The AMA is opposed to a pharmacy chain’s plan to provide walk-in clinics staffed by nurse practitioners.
How much of this objection is being fueled by the fairly obvious prediction that a lot of people off sick from work would rather spend the minimum of time outside a comfy bed and would be willing to pay out of their own pocket to be quickly seen by a nurse practitioner to get that employer-required medical certificate rather than wait for hours to see a GP? I can see how cutting into that particular income stream would be irksome, but being irked is not a sufficient reason to block an expansion of healthcare services.
The idea that nurse practitioners would necessarily miss things that a doctor would note and send on for further diagnosis strikes me as ridiculous. Nurse practitioners have a system of note taking that would uncover where a need for further tests and referral for a more specialist opinion were required, just like GPs do. The threshold of where in the diagnostic process the need for referral up the specialist chain was required probably would kick in at a slightly lower threshold for nurse practioners than for GPs, but the system for referring up the chain would be otherwise exactly the same. An entirely valid parallel system for feeding patients needing specialist care into the specialist system, in other words.