-Tom
Click to expand...

It's semantics. All AA's practice in the ACT Model (Anesthesia Care Team) where an Anesthesiologist oversees as many as 4 ORs. The reality is over 90% of all CRNA's work in the ACT model as well. The other 10% work in rural settings where no Anesthesiologist can be lured to work. The practice anesthesia on very simple cases as anything significant is done at a major medical center where Anesthesiologists work. So a small percentage of CRNA's work in seemingly independant settings except they still work under the direction of the dentist or surgeon whose OR they are working in.

And to be critical of your point, that actually points to the success of their lobbying to gain practice rights rather than any inherent clinical superiority.
 
Originally posted by: GasX
Originally posted by: Soccer55
Originally posted by: GasX
CRNA's are more qualified than AA's.
Click to expand...

If AAs and CRNAs are equally qualified, then why is it that AAs MUST work under the supervision of an anesthesiologist, but a CRNA does not? I would say that this points to the CRNA being more qualified than the AA.

-Tom
Click to expand...

It's semantics. All AA's practice in the ACT Model (Anesthesia Care Team) where an Anesthesiologist oversees as many as 4 ORs. The reality is over 90% of all CRNA's work in the ACT model as well. The other 10% work in rural settings where no Anesthesiologist can be lured to work. The practice anesthesia on very simple cases as anything significant is done at a major medical center where Anesthesiologists work. So a small percentage of CRNA's work in seemingly independant settings except they still work under the direction of the dentist or surgeon whose OR they are working in.

And to be critical of your point, that actually points to the success of their lobbying to gain practice rights rather than any inherent clinical superiority.
Click to expand...

So when you graduate AA school, will you be able to practice in a rural or non-medically directed setting where there is no Anethesiologist present? The fact that CRNAs can do this indicates to me that there is something in their prior experience and/or training that allows them to have this privilege. In addition, if CRNAs and AAs are equally qualified, why is there current legislation to allow CRNAs to have prescription writing authority?

-Tom

Disclaimer: I am not a CRNA trying to defend my profession. However, I do happen to know a few and listening to various discussions on health care related issues has made me more interested in them.
 
Originally posted by: GasX
Originally posted by: BoomerD
Before I vote, where's YOUR interest in the subject?

Are YOU an AA trying to defend your industry?

Are you an anesthesiologist trying to help another group?
Click to expand...

I will be entering AA in June
Click to expand...

hmm, then you sure you should be practicing on patients? or is that one of the 12 steps? 😕




😉
 
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