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As a result of the ACA, the roles of practitioners in a health care system will change. Nurse practitioners and physician's assistants will be used to deliver face-to-face care, with the physician’s oversight.

1. Describe the scope and practice of a nurse practitioner. Do you feel the quality of health care will improve if this model is implemented in the health care delivery system? How will it save money?

2. Describe the scope and practice of a physician’s assistant. Do you feel the quality of health care will improve if this model is implemented in the health care delivery system? How will it save money?

3. What are the current issues facing physicians regarding malpractice? What remedies are available? How does this impact the cost of care? The University of Michigan currently has a full disclosure model in place to deal with medical malpractice. What impact has it had on the cost of malpractice insurance and the cost of medical care for the patients and physicians in that health system?

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