Are mid-levels being misused?

Yes in some cases, says Dominic Carone:

Where I have a problem is when patients are unknowingly and essentially forced to see a physician’s assistant or a nurse practitioner. What do I mean by “forced?” Well, take the example of a patient who waits for months for a doctor appointment. The patient shows up and after waiting for a long time because the office is double-booked, is then told that he or she will be seeing the physician assistant or nurse practitioner.

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