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I read your essay, and I find the same thing going on with psychiatry. Our meds don't really work. Multiple studies show it. But we keep doing the same old thing - prescribe meds that don't work and that actually may be harming patients and prolonging symptoms of depression. I just did a lot of CEUs. They are teaching people the same discredited theories. The presenters didn't suggest that there had been any criticism. The critiques remain invisible.

The other fascinating thing to me is that the DNP (Doctor of Nursing Practice) has become the credential for a lot of presenters. I laugh because I have an MSN (Master of Science in Nursing). I do all the things the DNP folks do, but I didn't spend $30,000 extra on top of the $50,000 some thousand that I spent to get my MSN. I wouldn't get paid any different. I wouldn't be treated any different. In private practice, it doesn't make any difference. I guess it is called "Doctor Envy."

The nursing profession just can't seem to manage to decide if it wants two year degree or four year degree RNs, just as it can't decide if it wants MSNs or DNPs. Money is driving a lot of it. There is more to it, but I have just the basic Associates in Nursing and a Master's in Nursing. I have done just fine.

Again, I wish I had read a person's work like your's because I would have been better prepared for private practice. Thanks again for a good insight.

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Thank you. I missed the NCCAOM/ASA town hall and I am waiting for the recording to be posted online. From the meeting announcement I don't get the sense that they will be talking about the four schools that closed this year and what that means for the profession and how it will affect their organization. Are they still thinking they will be bankrupt in 5 years, well 3-4 now, as they mentioned at a meeting last year?

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