If you pay peanuts you get monkeys

[BLADEMDA]

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Anyone read the november 2009 Anesthesiology News Magazine?

Here is a quote from page 9:

" Today's CRNAs have multiple degrees; the president of the AANA has three. In a few years, APRNs will be getting doctorates in nursing, further engorging their already ample resumes! In contrast, most MDs have only a baccalaureate and some over achievers don't even have that...... Independent CRNAs will do fine most of the time, but every so often not so much. Yet the slight bump in mortality and morbidity will be rationalized by the same government that is willing to accept the inevitable increase in highway deaths as we substitute "smart cars" and other fuel sippers for SUVs. In this nightmare scenario, anesthesiologists, with their 12 years of post-high school education and intensive training, will become superfluous-mere speed bumps on the road to reform."

Steven S. Kron, MD

 

[BLADEMDA]

"The obvious solution is substituting non-MD anesthesia providers for Physician anesthesiologists. The AANA has long maintained that its members, as well as other advance practice nurses (APRNs), can work INDEPENDENTLY of MDs.

The fact is they are right."

Steven S. Kron, MD
Nov 2009
Anesthesiology News

 

[pgg]

I've always thought that it would be one thing if an educated and informed public was willing to accept lower quality care and higher M&M in exchange for the cheaper service provided by independent CRNAs. It's their money and they can choose to buy the cheap car, used furniture, pawn shop TV, or midlevel health care if they want, and I'm OK with that provided there's appropriate disclosure and truth in advertising.

The AANA lie is that they can provide equivalent or better services.

The government is absolutely willing to accept that "slight bump in mortality and morbidity" ... but the public still has no idea that this bargain is being contemplated (and indeed has already been made in many places).

 

[Planktonmd]

Blade,
I don't doubt Dr. Kron's good intentions but do you know why he thinks that he can predict the future better than any of us?
And who the Fu k is Dr. Kron any way???

 

[Noyac]

Blade,
I don't doubt Dr. Kron's good intentions but do you know why he thinks that he can predict the future better than any of us?
And who the Fu k is Dr. Kron any way???

He's just a PP anesthesiologist in Fla, I think. He frequently writes editorials and commentaries in Anesthesiology News. He may have some insight but the bottomline is that this is just his opinion.

I do believe that if you pay peanuts you will get monkeys. This is why FP and IM have a harder time recruiting the better medical students.

If the reimbursement for anesthesia drops drastically then the lesser talent will pursue the field. But there will always be a need for anesthesiologists until the nurses can cover every OR and GI suite in the country.

 

[foxtrot]

He is actually some jack hole, sell out anesthesiologist who teaches CRNA's at the CRNA school in New Britain, CT. He is listed as faculty there. Thus, I wouldn't expect him to say anything less.

 

[Tuohy]

Yeah-and why would he give a S***. He probably has made his money already so he doesn't give a crap if he sells out.

 

[badasshairday]

sell out. 👎

 

[notinkansas]

Anyone read the november 2009 Anesthesiology News Magazine?

Here is a quote from page 9:

" Today's CRNAs have multiple degrees; the president of the AANA has three. In a few years, APRNs will be getting doctorates in nursing, further engorging their already ample resumes! In contrast, most MDs have only a baccalaureate and some over achievers don't even have that...... Independent CRNAs will do fine most of the time, but every so often not so much. Yet the slight bump in mortality and morbidity will be rationalized by the same government that is willing to accept the inevitable increase in highway deaths as we substitute "smart cars" and other fuel sippers for SUVs. In this nightmare scenario, anesthesiologists, with their 12 years of post-high school education and intensive training, will become superfluous-mere speed bumps on the road to reform."

Steven S. Kron, MD

The public doesn't take kindly to the government saying slightly increased M&M is OK - witness the recent outcry over the revised mammogram guidelines. They need to be EDUCATED first, though!

 

[Eta Carinae]

He is actually some jack hole, sell out anesthesiologist who teaches CRNA's at the CRNA school in New Britain, CT. He is listed as faculty there. Thus, I wouldn't expect him to say anything less.

No way!

 

[ozzie20]

No way!

Way.

http://www.nbsna.org/FACULTY.htm

 

[Mabmar]

He is actually some jack hole, sell out anesthesiologist who teaches CRNA's at the CRNA school in New Britain, CT. He is listed as faculty there. Thus, I wouldn't expect him to say anything less.

Whew! Jack hole sell out might be a bit strong.
Most doctors use physician extenders of various sorts. PAs APRNs are in surgeons', internists', pediatricians', psychiatrists' dermatologists' and other offices ICUs delivery suites. Get used to it!
When CRNAs functioned in that capacity under the supervision of MD anesthesiologists, they allowed they allowed a better quality of care for more patients. In the past CRNAs needed an RN and some OJT and experience.
In recent years they have become more professionalized and a competitive threat to docs.
I know the author quite well....he has taken heat from the AANA and his CRNAs too.

 

[Mabmar]

Yeah-and why would he give a S***. He probably has made his money already so he doesn't give a crap if he sells out.

Not ****! Energy!

You assume it's only about money. Those of us who entered Medicine before it became Health Care are disappointed to see how it changed from a respected profession to just another job. Read good doctor K's screed in May 2010 Anesthesiology News for more insight.
In fact, read all his stuff you might learn something 😉

 

[Gern Blansten]

Not ****! Energy!

You assume it's only about money. Those of us who entered Medicine before it became Health Care are disappointed to see how it changed from a respected profession to just another job. Read good doctor K's screed in May 2010 Anesthesiology News for more insight.
In fact, read all his stuff you might learn something 😉

I really had a difficult time understanding your point. Nonetheless, welcome to the forum Dr Kron. I suspect you googled yourself and found this in the archives of the forum.

 

[gadad]

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