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What the NFL Referee Debacle Can Teach Us About the Future of Healthcare

Written by Brandon Betancourt

Even if you are not a football fan, I’m sure you’ve heard about the NFL and referee fiasco.

If you haven’t heard, here is the scoop. The NFL owners have been unable to reach an agreement with the referees. As a result, the referees were locked out and the NFL owners replaced them with cheaper less experienced referees.

The result?

Although qualified to referee a game, these less than professional referees don’t have the experience, the full requirements and the practice of a professional NFL referee. Consequently they’ve made some really, really bad calls.

Some calls have been so bad, that they have cost teams games.

In healthcare, there is a lot of talk about filling the primary care physician shortages that we expect in the near future, with mid-level providers such as nurse practitioners and physicians assistance.

Mid-level providers are competent healthcare providers. But they don’t train as long as a physicians do. As a result, they have less experience. On the flip side, they’re cheaper to train, and they earn less than a physician does.

Naturally, if you are trying to reduce healthcare cost, and you are planning on having a labor force shortage, mid-level providers seem like a good solution.

Don’t you think?

I think this is a bad idea. The NFL debacle is great example of what happens when one chooses to settle for next best.

For the record, I’m not putting down mid-level providers. I think they are valued team members. If I didn’t believe that, we would have not hired a mid-level provider in our practice.

I believe mid-levels have a place in our healthcare landscape and they will play an integral role in the future of primary care. But what I’m saying is, they are less experienced. They don’t go to school as long as a doctor does and don’t bare nearly the same responsibility as a doctors do.

Here is the thing, primary care doctors are tremendously valuable. Although they may appear to be expensive to visit, when you compare it to the value they return, the cost is minimal.

Think about it this way. How much would you pay to be assured that your child is healthy? What is the value of having a person that has dedicated 100% of their professional career to learn about children so that each child can reach their full potential?

Don’t make the same mistake the NFL owners did by choosing a less expensive, quick fix solution.

I can almost guarantee you won’t regret it.

Brandon Betancourt is a practice administrator. He blogs regularly at PediatricInc