To the Editor.
—I would like to respond to the Commentary by Dr DeAngelis.1I am a psychiatric nurse in advanced practice as a family therapist. I have been professionally successful in practicing independently within the realm of nursing (ie, I do not medically diagnose or prescribe medications) and enjoy a collaborative relationship with my colleagues in medicine. DeAngelis begins her Commentary by saying that she is gratified by the "recent expansive embracing of advanced practice nurses," and that she hopes "NPs soon will play a significant role in primary care." While it appears there is a movement within the American Nurses Association to support the Clinton Health Security Act in exchange for unsupervised diagnostic and prescriptive authority for NPs, I feel that most advanced practice nurses are not anxious to become government-employed, low-paid, primary care providers. Most NPs that I know who are involved in diagnosis and prescription
LePage M. Nurse Practitioner Redux Revisited. JAMA. 1994;272(8):591-592. doi:10.1001/jama.1994.03520080033031