Cideous Posted April 19, 2018 Share Posted April 19, 2018 Is our named changed yet? Someone wake me up when it is.... Link to comment Share on other sites More sharing options...
corpsman89 Posted April 19, 2018 Share Posted April 19, 2018 1 hour ago, Cideous said: Is our named changed yet? Someone wake me up when it is.... It never will unless we have support from people like you. Link to comment Share on other sites More sharing options...
CAAdmission Posted April 20, 2018 Share Posted April 20, 2018 It never will unless we have support from people like you. We should just start calling ourselves physician associates already. Why wait for the laws? People can be gender fluid. Why can’t we be name fluid? Link to comment Share on other sites More sharing options...
corpsman89 Posted April 20, 2018 Share Posted April 20, 2018 Just now, CJAdmission said: We should just start calling ourselves physician associates already. Why wait for the laws? People can be gender fluid. Why can’t we be name fluid? Sent from my iPad using Tapatalk I know several PAs who actually do this. Not the gender thing, but the associate thing. Link to comment Share on other sites More sharing options...
CAdamsPAC Posted April 20, 2018 Share Posted April 20, 2018 On 4/17/2018 at 10:56 PM, rev ronin said: All it will take is a public recognition of Ben Carson, and I will rejoin. That's been true for a while, but now I actually would look forward to them correcting their past insult. That insult to a major supporter of the profession topped off with showing up at The White House in Lab Coats for the ACA Dog & Pony Show killed supporting them forever in my mind! Link to comment Share on other sites More sharing options...
Cideous Posted April 20, 2018 Share Posted April 20, 2018 9 hours ago, corpsman89 said: It never will unless we have support from people like you. I've supported a name change to "Medical Practitioner" for over 20 years. Nothing ever changes though......... Incidentally I always introduce myself as the "Provider" seeing patients......I can not remember the last time I introduced myself as the Physician Assistant... Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted April 20, 2018 Administrator Share Posted April 20, 2018 1 hour ago, CAdamsPAC said: That insult to a major supporter of the profession topped off with showing up at The White House in Lab Coats for the ACA Dog & Pony Show killed supporting them forever in my mind! In all fairness, the ACA had potential... but it was essentially (re)written by healthcare special interests, not real practitioners. They absolutely should have been on board in order to have a voice at the table, no question in my mind. Link to comment Share on other sites More sharing options...
Boatswain2PA Posted April 20, 2018 Share Posted April 20, 2018 On 4/18/2018 at 9:08 AM, SinkingShip said: money to cowards who essentially live in fear and won't lead for change. How about we ratchet back the vitriole a little bit.... On 4/17/2018 at 10:51 PM, CorpsmanUP said: Rev, knowing now some of the dynamics of what happened there, that is not going to happen. Why not? Instead of staying out of the fray and simply focusing on advancing our profession, they took the hard-left intolerant approach and insulted a man who was a terrific advocate for our profession. He deserves a formal apology. On 4/18/2018 at 2:18 PM, ProSpectre said: as a student and soon-to-be PA, it's somewhat disheartening to see so many practicing PAs say that they won't support the main organization that advocates for progress in our profession There are things much more important than our profession. I can get another job/career tomorrow. This is already my 2nd profession, and I'm already working toward my 3rd (and final). On 4/18/2018 at 2:18 PM, ProSpectre said: There are many PAs on the Huddle that seem perfectly content with the status quo, and are either against OTP or are extremely skeptical of it. There are many PAs here who are either against the OTP, or are extremely skeptical of it (I'm in the latter category). Link to comment Share on other sites More sharing options...
