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.






![Silence is a survival mechanism that costs women their joy [PODCAST]](https://kevinmd.com/wp-content/uploads/Design-4-190x100.jpg)



![Overcoming the economic barriers of fee-for-service medicine [PODCAST]](https://kevinmd.com/wp-content/uploads/The-Podcast-by-KevinMD-WideScreen-3000-px-4-190x100.jpg)