adidas flip flops Letters to the Editor for Tuesday

As a practicing family physician in Forest for the last 36 years, I have had the pleasure of working with many health care teams which have included nurse practitioners (NPs) and physician assistants (PAs). Undoubtedly, we collectively share the passion of delivering the best care to those who entrust their health care to our teams. And while I appreciate the passion Phyllis C. Everett shared in her Jan. 21 community viewpoint (“Virginia, modernize nurse practitioner laws”), I disagree with her solution.

She correctly states education and continued training are a given fact to create quality in health care. The initial legislative proposal in HB 793 had a dramatic downsizing. Last week, the House of Delegates subcommittee re wrote the measure lifting the bar back where it should be.

The current primary care residency trained physician has a minimum of 12,000 hours training under supervision beyond the 4,000 hours required of medical school students in their third and fourth years. The proposed law in HB 793 would create independence for nurse practitioners at just over 1,000 hours (the maximum care supervised training hours is about 2,000).

The commonwealth has built a team approach. The teams I work with in my office, student health at Lynchburg College and immediate cares deliver their care competently, compassionately and with back up from a more experienced provider. They do so to the fullest extent of their education without barriers. I believe that teams mean the best care for our patients.

Regrettably,
adida trainers Letters to the Editor for Tuesday
the need for care coverage has never been solved by more NPs and PAs going to rural or underserved rural areas of the commonwealth. No state that allows for independent practices of NPs has seen this as a solution. After completing their training, they tend to go to the more populated and lucrative reimbursement regions of the states that have independent practices, just like their physician colleagues often do.

HB 793, as originally written, was not the solution to modernizing our health system and risked eroding the care quality patients should expect and receive. Under the leadership of Del. Scott Garrett, the bill was altered in a way that maintains health care on a higher plane.

As noted in The News Advance’s Jan. 28 editorial (“Rural Co ops and a Path to Broadband Access”), electric co ops are investing in rural America and are working to expand digital access to homes, businesses and schools in their communities.

In the 21st century economy, broadband access plays a critical role in so many areas health care, education and access to global markets to name a few. Co op broadband projects are proven to create jobs and attract new businesses directly bolstering local economies.

The convergence of new technology and new partnerships has made rural broadband deployment more achievable than ever. Yet, bringing this service to every rural community remains a challenge. High costs remain the biggest obstacle.

There are important roles for government and private industry to play as we work to solve this problem. Financial support from the federal government, primarily through grants,
adida trainers Letters to the Editor for Tuesday
is essential if rural America is going to get connected. President Trump’s infrastructure proposal and the Farm Bill present two opportunities to secure that necessary financial backstop.