I once noticed a rapidly swelling infected finger on a Friday afternoon too late to bring it to my GP, so I went to the local emergency room. There I waited two hours to be interviewed by a social worker, then waited another two hours to be "seen" by a tired, annoyed intern who decided the infection needed to be drained -- which it didn't. All I needed was a prescription for penicillin (I've had that problem before).
Bottom line; after a painful, wholly unnecessary swipe with a scalpel, a sloppy, bulky bandage and a prescription for some exotic antibiotic, my insurer (GHI) was billed $430 and I had a $165 co-pay. Five hundred and ninety-five dollars for a lot of wasteful bureaucratic bullshit and absolutely redundant medical attention.
I've had that problem before (for some reason I am prone to infected fingers if I get the slightest cut). It happened twice when I was in the Marines. Each time it happened I simply walked into Sick Bay, an enlisted Navy Medical Corpsman took a look at the finger, handed me a little box of penicillin tablets -- and next day the infection was completely gone.
The point I wish to make is there is a compelling need for walk-in clinics staffed by former military medics and civilian EMTs who know how to diagnose and treat minor problems, which account for 90% (or more) of all emergency room visits. Those occasional problems which are over the heads of these medics can be referred to an ER if a physician is not present at the clinic.
These walk-in clinics would eliminate the need for attention by physicians thus dramatically reducing the consequent health care costs. I believe such a situation exists in Cuba, where the health care system is vastly superior to ours. The first step toward implementing such a system here in the U.S. would be to crush the health insurance industry, which is represented by an extremely powerful (well financed) Washington lobby.
There are thousands of highly experienced military medics, nurses, and EMTs whose acquired expertise would qualify them to provide a function which does not require the attention of an MD.
You brought back a memory - in college, pulled open a heavy metal door that was stuck, wearing sandals and the door ripped off the top of my big toe.
Leaving a trail of blood, I went hunting for college nurse who turned out to be a Vietnam medic who was very cool and didn't get all hysterical about the rather nasty thing I had done to myself.
You have a good point about using the skills our people learned in war. That's what Obama and First Lady Michelle were talking about and what the Rs refused.
In theory, we have that now - in urgent care facilities but, as you say, they're manned by MDs.
Many won't like it but there is a fast growing underground of just the kind of medically trained people you describe, doing abortions in people's homes.
Another point about what you suggest is that if we changed to the type of system AND ATTITUDE we see in European countries, it would have the same effect.
In this country, we still see doctors as gods. In Europe (in my own experience), they are highly skilled but so are ancillary positions.
I was stunned at what I found in pharmacies. They were as well trained as our MDs and paid as well as their MDs.