NPs working under a physician with actual oversight is fine. The ones I have problems with are the ones that have a physician sign the hundreds of notes a month while maybe reviewing a handful, and worse, the ones pushing for independent practice without even that sham of oversight involved.

I’m asking about your opinion. If Hamas refuses to cooperate, how many Palestinians does the IDF have to kill for it to be too many in your mind? When does the mass murder of Palestinian civilians exceed a reasonable metric for “defense”?

Why does Hamas have insights into your personal opinions and beliefs?

That’s not answering my question. How many Palestinian lives is too many?

So how many is “too many” for Israel to have killed? Or do the citizens of Gaza not count the same way Israelis do?

You’re talking about a population with extremely limited resources that is literally 50% (or more) children that has been under two fascist boots for the last decade and a half. There does come a point where a level of desperation combined with a possibility of a better future will instigate a revolution, but right now? They don’t see a possibility of a better future. With Israel’s Likud on the other side of the wall and no resources to rebuild after a coup, what’s the point in gambling everything on maybe being able to overthrow the more local oppression?

Also, education in Gaza is very inconsistent and most political revolutions are started by people with education and nothing to lose.

They took power illegally years before the literal majority of Gaza citizens were even born.

Edit: My apologies, the ones that are almost legal adults would have been infants or toddlers at the time Hamas seized power. They really should have done something about that while they were learning how to walk and speak. /s

I’ve worked in ERs before, and there is more to this story that the article sidestepped quite neatly. Most ERs these days are filled to capacity with dangerously low staffing ratios, and the general public’s definition of an “emergency medical condition” and the medical definition of an “emergency medical condition” are very different. Some nights I’ve worked, we had people with chest pain and a cardiac history wait in the lobby for 5+ hours because there were no beds available and their EKG was mostly okay for the time being. A big contributor to this problem is a lack of mental health resources which results in ERs losing beds for up to weeks or even months at a time to hold psych patients that have nowhere to go. It is heartbreaking when we had to turn away people who mostly needed a social work consult…but when there’s two doctors and twelve nurses for a 40 bed ER and 2 out of 3 resuscitation bays are in use for active codes, there just isn’t anyone or any resources available to help someone who isn’t actively dying.

The inpatient side isn’t a lot better. Skilled nursing facilities and rehab centers are increasingly rare and increasingly expensive, and the hospital can’t keep a patient forever if they don’t meet criteria for hospitalization. The nice thing about inpatient is that they get to enforce their staffing ratios so that each nurse only has so many patients to handle. In the ER with EMTALA, it doesn’t matter that a nurse is caring for 6 patients (3 of which are waiting for an inpatient hospital bed, and 1 is waiting for an ICU bed…), that nurse will have to take on another critically ill patient that is stuck on a bed in the hallway if that’s all that’s available. The inpatient problem exacerbates the ER problem, and then you have people stuck in the lobby for 12+ hours before there’s a physical space for someone to see them, that provider’s capacity to take on another patient notwithstanding. It’s a true crisis and it’s only going to get worse until the full healthcare system (i.e. all the non-ER parts) are as accessible and available as needed.