56 episodes

Patients at Risk exposes the political maneuvering and corporate greed that has led to the replacement of physicians by lesser trained practitioners, including nurse practitioners and physician assistants. As corporations seek to save money and government agencies aim to increase constituent access, minimum qualifications for our nation’s healthcare guardians continue to decline—with deadly consequences. This is a story that has not yet been told, and one that has dangerous repercussions for all Americans.

Patients at Risk Rebekah Bernard MD and Niran Al-Agba MD

    • Health & Fitness
    • 4.4 • 190 Ratings

Patients at Risk exposes the political maneuvering and corporate greed that has led to the replacement of physicians by lesser trained practitioners, including nurse practitioners and physician assistants. As corporations seek to save money and government agencies aim to increase constituent access, minimum qualifications for our nation’s healthcare guardians continue to decline—with deadly consequences. This is a story that has not yet been told, and one that has dangerous repercussions for all Americans.

    Responding to EM:RAP and the use of NPPs in the ER

    Responding to EM:RAP and the use of NPPs in the ER

    A few months ago, EM:RAP, a well-known and respected EM CME provider hosted a discussion about nonphysician practitioners in the emergency room.  Many physicians who listened felt was one-sided and glossed over concerns about independent practice by NPs and PAs.  Dr. Steve Carroll, an EM physician and the host of the podcast EM Basics, was so concerned that he reached out to the program to ask for a more even discussion. To their credit, the program allowed him come on to discuss some of the nuances that the initial episode missed. Today we will discuss the initial EM RAP episode that caused so much controversy and Dr Carroll’s response. 

    Catch Dr. Carroll at his website http://embasic.org/

    Get the book Patients at Risk: https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/

    • 39 min
    Exposing mistruths in the AANP's rebuttal to PPP - Part 2

    Exposing mistruths in the AANP's rebuttal to PPP - Part 2

    In part 2 of our discussion, Dr. Alyson Maloy and Dr. Phil Shaffer break down the mistruths  in AANP president April Kapu's article, 'Full practice authority for nurse practitioners needed to address physician shortage.' 
    Get the book, now available on Audible! https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/

    Watch the video on our YouTube channel:  https://youtu.be/EDXn7RAomTM

    Article links:
    Original article - https://www.medicaleconomics.com/view/covid-exacerbates-physician-shortage
    AANP rebuttal - https://www.medicaleconomics.com/view/response-full-practice-authority-for-nurse-practitioners-needed-to-address-shortage
    PPP response - https://www.medicaleconomics.com/view/rebuttal-congress-not-the-aanp-can-resolve-the-physician-shortage 

    • 32 min
    Is PPP a 'fringe' group? Responding to the AANP's accusations in Medical Economics

    Is PPP a 'fringe' group? Responding to the AANP's accusations in Medical Economics

    On September 29, 2021, the journal Medical Economics published an interview with Dr. Alyson Maloy entitled “Covid exacerbates physician shortage.” In the article, Dr. Maloy discussed the effects of covid19 including a push to increase practice authority for nurse practitioners.  A week later, Medical Economics posted a rebuttal written by April Kapu, the president of the AANP, called “Full practice authority for nurse practitioners needed to address physician shortage,” arguing that NPs were ready and willing to fill the physician gap. Because the article included many mistruths, Dr Maloy and her colleague Dr Phil Shaffer, board members of Physicians for Patient Protection (PPP)  wrote a rebuttal to the rebuttal, pointing out all the flaws in Kapu’s argument. 

