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Patients at Risk: The Rise of the Nurse Practitioner and Physician Assistant in Healthcare exposes a vast conspiracy of political maneuvering and corporate greed that has led to the replacement of qualified medical professionals by lesser trained practitioners. As corporations seek to save money and government agencies aim to increase constituent access, minimum qualifications for the guardians of our nation’s healthcare continue to decline—with deadly consequences. This is a story that has not yet been told, and one that has dangerous repercussions for all Americans.


With the rate of nurse practitioner and physician assistant graduates exceeding that of physician graduates, if you are not already being treated by a non-physician, chances are, you soon will be. While advocates for these professions insist that research shows that they can provide the same care as physicians, patients do not know the whole truth: that there are no credible scientific studies to support the safety and efficacy of non-physicians practicing without physician supervision.


Written by two physicians who have witnessed the decline of medical expertise over the last twenty years, this data-driven book interweaves heart-rending true patient stories with hard data, showing how patients have been sacrificed for profit by the substitution of non-physician practitioners. Adding a dimension neglected by modern healthcare critiques such as An American Sickness, this book provides a roadmap for patients to protect themselves from medical harm.

Patients at Risk Book

About the Book

About the Authors

Niran Al-Agba MD earned her medical degree at the University of Washington in 1999 and completed a pediatric residency at the University of Colorado School of Medicine/Denver Children's Hospital in 2002.  She is a board-certified pediatrician with 18 years of experience in private practice in Silverdale, Washington.


Dr. Al-Agba writes a bimonthly column for the Kitsap Sun Newspaper, a USA Today affiliate.  She has been published in The Hill, Fortune, and the Seattle Times. She is an Associate Editor and contributes columns regularly at The Deductible, an online publication focused on healthcare policy.  Dr. Al-Agba’s June 2017 article for the Health Care Blog (over 6 million monthly page views), “MD vs. NP:  20,000 hours makes a difference” was shared over 25,000 times. 


Learn more at Dr. Al-Agba's professional blog at

Rebekah Bernard MD received her medical degree from the University of Miami and completed her residency in family medicine at the Florida Hospital in Orlando, receiving her board certification in family medicine in 2002.  Dr. Bernard currently owns and operates a Direct Primary Care practice in Fort Myers, Florida. 


Dr. Bernard writes a monthly blog for Medical Economics and is a regular contributor to KevinMD and MedPage Today.  She is the author of How to Be a Rock Star Doctor and Physician Wellness: Change Your Thinking, Improve Your Life.

Learn more at her blog site

Niran Al-Agba MD Author Patients at Risk
Rebekah Bernard MD Author Patients at Risk
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