Hi

James M. Clark
Professor of Psychology
204-786-9757
204-774-4134 Fax
[email protected]
 
Department of Psychology
University of Winnipeg
Winnipeg, Manitoba
R3B 2E9
CANADA


>>> Michael Smith <[email protected]> 13-Apr-09 4:57 PM >>>
Besides, some naturopaths are trained MD's, and if the training fits, why
shouldn't you be allowed to wear the shoes?

JC:
An MD who was also a naturopath would already have prescription privileges.  
Not clear why this would justify a DN without an MD getting prescription 
privileges?


Prescription authority could be as protected as it is, more for political
than medical reasons.

JC:
Presumably some benefit to having trained people write prescriptions, rather 
than everything being over the counter.


I am sure LPNs, RNs, Naturopaths, and Physicians Assistants could probably
benefit everyone if they had prescription privileges given the shortage of
MDs [ at least in Canada: I think they mostly go to the States 'cause o the
money :) ]

JC:
Depends on whether you see increased consumption of drugs as a good thing for 
healthcare, as opposed to "good" for drug companies and those writing the 
prescriptions.  I believe there was some statistic reported over the past few 
years where drug companies now spend more on advertising than R&D, presumably 
due to the known economic benefits of direct-to-consumer advertising.  I like 
the finding where patients who go to their doctor explicitly asking for Drug X 
are much more likely than other patients to get that drug prescribed.

As to comparisons between Canada and USA healthcare, there is certainly much 
debate (e.g., speculations about socialized medicine and Natasha Richardson's 
death).  One undisputed finding, of course, is that much more money is spent 
per capita in USA than in Canada, but without the (virtually) universal 
coverage found in Canada and without marked disparities between countries in 
many ultimate outcome measures (life expectancy, mortality).

The number of doctors issue is also relevant, of course, to our recent 
discussions of misleading use of healthcare statistics.  Would lots of doctors 
translate into lots of demand (from doctors) for tests that are unnecessary and 
perhaps even harmful (iatrogenic medicine)?

All of this is incidental to the sorry growth in Complementary and Alternative 
Medicine, as represented here by Naturopathy.

Take care
Jim



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