If the root cause of the problem is monopoly, then this is exactly analogous to the question of established monopolist vs startup.
"No one ever got fired for choosing <current monopolist>" is fine if you're playing it safe but many people don't have that option and find, sometimes to their surprise, that the cheaper option is also better, due to the different incentives in play.
It’s rather tough to explain in lay terms other than via analogy - you’ve basically said all software engineers should be replaced by data analysts.
You wouldn't trust some young immigrant or a long haired hippy kid who dropped out of college and started a business in his garage to provide your tech would you? Computers are complicated, we can't let amateurs in hoodies start doing things without some central control.
It is all probabilities, and I would rather bet on an MD. At least compared to the current incarnation of NP/PA.
Nurses actually study medicine as undergraduates before graduate NP education, so one could argue that NPs have more education in medicine.
As a side note, the physician credentialing process of the US is far too long.
In my own experience, I've seen several very good NPs and several very bad MDs.
> the physician credentialing process of the US is far too long.
Also too expensive and too abusive. It tends to select for people who are willing to put up with almost anything in exchange for the status of being an MD, not for people who are motivated to provide quality care for their patients.
I remember there was a PA that did end up going to med school and took the PA boards (forget what they call it) just for kicks and ended up scoring in the 99th percentile.
America has a stereotype that British people have bad teeth. They also have a stereotype that poor American "hillbillies" have even worse teeth. The stats suggest that on average the Brits have better teeth but I'd guess Dentists can make more money by moving from there to the country with the worse teeth on average and helping the Americans with good teeth have even better teeth.
The probably of me or my kids receiving a correct diagnosis.
To clarify, my intention was to specifically respond to
> Why the assumption that they're worse?
I have others views on healthcare credentialing on a societal scale.
In any event, med schools are now moving towards 1.5 or even 1 year of course training, there's pressure to compress background as much as possible. The difference between, say, a PA with four years of practice and a second year resident is increasingly difficult to distinguish. This is increasingly reflected in staffing demands.
I don't think the MD model is obsolete, but I do agree that the current anticompetitive system is.