I agree that everyone should be able to work together. And I'll be the first to say that plenty of doctors have bigger egos than actual clinical skills. However, the bolded statement above you should better direct towards the different nursing groups pushing for more autonomy. The physicians have always been here, we're not trying to encroach in other fields. Let me ask you this question. How would you feel if LVNs and nursing assistants start telling you they can do the same if not better job in doing nursing duties than you? Would you feel they are clinically up to snuff and would you let them do so? Then you may know how physicians feel about this subject.
I certainly agree with your basic sentiment, but comparing the difference between a CNA and an RN is a little different. I think a more apt comparison would be between the education of an Anesthesia Assistant and an Anesthesiologist.
The AA has a shockingly muted educational path, but as an industry there are those folks who believe Anesthesia has been made safe enough to allow someone with that level of training to work.
Similarly, society has deemed NPs as having enough training to work in certain circumstances.
Back to nursing, there actually used to be very common Diploma programs in the US that allowed RN training without the degree. One of the best (and oldest) nurses I know has a diploma and not even an Associate’s, but I promise this person has forgotten more about medicine than most of us will ever learn. I think in that case it’s perfectly fine to let a CNA train for a more advanced role.
Now obviously that’s a simpler course of education than to become a medical provider, but I think the end result is similar: we need to discern if midlevels truly provide much worse care. I know there are anecdotes, and I’ve seen them. But we need good studies. (Not ones funded by the nursing lobby that shows the superiority of “Cathopathic Physicians.”)
To the part about me working to diminish the NP scope of practice:
I am an experienced RN who is an allopathic medical student. Obviously I believe in the superiority of training and outcomes with physician-lead care. I am putting my money where my mouth is (pathoma is paused in front of me as I type this). This means I am not the person the nursing lobby wants to listen to.
I am willing to pursue studies and resultant legislation that will better patient outcomes, but ultimately the onus needs to be on whichever physicians feel threatened by encroachment. The nurses aren’t going to pursue science that works contrary to their interests.
However, I do have enough faith in them to do whatever evidence shows is best for patients, even if that means backing off independent practice.