Well, as I near completion of the program I started in August of 2013, I am on the cusp of looking for a job and metaphorically moving up the ladder a rung or two from where I currently reside as a bedside RN. There is still a final exam which must be completed, and also a licensing exam which is no small thing. But I am at least close. At present, the Nurse Practitioner salary seems to be in a general range of about 85k to 105k depending on the setting. Generally, it seems, those doing hospital work will probably be in the >100k range, while those who do clinic work are probably in a 85k-95k range unless they are working in a "treat em and street em" type of practice wherein they see north of 30 patients a day. Patients seem to hate this approach but the doctors who can turn em like that can make some good money.
These days, it seems that when we explore solutions to trying to make health care cheaper, we frequently come with solutions designed to make providers make less money. Admittedly, my ascension to the role of NP is one of those solutions. To some degree, I am a scab and the rise of others like me will put downward pressure on the wages of MD providers who choose a career as a general practitioner. I genuinely have mixed feelings about that. I'm not going to hurt the career of people like my preceptor who are truly at the tail end of their career, but for younger MD's who are still paying off that multi hundred thousand dollar tuition debt, I am indeed competition. So, just for discussion sake, I was curious about what people think a provider should make.
Here is one link http://mdsalaries.com/2011/08/23/emergency-medicine-physician-salary/#comment-2035 if you look down the righthand side, it has a list of salaries. Generally about 200k on up. Here is an NP site http://www.payscale.com/research/US/Job=Nurse_Practitioner_(NP)/Salary Surely there are outlier NP jobs that get up in that 150k range, but that is not the norm. When it comes to billing, NP's can bill at about 85% of what an MD makes, but unless they run their own practice, they are likely only going to make about 65-75% of what a physician makes. Then again, even though most specialists all go through a internal medicine residency before specializing, those who stay at the primary care level are probably also in a situation wherein they will only make 65-75% of what a specialist does.
So, question of the day, if an NP makes about 100k, the general MD makes about 210k and the specialist makes anywhere from 350k-500k, should we seek to make health care cheaper by just making all three listed here make less money or do those salaries seems fair?