Then what is the aana long game?
The AANA has a multi-pronged strategy. Traditionally they have made the following claims:
* AANA convey that CRNAs are as good as anesthesiologists, with the "same training and education" and the "same outcomes". They do this with propaganda posts (refer to above) and AANA funded research that they claim show no difference.
* AANA say because they are nurses they care more than doctors. Midlevel nursing riding the public sentiment of traditional bedside nursing.
* AANA say they take care of rural population that doctors refuse to. They conveniently left out the fact that most CRNAs work in urban and suburban areas, and that flawed rural bypass legislation which incentivize midlevels to work in rural areas while not offering the same benefit to physicians.
* AANA say anesthesiologists and ACT model cost more than having solo providers. This is absolutely false. Billing to the patient is exactly the same no matter what model is used, for inferior care. The only one potentially saving money (aka making more profits) is the hospital system or private equity groups that hire the CRNAs.
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AANA say they are a solution to a critical shortage of anesthesia providers. Yet they fight to prevent legislation to allow AA's to work in more states because they want to protect their turf as midlevel providers.
When all else false, AANA has shifted their strategy in recent years. Now they want to
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AANA and nursing organizations upgrade their CRNA degree from Masters-level to Doctorate-level without any real difference in clinical training. You know the reason why. They have driven a campaign to say there is nothing wrong for a nurse to call themselves a doctor in front of patients, because "doctor doesn't mean physician", that "MDs don't own the term doctor", and the "doctorate is a terminal degree and they earned it"
* AANA changing their name to "nurse anesthesiology" and encouraging their members to call themselves "nurse anesthesiologists", which will ultimately be shorted to just calling themselves anesthesiologists.
So now they call themselves "DOCTOR" and "(nurse) ANESTHESIOLOGIST". We've already seen plenty of CRNA-tools doing this already, like the fools at "Lifeguard Anesthesia"
Who are they fooling?
They aren't fooling the medical staff that they work with.
They aren't fooling nurses, respiratory therapists, and other healthcare workers in the hospital
Maybe they are fooling themselves? Or maybe they are ashamed or embarrassed to be nurses?
But most definitely they are fooling the public and legislators, to push their agenda.
What is the agenda? Ultimately?
1. Boost their ego
2. Use titles that make themselves indistinguishable from physicians to the lay public
3. Perhaps improve their negotiation power to make more money
I can tell you with absolute certainty that the AANA isn't doing this for less money. These CRNAs aren't going to go for CMS rates. They will fight tooth and nail against that.