Re: Potential oversupply of AAs/CRNAs? Archived Message
Posted by Dave J. on February 24, 2009, 11:44 pm, in reply to "Re: Potential oversupply of AAs/CRNAs?"
Actually I see this. Picture this. An MDA group has 3 CRNAs/AAs per MDA. The case load drops a lot. Are the MDAs going to let MDAs go and increase the ratio to 4 to one? Of course not. They will let CRNAs/AAs go. Perhaps going to a 2 to 1 ratio. Or if it gets really bad, they could let the ratio go even lower or just get rid of the CRNAs/AAs and do the cases themselves. There are some cities in the USA that have absolutely no CRNAs/AAs and all anesthesia is provided by Anesthesiologists. So in that situation, both the CRNAs and AAs would be the first to go. However the advantage of the CRNA is they can practice independently. Just as there are towns that are all MDAs, there are some that are all CRNAs. The AAs do not have that advantage. Besides the recession issues, we need to keep a close eye on "health care reform" because nine times out of ten that means the same work load with less money being paid for it.
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