One of my blog followers pointed out from yesterday's blog that even though Missouri appears to be progressive with their new law creating an assistant physician, they could have easily addressed their primary care shortage situation in the rural parts of their state by relaxing the restrictions that exist for nurse practitioners. Point very well taken.
In Maryland, we have certainly benefited from the ability to use nurse practitioners in a variety of settings, including primary care, due to the practice autonomy that they are afforded in this state. That is certainly not the case in Missouri, where nurse practitioners are highly restricted in what they can and cannot do in the care of their patients. How unfortunate.