Done was generally uttered in the same sentence as Cerebral and others. It is one of the big/recognizable ones.
I didn't realize until I read an article today that Cerebral supposedly stopped prescribing stimulants in 2022. Would explain why the past few months I've been seeing a lot less ADHD referrals for people already on stimulants. Hasn't stopped patient who want stimulants from getting referred to me, but at least I'm not having fights with the PCPs about who tells them they can't have stims anymore.
Who the heck signed up to work for them?? Even the laziest, greediest clinician usually has more survival instincts than to put their licenses at risk with such comically egregious circumstances, and if they lack the survival instincts they usually then have the entrepreneurial instincts to strike out on their own and not put themselves at risk in someone else's money printing pill mill....
Their site now only lists their "clinical leaders", which are Brody, another psychiatrist, and an NP. I remember looking at their website at one point in the past and seeing 3-4 total psychiatrists and then hundreds of NPs listed as prescribers. My guess is a lot of them were young NPs with poor training and limited experience who didn't know any better. I'm sure plenty of others just didn't care and just wanted the paycheck. Either way glad to see at least one crackdown happening.
Didn't know better? We shouldn't even consider that an acceptable excuse. Physicians get quality training and as a result know better. This double standard we are allowing to exist is infuriating.
As you point out, we get quality training. Many NPs (most imo) do not and the adage “you don’t know what you don’t know” is depressingly relevant. Sometimes this is the fault of the NP, but imo it’s more of a systemic problem of their educational model and system than an individual issue. Many NPs will openly admit that themselves.
Imo the biggest thing needed is a modern day Flexner Report on NP programs. If anyone wanted to pursue that, then I’d heartily support them. Going after individual NPs, even en masse through companies like this is unlikely to make a dent in the actual problem.
Change that to 30 minute assessments and that’s not something unique to NPs…
From a legal perspective, this all kind of makes sense. If you read the press release, it's clear that the prosecutors want to paint the prescribers as victims of the machinations of the leadership too. It's not entirely logical, but will likely be much easier to sell to a jury than individual providers who likely did not make $100 million.
Yes, I get that with wildly increasing wealth inequality that we are going to get these ongoing narratives versus the big bad bosses (who need to be severely punished in this instance).
You're also assuming they'll be held to the same standards of physicians. Nursing lobbies have already successfully argued that because they are practicing "nursing" and not "medicine" that their standards of care are different. It's how NPs won FPA in several states (including mine) without having to meet the same licensing qualifications as physicians.
This is clearly impacted by the recent concentrated effort to discredit experts across the globe and in the US. Ironically, as the knowledge of the human race becomes more vast and deep, the need for experts grows, but we keep seeing more pushback against them.
