What are all the states that allow Nurse Practitioners and Physicians
Assistants to work on their own and not under a doctor? Target Store?s
?Minute Clinics? have opened, in some states, as mentioned in
medicalcountries.com, and treatment costs are about half what
physicians charge in the U. S. This service will only be available in
states that allow nurse practitioners and physician?s assistants to
work on their own. If we can increase the suppliers of medical
services competition is increased and the doctors will only be able to
charge what competition dictates.  Dental Hygienists are required to
work under a dentist, in most states (although they feel they should
be able to work on their own). The major reason why medical costs are
so high is because competition has been legislatively eliminated by
the states. The strategy of doctors, dentists and other trades and
professions, (to keep their wages high) is to eliminate competition
from various groups by legislation. We can also lower medical prices
in the U.S. by pointing out that costs in some other countries are
1/20th that of the U. S. with equal, better and worse quality,
depending on the chosen practitioner in the U.S. or other country.

Hello Ed777,


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Physician assistants
--------------------

Physician assistants must work under the supervision of a doctor.

?Physician assistants are licensed health professionals who practice
medicine as members of a team working with supervising physicians.?

American academy of Physician Assistants
http://www.aapa.org/newsroom/articles03/info-updates.pdf


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?Physician assistants are health care professionals licensed to
practice medicine with physician supervision.?

Q. Can PAs prescribe medications? 

A.  Forty-eight states, the District of Columbia, and Guam have
enacted laws that authorize PA prescribing. In California, PA
prescriptions are referred to as written prescription transmittal
orders.

American Academy of Physician Assistants
http://www.aapa.org/geninfo1.html


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Physician assistants (PAs) provide health care services under the
supervision of doctors.
iSeek
http://www.iseek.org/sv/13000.jsp?id=100156


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?Physician assistants, of which there are 45,000 nationwide, provide
healthcare services with supervision by physicians. (?)Yet, make no
mistake about it, PAs always work with the supervision of physicians.?

Working World
http://www.workingworld.com/magazine/viewarticle.asp?articleno=150&wn=


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Summary of State Regulation of Physician Assistant Practice
http://www.aapa.org/gandp/statelaw.html 



-------------------
Nurse Practitioners
-------------------


Nurse Practitioners may practice independently in some States.


According to ACNP President Melanie Palestra: "Nurse Practitioners may
practice independently in some states, such as Oregon, New Mexico,
Alaska, New Hampshire, and Montana, and additional collaboration
language may conflict with these state laws, preventing Nurse
Practitioners from doing the work they are allowed to perform at the
state level.?

ACNP President: Melanie Balestra, NP, JD 
http://64.233.161.104/search?q=cache:3l1HmXDACx8J:www.nurse.org/acnp/clinprac/geriatric.support.letter2004.doc+site:www.nurse.org+work+independently&hl=en

Word Doc
http://www.nurse.org/acnp/clinprac/geriatric.support.letter2004.doc


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?Iowa advanced registered nurse practitioners may practice
independently within their recognized nursing specialties.  They are
not required to have physician supervision.?

The Iowa Board of Nursing
http://www.iowaccess.org/government/nursing/arnp.html


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The APN Virtual Community provides an excellent table where you will
find out where independent practice is permitted. Information is
provided for each State.

See the column titled ?collaborative versus independent? at the table
provided here:
APN Virtual Community 
http://apn.ons.wego.net/?v2_group=0&p=19851


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The Nurse Practitioner: The Sixteenth Annual Legislative Update.

Comprehensive State-by-State information is provided in this document.

Download here:
http://www.nursingcenter.com/pdf.asp

Printable version here:
http://www.nursingcenter.com/library/journalarticleprint.asp?Article_ID=460879


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Where can nurse practitioners prescribe medication?

?NPs are recognized as reliable, high-quality health care providers
and have varying degrees of prescriptive authority across the United
States. There are more than 100,000 nurse practitioners delivering a
significant share of the primary care and prescription services
available to patients today.?


?The following is a breakdown of the varying responsibilities nurse
practitioners possess on a state-by-state basis.

States in which NPs can prescribe independent of any physician
involvement (including controlled substances): AK, AZ, DC, IA, ME, MT,
NH, NM, OR, UT, WA, WI and WY.

States in which NPs can prescribe with some degree of physician
involvement (including controlled substances): AR, CA, CO, CT, DE, FL,
GA, HI, ID, IL, IN, KS, MA, MI, MN, NC, ND, NE, NJ, NY, OK, PA, RI,
SC, SD, TN, VT and WV.

States in which NPs can prescribe with some degree of physician
involvement (excluding controlled substances): AL, KY, LA, MO, MS, NV,
OH, TX and VA.

States in which NPs can receive and distribute drug samples: AK, AR,
AZ, CA, CO, CT, DE, FL, HI, IA, ID, IL, IN, KS, LA, MA, MD, ME, MI,
MN, MO, MS, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, SD, TN, TX,
UT, VA, WA, WI, WV and WY.?

National Association of  Nurse Practitioners in Women's Health
http://www.npwh.org/inspirations2/backgrounder.htm


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Search criteria:
?Nurse practitioners? practice OR work   independently
?Physician assistants? practice OR work  independently
?Nurse practitioners? prescribe mediations
?Physician assistants? prescribe mediations


I hope the information provided is helpful!

Best regards, 
Bobbie7

Answer was clear, detailed. thorough, intelligent, well organized, and
fast. It confirmed my belief that the trades and professions collude
with various federal, state, and local governments to decrease
competition and raise proffits.

Thank you very much for the kind words, five stars and generous tip!
--Bobbie7

Google?s research indicates that doctors discriminate against APN?s
and citizens in all states except Alaska, DC. Hawaii, Iowa, Maine,
Michigan, Montana, New Hampshire, New Mexico, Oregon, and Washington.
The rest of the states require APNs to work under doctors, and this
makes it more difficult for Target and other stores to offer ?Minute
Clinic? medical services, every day, at half the prices the doctors
charge. Thus, citizens pay the high U.S. prices indicated in
medicalcountries.com.