ProSpectre Posted April 20, 2018 Share Posted April 20, 2018 13 hours ago, Boatswain2PA said: There are things much more important than our profession. I can get another job/career tomorrow. This is already my 2nd profession, and I'm already working toward my 3rd (and final). Of course there are, I never implied otherwise. That doesn't mean that our profession isn't important though, or that there isn't value in taking ownership of what happens within your profession, just as you would take ownership of anything you are invested in. However, I do think there are many PAs who are completely un-involved one way or another in the course of their profession. That's their prerogative, but they won't have room to complain when their hospital system stops hiring PAs because NPs require less red tape to hire, or when the physician they are tied to in their rural practice has a heart attack and dies and they suddenly have to cease and desist performing the job they've done for the last 20 years since they can't simply collaborate with the other physicians in the practice. Again, no one is advocating that PAs be able to run wild and do things they aren't adequately trained to do, just to be able to do the job they are trained for and to compete in the marketplace with competitors for jobs who in many cases are trained less rigorously. 13 hours ago, Boatswain2PA said: There are many PAs here who are either against the OTP, or are extremely skeptical of it (I'm in the latter category). It's your right to be skeptical of OTP, as it is for any PA; I think some skepticism is healthy, and at least you are aware of what's going on and are part of the discussion. I happen to disagree with your reasoning though, at least based on my understanding of what OTP is supposed to be; you seem to take the slippery slope argument in regards to what it actually means for PAs, which I find to be a fallacious argument. Link to comment Share on other sites More sharing options...
CAdamsPAC Posted April 20, 2018 Share Posted April 20, 2018 21 hours ago, rev ronin said: In all fairness, the ACA had potential... but it was essentially (re)written by healthcare special interests, not real practitioners. They absolutely should have been on board in order to have a voice at the table, no question in my mind. I've never been a fan of the government mandating how people honestly spend their own money. The issue of "health care" was used to cloak another bit of totalitarian overreach by the forces advocating increased central government control of our lives. The AAPA along with multiple other organization wanted to get their small hands on the levers of intrusion and reward offered by the ACA. I will die believing " the road to hell is paved with good intentions" and disbelieving" I'm from the government and I'm here to help"! Link to comment Share on other sites More sharing options...
sas5814 Posted April 20, 2018 Share Posted April 20, 2018 3 biggest lies in the world: 1: I'll respect you in the morning 2: The check is in the mail 3: I'm from the government and I'm here to help Link to comment Share on other sites More sharing options...
Cideous Posted April 21, 2018 Share Posted April 21, 2018 16 hours ago, sas5814 said: 3 biggest lies in the world: 1: I'll respect you in the morning 2: The check is in the mail 3: I'm from the government and I'm here to help 4. Your pre-ACA insurance company is looking out for you...... Link to comment Share on other sites More sharing options...
sas5814 Posted April 21, 2018 Share Posted April 21, 2018 Ha! You mean they aren't my good neighbor or my friend???? But the commercials say.....they love me. Link to comment Share on other sites More sharing options...
CAAdmission Posted April 22, 2018 Share Posted April 22, 2018 On 4/20/2018 at 5:28 PM, CAdamsPAC said: I've never been a fan of the government mandating how people honestly spend their own money. The issue of "health care" was used to cloak another bit of totalitarian overreach by the forces advocating increased central government control of our lives. Very well said. Link to comment Share on other sites More sharing options...
surgblumm Posted April 22, 2018 Share Posted April 22, 2018 If your numbers are correct, this is one of the lowest election votes that I have seen in a decade. It say's that we don't give a crap about our profession and is a disgrace. Link to comment Share on other sites More sharing options...
corpsman89 Posted April 22, 2018 Share Posted April 22, 2018 31 minutes ago, surgblumm said: If your numbers are correct, this is one of the lowest election votes that I have seen in a decade. It say's that we don't give a crap about our profession and is a disgrace. Now that's depressing. Link to comment Share on other sites More sharing options...
ohiovolffemtp Posted April 22, 2018 Author Share Posted April 22, 2018 I believe there's a simple reality to what many of us want: there needs to be changes to multiple areas to give PA's the maximum scope of practice (this is not the same as independence) that many of us want: federal and state law, and policies of employers and payers. I believe the latter will be driven by the former. Changing laws requires influencing and persuading lawmakers. That requires money. In order for the money to be available, the AAPA and other state and interest specific PA organizations need to have paying members. Without that, we can talk all we want about what we want to happen and argue that it should, but change will be unlikely. So, that's why I'm a member of AAPA, SEMPA, my state organization, and PAFT Link to comment Share on other sites More sharing options...
