I do locums at these places. And let me tell you something, these patients are being highly mismanagement by these NPs
So tell me, do you think these rural farmers, Salt of the earth, who keep America fed deserve to be given poorer care simply because they live and love rural America?
And BTW, there are doctors in these rural places and when they get treated well by admin, they stay for many years and even decades. Doctors from the cities stay for decades because taking care of rural patients in general is a whole different ballgame and the money is usually pretty good.
Of course let’s not forget that there are doctors from rural America who want to go back home.
The reason people like you think we “need” midlevels in rural America is because healthcare in this country is treated like a money machine. And given your username, it all fits why you are in this machine.
Arguments like these are idiotic considering how poorly we fare in our care and outcomes compared to other developed countries.