    In part 1, we discuss Kapu's accusations that PPP is a 'fringe' organization out to destroy team-based care, and explain why she and the AANP are dead wrong.
    Get the book, now available on Audible! https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/

    Watch the video on our YouTube channel:  https://youtu.be/EDXn7RAomTM

    Article links:
    Original article - https://www.medicaleconomics.com/view/covid-exacerbates-physician-shortage
    AANP rebuttal - https://www.medicaleconomics.com/view/response-full-practice-authority-for-nurse-practitioners-needed-to-address-shortage
    PPP response - https://www.medicaleconomics.com/view/rebuttal-congress-not-the-aanp-can-resolve-the-physician-shortage 

    • 23 min
    Patients at risk when hospitals replace physicians with NPs: Attorney Travis Dunn Part 2

    Patients at risk when hospitals replace physicians with NPs: Attorney Travis Dunn Part 2

    In part 2 of this discussion with plaintiff's attorney Travis Dunn, we analyze the tragic case of Alexus Ochoa, who died because a multi-billion dollar corporation elected to replace physician with unprepared NPs. Mr. Dunn discusses the role of the expert witness in NP malpractice cases and what he has learned about the limited scope of practice of nurse practitioners. 

    Get the book! https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/

    Please like and subscribe to our channel Patients at Risk: https://www.youtube.com/channel/UCLLDpz_f6u7EuW-BKnar-AA

    • 22 min
    Patients at risk when hospitals replace physicians with NPs: Attorney Travis Dunn (Part 1)

    Patients at risk when hospitals replace physicians with NPs: Attorney Travis Dunn (Part 1)

    In the book Patients at Risk, we discuss the tragic case of Alexus Ochoa, a 19-year-old woman who died when a nurse practitioner failed to diagnose the blood clot in her lungs. The nurse practitioner was unprepared to treat emergency room patients and there was no physician on-site, even though the hospital advertised that physicians were available 24/7. Today we are joined with attorney Travis Dunn, one of the lead attorneys who helped Alexus’s family win a major financial settlement against Mercy Health Systems for replacing physicians with nurse practitioners.

    Get the book! https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/

    Watch the video on our YouTube channel, Patients at Risk: https://www.youtube.com/channel/UCLLDpz_f6u7EuW-BKnar-AA

    • 33 min
    What's driving physicians into early retirement?

    What's driving physicians into early retirement?

    There are so many challenges in healthcare today, and it’s becoming ever more difficult to practice medicine. In fact, many physicians that could continue to work well into their golden years are retiring as soon as they can because the struggle of practicing medicine is just no longer worth it to them.
    Today we are joined by an amazing physician who has experienced his share of heartache within our healthcare system. Dr. Mark Lopatin is a rheumatologist who has written extensively about his experiences, and he joins to share his insights and thoughts about how we can improve our broken healthcare system.   

    Get the book! https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/

    Dr. Lopatin's writing:
    "I knew she was trouble" -   https://judiciary.pasenategop.com/wp-content/uploads/sites/42/2020/09/Article-Mark-Lopatin-MD.pdf

    "The facts did not matter"  = https://mail.google.com/mail/u/0/#search/mlopatin%40comcast.net/FMfcgzGljvNMgRKMzxvTnTCJSXrMsxnD?projector=1&messagePartId=0.1

    "This physician is retiring: here is his most valuable lesson" = 
    https://www.kevinmd.com/blog/2020/12/this-physician-is-retiring-heres-his-most-valuable-lesson.html

    • 35 min

Customer Reviews

4.4 out of 5
190 Ratings

190 Ratings

emilygoeringorourke ,

Must Listen

If you enjoyed the Dr. Death podcast, you need to listen to this one. Patients don’t realize that many of the “doctors” caring for them in emergency rooms, hospitals, and clinics are actually nurses with online nursing education and only 500 hours of shadowing either a nurse or a doctor. They don’t have any medical education or training, but they are masquerading as physicians, and they are allowed to practice medicine without a medical license independently in over half of the states, all to increase profits for greedy hospital administrators. You, your child, or your parent could be the next victim.

Cry2stal ,

Incredibly resourceful and practical

Shedding light on the greed driving today’s delivery of healthcare

abedwrn ,

Grow Up

Physicians like use fear to control laypeople into thinking that NPs and PAs are dangerous. This has been the same crap physicians have been crying about for years with little to no evidence. This physician has an axe to grind. As a future NP, I'm not looking forward to working with self-important physicians like this. Physicians are just as greedy and use clout to keep a patriarchal system in place. Patients lose out.

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