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It doesn't. I would much rather have half a doctor than no doctor. Specially when I am not legally allowed to buy any useful medicine without a prescription.
The day when MDs and PAs are so numerous that they are working for minimum wage and you can find one on every street corner is the day when I agree that NPs should be held to a higher standard. Until then, I am in favor of anything that increases the supply of healthcare.
This sounds good until you create more work by being incompetent. Psychiatric NPs are famous for doing this by putting patients on unsafe medication regimens that increase total burden to the system.
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