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	<title>Comments on: HR 2350</title>
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	<description>Internal medicine, American health care, and especially medical education</description>
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		<title>By: Michael Ellwood</title>
		<link>http://www.medrants.com/archives/4270/comment-page-1#comment-527012</link>
		<dc:creator>Michael Ellwood</dc:creator>
		<pubDate>Fri, 22 May 2009 15:12:35 +0000</pubDate>
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		<description>I am happy you are supportive of HR2350. As a member of a pediatric family, we have spent years advocating for primary care issues.

I hope you also took notice that the bill is the first to open the door to independent practice of NPs - without a collaborating physician typically required in all 50 states to provide full medical and related health services. It also permits establishment of NP-led practices staffed by PAs.

I can only assume ACP was aware of this when they endorsed this bill.</description>
		<content:encoded><![CDATA[<p>I am happy you are supportive of HR2350. As a member of a pediatric family, we have spent years advocating for primary care issues.</p>
<p>I hope you also took notice that the bill is the first to open the door to independent practice of NPs &#8211; without a collaborating physician typically required in all 50 states to provide full medical and related health services. It also permits establishment of NP-led practices staffed by PAs.</p>
<p>I can only assume ACP was aware of this when they endorsed this bill.</p>
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		<title>By: GingerB</title>
		<link>http://www.medrants.com/archives/4270/comment-page-1#comment-526987</link>
		<dc:creator>GingerB</dc:creator>
		<pubDate>Thu, 21 May 2009 17:40:17 +0000</pubDate>
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		<description>Good for you!

Now you need everyone who reads your blog, hopefully in many different states, to write their Congressperson in support of it. 

You need to identify the members of the committee who are responsible for kicking this along, and have readers in those states specifically address their members. 

I realize that lobbying isn&#039;t what you normally do, but if you don&#039;t someone else with their own agenda will!</description>
		<content:encoded><![CDATA[<p>Good for you!</p>
<p>Now you need everyone who reads your blog, hopefully in many different states, to write their Congressperson in support of it. </p>
<p>You need to identify the members of the committee who are responsible for kicking this along, and have readers in those states specifically address their members. </p>
<p>I realize that lobbying isn&#8217;t what you normally do, but if you don&#8217;t someone else with their own agenda will!</p>
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		<title>By: Ali</title>
		<link>http://www.medrants.com/archives/4270/comment-page-1#comment-526968</link>
		<dc:creator>Ali</dc:creator>
		<pubDate>Thu, 21 May 2009 03:11:37 +0000</pubDate>
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		<description>This is a step forward. I am currently reading the Harvard Business Review’s Book: &quot;Redefining Health Care&quot; and it argues that the system of how health care is delivered should be looked at from a competitive stand-point or what they define as “Positive-Sum Competition.” If providers competed on quality versus using strategies such as &quot;cost-shifting&quot; maybe access to primary care would not be such an issue.</description>
		<content:encoded><![CDATA[<p>This is a step forward. I am currently reading the Harvard Business Review’s Book: &#8220;Redefining Health Care&#8221; and it argues that the system of how health care is delivered should be looked at from a competitive stand-point or what they define as “Positive-Sum Competition.” If providers competed on quality versus using strategies such as &#8220;cost-shifting&#8221; maybe access to primary care would not be such an issue.</p>
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