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https://www.dhirubhai.net/pulse/basic-health-access-can-only-recovered-local-efforts-robert-bowman/?
There are a number of other reasons for the changes in health care workforce. To understand why it appears that nurse practitioner and physician assistant numbers are increasing relative to physicians, you would need to understand the massive and unprecedented changes in health care professional workforce that are ongoing. https://www.dhirubhai.net/pulse/see-through-promotions-understand-why-np-pa-robert-bowman/
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Over and over we see medical education and nursing and physician assistant leaders promoting the need for more of their kind. This promotional material continues despite their massive overexpansions. A recent AAMC promotion states simply that We Need More Doctors.
Where are we spending more - info tech, management, drugs, administration, insurance. Flat lined are the population, primary care spending, spending on general specialists, spending in 2621 counties lowest in health care workforce.
Controlling COVID transmission is like controlling nuclear fission. https://www.dhirubhai.net/pulse/human-control-rods-vs-nuclear-fission-covid-robert-bowman/
If you understand social determinants, they you should fight value based designs that worsen social determinants and likely outcomes. Follow the dollars to see who wins and who loses. https://www.dhirubhai.net/pulse/social-determinant-focus-argues-against-value-based-designs-bowman/
Pipelines to primary care or underserved practices continue to fail to work to resolve deficits of health care workforce because the financial design has not resulted in increased dollars for the increase in that workforce. Specific training can improve the suitability of training, but is incapable of addressing the deficits. Those focused on addressing shortages need our nation to value most Americans and those few who remain to serve them despite half enough dollars and team members. https://www.dhirubhai.net/pulse/rural-primary-care-underserved-pipelines-still-work-resolve-bowman/
Health insurance promotions make a stab and looking good – when in fact they pay too little for primary care and require too much cost to get any improvement. https://www.dhirubhai.net/pulse/health-insurance-heroes-hardly-robert-bowman/
There are many reasons why we should not measure and the arguments against measurement including discrimination, disruption, poor logic, financial costs, and worsening of outcomes by measurement impacts.
The media is filled with what bad has been done and is being done. It is important to remember what has happened so that we do not repeat the past mistakes. But we are also not DOING. We are talking. And we are not replicating and enhancing the investments that have been done to address disparities. Even worse our innovations and regulations in areas such as education and health care design - are causing disparities.
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https://www.dhirubhai.net/pulse/please-focus-social-determinants-situations-more-race-robert-bowman/
COVID will expose the massive overexpansions of annual graduates across nurse practitioners, physician assistants, US osteopathic, and US MD. The bubble was set to burst in the future, but COVID has accelerated it. The experts are still pushing more graduates and more types of health professionals with expanded activities.
https://www.dhirubhai.net/pulse/why-admissions-more-native-americans-resolve-deficits-robert-bowman/
Current levels of expansion in recent decades are many times the annual population growth and far exceed the increases in health care spending (and the health professional spending category is stagnant).