CAdamsPAC Posted April 22, 2018 Share Posted April 22, 2018 14 hours ago, Cideous said: 4. Your pre-ACA insurance company is looking out for you...... Not their lane "to look out for me"! I buy a product or service and expect to "get what I pay for" and fully understand there is no free lunch.They are commercial entities with fiduciary responsibility to their stockholders. It is AAPA's jumping onto the socialist bandwagon under the guise of "doing good" contributes to the scorn and disdain they are held. The AAPA should be in the forefront of battles to enhance and safeguard the advancement of PA professional stature in all areas of practice. This would rekindle the nascent approaching moribund AAPA enrollment and participation by the preponderance of practicing PAs. Again just the $.02 of a 30+ year practicing PA in the autumn of my career. Link to comment Share on other sites More sharing options...
sas5814 Posted April 22, 2018 Share Posted April 22, 2018 Wow...hard to decide where to start. My experience seems to be different from yours. Most (99%) of what I hear is very pro enhanced practice with a few dinosaurs carrying on about how we are going to screw up all their hard work from 30 years ago and how we need to cherish our precious relationships with physician groups....the main people who want to hold us and everyone else back. I don't get the Ben Carson reference so I guess I'm not plugged into that here or in the Huddle. Most of the "complaining" about RNs is either an observation about how they over-blow their training, drag us down while doing it, or simply are running circles around us and we should be emulating what they do all of which I think is true. I don't know what an SJW is. The Deep State? Never heard it mentioned here and really sounds like something that might have gotten a passing mention somewhere at sometime from someone with some fringe beliefs. The ACA is, and has always been, controversial. Not the concept of health care for all but for many flaws and deceptions in the execution. Masking the costs by kicking most of it several years down the road so everyone could get comfortable before it skyrocketed....working people being forced to pay $1200 a month they couldn't afford for a policy with a 5K deductible they couldn't afford which was worse than not having insurance in many cases. Fine philosophy poorly executed. Many would argue passionately on both sides.I changed jobs and didn't COBRA because it was a 3 week gap and you have 30 days to buy COBRA if you need it. That 3 week gap cost me almost $700 in extra taxes on my tax form (you know the IRS who isn't the enforcement agent of the ACA) for "shared responsibility". I paid 60k in taxes that year. Screw the ACA and "shared responsibility" which is a false term for "another tax". If these doses of reality about the current state of the profession alienate some folks... well it is what it is. We are in flux. There is a lot of big stuff going on that requires a lot of thought and discussion. Giving everyone unicorns and rainbows isn't particularly useful. Having some hard discussions about hard topics is. The alienated can join the 97% of our profession who go about their work pleasantly unplugged from the nuts and bolts of what drives the future of their profession. They just don't get to bitch and whine when something happens they don't like. I guess that makes me one of the hard right ACA haters you are disdaining I suppose. Link to comment Share on other sites More sharing options...
Cideous Posted April 22, 2018 Share Posted April 22, 2018 16 minutes ago, sas5814 said: I guess that makes me one of the hard right ACA haters you are disdaining I suppose. Enjoy the flux because Millennials are getting ready to vote in mass and they are going to fundamentally change healthcare as you know it. Ryan, McConnell and Trump have almost singlehandedly ensured the alienation of an entire generation of voters. A generation that also just happens to be the largest in this nations history. Hold on to your hat, things are going to turn very blue and stay that way for a very long time. Our profession should see the handwriting on the wall. No matter how many people insurance companies want to kick to the curb, we as a nation are not going back to a world of pre-exsisting condtions. Millennials and a lot of Gen X'ers will see to that. The day of the "I've got mine, screw you" baby boomer is almost over. Thank goodness. Link to comment Share on other sites More sharing options...
sas5814 Posted April 22, 2018 Share Posted April 22, 2018 I was really referring t the profession being in flux. the country is always in flux and one generation always "fixes" everything the last generation did. Interestingly I am a centrist... everyone hates me because I'm not far enough to either end to make anyone happy. Somewhat left of center socially...barely right of center fiscally. I take my issues and politicians one by one on their merits. Its going to be...interesting. If the next generation (or in my case the one after that I think) can figure it out and not bankrupt the country doing it I wish them well. It is way too big and complicated for me. I suspect...pure speculation...that we will see something like European socialized medicine with all the good and bad that entails. perhaps there is some budding genius not yet grown up who will create a health care paradigm never before imagined. Link to comment Share on other sites More sharing options...
