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03/11/2020 Gary S Smith, DPM
RE: Knowledge Level of Nurse Practitioners (Steven Finer, DPM)
The issue of podiatrists obtaining parity with lesser trained medical professionals that have a broader spectrum of care than we do has come up many times. Many people would like to see this change but instead of doing anything everybody sits back and expects podiatry "groups" that have nothing to gain and everything to lose to do it for us. If we're going to make a move, now is the time. There is a huge shortage nationwide in healthcare providers. Many places only have PAs treating patients with no MD coverage and everybody looks the other way.
I have thought about starting a dialogue with legislators in Pennsylvania about this but I have some reservations. If I was able to get it approved in some manner to where DPMs could treat medical issues, most likely with an additional training and exam scenario it may lead to more problems than solutions. DPMs from around the country would flock to PA until other states caught up. The three year residency crowd would try to make medical care an exclusive right to them and large medical conglomerates would try in raise the cost of compliance so high that only their employees could afford to comply.
The biggest way it would help our bottom line would be to allow us more job opportunities as a healthcare employee. The biggest reason to make the move even though it may not be the best for most of us in the short term is that podiatry could become obsolete. The three year mandatory residency requirement is killing our profession and as we become less influential insurance carriers will care less about us. They could eliminate nail care reimbursement or even coverage for podiatric services entirely. Some insurances have already done this and I expect any "Medicare for all" programs to make that their first priority.
Gary S Smith, DPM, Bradford, PA
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