Whenever we have called for an appointment, we've been asked what was wrong. When we clearly needed the experience of an MD, that's what we got. In a couple of cases, the problem was straightforward and after a quick evaluation, the PA-C or ARNP prescribed antibiotics and sent us on our way. On a couple of other occasions, we were offered a choice of an PA-C/ARNP today or the doc in a couple of days.
I've found their PA-Cs and ARNPs to be well trained and knowledgeable. They often deal with a narrower group of illnesses than an MD, but that doesn't make them less capable.
Part of the problem is what I call "The Cabinet Syndrome." If FEMA isn't on scene 20 minutes after a tornado, they should be! If I call for a doctor, he or she should be waiting for me. If I call 911, the police car should be parked down the block waiting for my call. TV has us all believing that everything can be fixed in 60 minutes or less.
If you feel the need for instant care by a doctor, you probably need to invest in a concierge doc (think $20-30K per year per person) or move next to a huge medical center (think Mayo or Johns Hopkins) where there will be an army of residents waiting for you to walk thru the door.
Is the Village Health System perfect. No. But then again, it has been up and running for less than 18 months. On the whole, it's working well. I think it will continue to improve over time.
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