Hacker Newsnew | past | comments | ask | show | jobs | submitlogin

NPs and community paramedics are definitely the future for a huge chunk of the current GP workload, but PAs are a failed experiment which are being rolled back pretty much everywhere.


Are you sure about that? The ranks of PAs have been expanding rapidly. I know there has been some political resistance over expanding their scope of practice but I'm not aware of it being significantly rolled back.

https://www.bls.gov/ooh/healthcare/physician-assistants.htm


The US is the global outlier here and it's in the face of the evidence. The number of PAs globally is plummeting as they're abolished by national authorities.


Nah. Total PA numbers are increasing in many other developed countries as well, including Canada and much of Europe. We can have a discussion about whether this is a good idea, but first you need to stop lying and making things up.

https://capa-acam.ca/pa-profession/pa-facts

https://www.srh-university.de/de/folder/news/2025/04-25/erst...

https://www.bigregister.nl/over-het-big-register/cijfers/ver...


The only country in Europe where PAs made any significant inroads was the UK, where their most significant role has been abolished.

In Germany and all other countries, PAs are unable to treat patients without direct oversight and they are single digit percentages compared to NPs.

It's clear you have no experience in this area, so I wonder why the need to comment at all?


PAs have to practice under some level of physician oversight pretty much everywhere. That part was never in dispute. But they can offload physicians for some routine primary care cases where a real doctor isn't needed.

The data clearly shows that PA numbers continue increasing in many countries, so obviously they don't consider it a failed experiment and you're just lying to push some kind of personal agenda. It's clear you have no experience in this area, so I wonder why the need to comment at all?


We are the global outlier because it costs an arm and a leg to go to college and medical school. In the rest of the world the education is free/ still affordable. And thats why all the young doctors are also imports.


No, it's because the role played by PAs is performed by the much more capable and clinically proven NPs and community paramedics.




Consider applying for YC's Fall 2025 batch! Applications are open till Aug 4

Guidelines | FAQ | Lists | API | Security | Legal | Apply to YC | Contact

Search: