Why don't more nurse practitioners speak out?
"I wish I could talk about my concerns, but I'd be run out of town on a rail." -- Direct quote from a seasoned NP who reached out to us
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NPs tell us that they are terrified to say a word, much less to testify against undupervised practice.
Here's why: They are being directly instructed NOT to speak out against 'FPA' - and threatened with 'reporting' if they do so.
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You can see the screen shot from the closing ceremony of the 2019 AANP annual meeting, given by NP advocate and 'leading provider of NP education' Margaret Fitzgerald, in which she encourages NPs to 'stay silent" about their concerns. A description Fitzgerald's presentation was shared by an administrator of a Facebook page advocating for unsupervised practice, stating... "If an APRN does not support FPA and vocalizes that...especially on social media...it actually can hurt our profession." She encourages other NPs to 'educate' anyone opposing unsupervised practice, or to message her so that she can 'address it'.
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Another screenshot shows the AANP's approach to criticisms of the NP role - an anonymous reporting form. The link to 'What's Been Reported--How AANP Responded' is behind a login paywall.
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No wonder NPs who appose independent practice are often silent.



The AANP wants 'pay parity'
Behind the AANP's paywalled site, the organization lists its 'strategic goals'.
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"Goal D: Parity in Compensation/ Reimbursement - NPs will have parity with physicians and other providers in reimbursement, payment and government funding."
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