RuralER/Ortho Posted April 22, 2018 Share Posted April 22, 2018 2 hours ago, Cideous said: Enjoy the flux because Millennials are getting ready to vote in mass and they are going to fundamentally change healthcare as you know it. Ryan, McConnell and Trump have almost singlehandedly ensured the alienation of an entire generation of voters. A generation that also just happens to be the largest in this nations history. Hold on to your hat, things are going to turn very blue and stay that way for a very long time. Our profession should see the handwriting on the wall. No matter how many people insurance companies want to kick to the curb, we as a nation are not going back to a world of pre-exsisting condtions. Millennials and a lot of Gen X'ers will see to that. The day of the "I've got mine, screw you" baby boomer is almost over. Thank goodness. Please don't speak for all millennials. Because you're wrong about my views and many of those around me. Link to comment Share on other sites More sharing options...
CAdamsPAC Posted April 22, 2018 Share Posted April 22, 2018 10 hours ago, Cideous said: Enjoy the flux because Millennials are getting ready to vote in mass and they are going to fundamentally change healthcare as you know it. Ryan, McConnell and Trump have almost singlehandedly ensured the alienation of an entire generation of voters. A generation that also just happens to be the largest in this nations history. Hold on to your hat, things are going to turn very blue and stay that way for a very long time. Our profession should see the handwriting on the wall. No matter how many people insurance companies want to kick to the curb, we as a nation are not going back to a world of pre-exsisting condtions. Millennials and a lot of Gen X'ers will see to that. The day of the "I've got mine, screw you" baby boomer is almost over. Thank goodness. Yep ,I'm going to soon sit back in my PA retirement watching the Tide Pod eating , condom snorting living in their parents basement "millennials" posting angry online rants about the "Boomer Generation of PAs" "I've got mine, screw you" take over. While ignoring that WE were the ones who took the body blows while knocking down the obstructions to the profession,developing it into the profession that exists today. We were the ones who took the $20K-30K jobs 40-30 years ago, when we could find them and worked our butts off proving ourselves ! Not to mention, we filled the military physician jobs, that held the greatest risk for being killed in combat. Our generation actually helped end racial segregation, unjustified war, oh yes formed the core of this profession! We were raised by those who lived the Great Depression and taught us about self sufficiency, accountability and responsibility on a personal level. Not to mention we faced the threat of the loss of individual freedom manifested as Communism and Socialism across the globe. I believe the state of the AAPA represents the current aimless search for the pollyanna nirvana sought by those who somehow have become enamored with "everyone getting a trophy and ribbon" mentality along with not offending people who care less about our profession!! Yeah tell us about how much change and heavy lifting your generation will do better than mine? YAWN............................. Link to comment Share on other sites More sharing options...
CAdamsPAC Posted April 22, 2018 Share Posted April 22, 2018 5 hours ago, mcclane said: This forum only serves two purposes. 95% of the traffic are pre-PA hopefuls who leave and never look back. The remaining 5% are a handful of hard rights who tank every 3rd thread by expressing distaste for enhanced practice rights while trolling every AAPA tread with Ben Carson mumbo jumbo and complaining about RNs, SJWs, the deep state, and the ACA. This forum is potentially one of the biggest roadblocks to change facing the profession today as it systematically disenfranchises a few hundred new members each year. I'm reading word salad. Please cite or delineate specifics. Thanks. Link to comment Share on other sites More sharing options...
Moderator LT_Oneal_PAC Posted April 22, 2018 Moderator Share Posted April 22, 2018 5 hours ago, mcclane said: This forum only serves two purposes. 95% of the traffic are pre-PA hopefuls who leave and never look back. The remaining 5% are a handful of hard rights who tank every 3rd thread by expressing distaste for enhanced practice rights while trolling every AAPA tread with Ben Carson mumbo jumbo and complaining about RNs, SJWs, the deep state, and the ACA. This forum is potentially one of the biggest roadblocks to change facing the profession today as it systematically disenfranchises a few hundred new members each year. Link to comment Share on other sites More sharing options...
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