Patients at Risk

Rebekah Bernard MD and Niran Al-Agba MD

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 when hospitals replace physicians with NPs: Attorney Travis Dunn (Part 1)What's driving physicians into early retirement?Primary care: So easy anyone can do it?
Today, we discuss a topic that is near and dear to my heart as a family physician: the role of primary care. We’re going to focus especially on the misconception often held by legislators that primary care is somehow ‘easy,’ and can therefore be relegated to allied health professionals, especially nurse practitioners.Today, I am joined by two special guests who are experts in the role of primary care in the healthcare system. Dr. Emily O’Rourke is a Family Physician in Virginia and the owner of Fountain Direct Primary Care.  (https://fountaindirectprimarycare.com) We are also joined by Dr. Meghan Galer, a board-certified emergency physician who opened her own direct primary care practice, ColGACare, in Georgia. (https://www.colgacare.com)Get the book! https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/References:BMJ 2018 - Continuity of care with doctors—a matter of life and death? A systematic review of continuity of care and mortality https://bmjopen.bmj.com/content/8/6/e021161 BMJ 2019 - US patients live longer in areas with more primary care doctors, study finds BMJ 2019; 364 doi: https://doi.org/10.1136/bmj.l804 (Published 20 February 2019) BMJ 2019;364:l804Mortality rates are lower with higher continuity of care, review finds BMJ 2020;370:m3184Lancet: http://dx.doi.org/10.1136/bmjgh-2017-000424Gray BM, Vandergrift JL, McCoy RG, et al Association between primary care physician diagnostic knowledge and death, hospitalisation and emergency department visits following an outpatient visit at risk for diagnostic error: a retrospective cohort study using medicare claims BMJ Open 2021;11:e041817. doi: 10.1136/bmjopen-2020-041817 http://dx.doi.org/10.1136/bmjopen-2020-041817
Oct 17 2021
32 mins
Midlevel Malpractice with Attorney Robert PainterTruth and Transparency: Reviewing New Jersey's Health Care Transparency ActBoard recertification: A double standard for physicians?Betty's Story Part 2: A father's plea for NP accountability after the death of his daughterBetty's Story Part 1: 7-yr old dies just hours after evaluation by pediatric NPPhysicians in Politics Part 2: MD-JD explains why doctors must get involved - and announces his run for CongressPhysicians in politics: MD-JD discusses why doctors must get involved - Part 1The High Cost of Healthcare with Marion Mass: Part 2The High Cost of Health Care with Marion Mass: Part 1Physician Advocacy Part 2: Lessons from the nursing professionPhysician Advocacy Part 1: Making a difference for patients and the professionPhysician assistant and former-PA-turned-physician discuss the state of the professionThe impact of corporate medicine on physician moral injuryInvestigative journalist Eric Starkman discusses the dangers of 'MD Lites'
We are joined by Eric Starkman, an investigative journalist who works to shed light on dangerous corporate practices in healthcare. Mr. Starkman is relentless in exposing the work of bad actors in the medical-industrial complex and discusses how the replacement of physicians by nonphysician practitioners is contributing to the decline of the U.S. healthcare system.Read Eric Starkman's article about the book 'Patients at Risk' here.An excerpt:  "The deceit are the studies purportedly showing that NP and PA patient outcomes are statistically the same as medical doctors. According to Niran Al-Agba and Rebekah Bernard, the MD authors of “Patients at Risk,” all of the studies involved NPs and PAs who worked under the supervision of doctors. The authors insist there are no credible studies evaluating patient outcomes involving NPs and PAs working without medical supervision, which they are doing with increasing frequency.The corruption is that hospitals and other healthcare facilities are increasingly foisting NPs and PAs on patients without patients knowing it. The trend in healthcare today is to refer to everyone who interacts with patients as “healthcare providers” and they all wear white coats. At some hospitals, even the orderlies and housekeeping staff wear white coats, so it’s impossible to distinguish the real doctors among the white coat brigades.Nurse practitioners and physician assistants aren’t real doctors. They can’t, don’t, and never will provide comparable medical care. They’re MD Lites – Less training. Less knowledge. Less skills."Get the book!
Jul 12 2021
31 mins
Psychiatry tips for physician wellness: preventing and treating burnout and addictionJAMA Neurology's solution to neurologist shortage: Just substitute NPs/ PAsHealth system hijacking of 'Doctors' Day' another step towards false equivalence among clinicians
One of the ways that corporations have been successful in replacing physicians with lesser-trained medical practitioners is by creating a sense of equivalence so that patients think that the care they will receive is “the same.” For example, both physicians and nurse practitioners and physician assistants wear white coats, have similar-appearing badges, and may be referred to as “doctor” even if that doctorate is not a medical degree.  Not only do these corporations elevate the role of nonphysicians, they also work to bring down the level of physicians.  On many health system websites, physicians are listed as mere “providers.” The once-named “doctor’s lounge” is now the provider’s lounge. And now, some institutions have even taken aim at “Doctor’s Day,” hijacking the one day devoted to showing appreciation for physicians and turning the focus instead on the healthcare ‘team’.Today, Dr. Marsha Haley, a radiation oncologist, joins us to discuss an article that she wrote for the Buck’s County Courier Times about the appropriation of ‘Doctor’s Day’. Get the book!  https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/Dr. Haley's article:  https://www.goerie.com/story/opinion/2021/04/18/op-ed-doctors-shouldnt-have-share-their-day-especially-year/7219700002/Vanity Fair article discussing group purchasing organizations (GPOs) and their contribution to a shortage of PPE - includes details that Kevin W. Sowers, RN, MSN, the president of Johns Hopkins Health System, was a board member of a GPO that began servicing the hospital system after Sowers became the system's leader.https://www.vanityfair.com/news/2020/05/corporate-deals-making-hospitals-ppe-shortages-worse May 2020
Jun 20 2021
31 mins