WinterDeere
Super Member
- Joined
- Sep 6, 2011
- Messages
- 6,166
- Location
- Philadelphia
- Tractor
- John Deere 3033R, 855 MFWD, 757 ZTrak; IH Cub Cadet 123
Of course they existed. But the practice of making them the primary front-line of patient interaction was increased orders of magnitude by the financial constraints ushered in by the ACA. Talking with several physicians about this, it's not that your doctor doesn't want to see you personally (in fact, they do!), it's that they no longer can afford to see every patient themselves.Nurse Practitioners (NP) and Physicians Assistant (PA) started a long time ago.
My little town had a PA in the late 60's and a NP about a decade later.