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Affirmative View Essay

Affirmative view: Quality of care should be reimbursed at the same rate. The discount payment implies that there is a huge difference in the quality of services provided by the two factions. Nursing practitioners should be reimbursed the same as Physicians.

Opposing speaker: Physicians have a lot of training and a lot more stringent process that Nursing Practitioners .Therefore, Reimbursement should not just be based on diagnosis framework but on the intellectual services offered (Martin, & Nolf, 2002).

Affirmative speaker: As we are always in constant pain regarding the rising cost of healthcare, it is still not clear to me the reimbursement process places the less educated and less trained at the same level as physicians. It does not make sense.

Opposing speaker: Physicians often work in a teamwork approach to the process of delivering health care where each member of the team has the ability to deliver services based on the highest level of education and skills (Persson, 2012).

Affirmative speaker: The idea that nursing practitioners can offer economical healthcare services that physicians has been a long selling idea. After taking a closer look at the idea I can conclude that it is not about the economy of health but the services provided. Value is integral to the provision of service (Cheng, & Fan, 2003).

Opposing view: Payments should be based on the physician rate. Payment should be based on the value of services provided and not who provided the services as provided under the state law.

Affirmative speaker: It doesn’t seem to have any negative consequences, and it offers many people with access to primary care, irrespective of whether it means patients can see their primary care provides many people with more access without seeing the physicians.

Opposing speaker: The quality of services provided by nursing practitioners is the same as services provided by physicians. For this reason, Reimbursement for both the nursing practitioners and the physicians should be the same.


Cheng, W. C., Lin, P. Y., & Fan, T. J. (2003). U.S. Patent Application No. 10/086,864.

Martin, J., & Nolf, R. (2002). U.S. Patent No. 6,484,144. Washington, DC: U.S. Patent and Trademark Office.

Persson, U., Svensson, J., & Pettersson, B. (2012). A new reimbursement system for innovative pharmaceuticals combining value-based and free market pricing. Applied health economics and health policy, 10(4), 217-225.



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