Private NPs causing a two tier system?

​As I am working with NPs, I get asked many questions that bring back memories of when I first started a private practice. There are so many myths about health care rules and many opinions (not always accurate), that cause some people to over-react when there is a new out-of-the-box idea that takes shape.   

Tonight, I decided to post a quick video after an NP asked me...how are we supposed to deal with the backlash from people who call what we are doing a "Two Tier" system?   I remember when I first started, the socialist stream of society had a few negative things to say about it.  However, I knew deep down that there were many people who just did not understand how the system worked or how the Canada Health Act (CHA) was set up.   In fact, nurses, physio, Nurse Practitioners and many other health care providers are indeed NOT insured under the CHA  and the other fact is, that there has been a mix of public and private services already for many years and its just smoke and mirrors for certain types of people (but we wont get into the details).

Ultimately, Private NP's are able to provide a unique and MUCH needed service to the public and yes, it is private pay, but its also patient centred and highly desirable compared to some of the services out there now.   I have been in private practice now for 2 years and I can say with certainty that patients want good care, even if it has a cost attached.  The fact is, we service patients from every socioeconomic level and its not just a service for people that are well-off.

So private NP's  ..  keep up the good work and the patients absolutely appreciate everything you do so don't shed any tiers over this one :)
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Diane Gudmundson 
Nurse Practitioner, Entrepreneur in Manitoba, Canada
Irrationally Passionate about defending and advocating for the NP role, outstanding care for patients, supporting and promoting NP’s and with Fitness and Nutrition / disease prevention and de-prescribing!
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