Yah i agree this thing is getting OUT OF CONTROl. I have many family members/relatives that are nurses. They think it's completely ok to have this advanced nursing degrees and then eventually be called 'doctors' in the clinical setting.
It's ridiculous! The problem is that doctors try to be too "PC". Unfortunately by being too PC we're letting our guard down and allowing nurses/midlevels to just trample all over us. Part of the problem is that as physicians/med students we have spent a great deal of time and energy studying, taking boards, trying to get fellowships,etc. During this time the midlevels with their lobbying groups,etc have found ways to become more prominent in the health field by taking what used to be a doctors role. As docs we need to realize this. I'm going into Anesthesiology. Personally I feel that executive board members of the AMA or any given medical society that can not do what is for OUR best interest should be fired/replaced.
Also, lobbying groups are of the highest importance. Nurses (and I know the nurse anesthestists) have a HUGE lobbying group. We all as physicians need to band together and demand change. Things like autonomy should be reserved to physicians. Autonomy is a privelege. It's a privelege that docs have received after going to school and training for X numbers of years. We shouldnt just give it up readily to midlevels.