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sponse to patient needs and incorporation of technological advances, while
the modernization of language used in regulating the profession may promote more effective utilization of PAs.447
Moving forward, increased information and metrics, as well as patient
expectations and preferences, will play a heightened role in healthcare. 448 If
laws and systems can adapt to incorporate new information and address patient expectations, then cost, quality, and access goals can be met.449
Mandating that states protect those within their borders by licensing
health professionals allows patients to contact local agencies to verify credentials or file a complaint.450 However, using the slow, expensive, and
highly-politicized state legislative process to determine scope of practice
yields unscientific and idiosyncratic results.451 This can be mitigated by
adopting systems that require states to license PAs and physicians, allowing
them to work together in teams that expand access to care and attend closely to the clinical tasks at hand. Empowering clinicians to determine scope of
practice allows quality, cost, access, and patient care goals to be met.452
447. See Dower et al, supra note 98, at 1974.
448. Jonathan P. Weiner et al, The Impact of Health Information Technology and E-Health on the Future Demand for Physician Services, 32 HEALTH. AFF. 1998, 1999-2001
449. See Dower et al., supra note 98, at 1975-76.
450. THESPECIALCOMM. ONUNIF.STANDARDS ANDPROCEDURES,FED’N OFSTATE
MED. BD., MAINTAINING STATE-BASED MEDICAL LICENSURE AND DISCIPLINE: A BLUEPRINT
FOR UNIFORM EFFECTIVE REGULATION OF THE MEDICAL PROFESSION 2 (1998), available at
s_and_Procedures.pdf (“The Federation strongly believes that the state-based system retains
a flexibility and sensitivity to local concerns that would inevitably be lost in a national system, and allows for the evolution and testing of a range of new approaches to improve the
regulation of the medical profession in a number of jurisdictions at once.”).
451. See Dower et al., supra note 98, at 1972-73.
452. Id. at 1974.