Re "Chance to take helpful steps on primary care" (Editorials, April 22): The editorial went over some of the pros and cons of SB 491, 492, and 493. These bills would allow nurse practitioners, pharmacists and optometrists to practice medicine without the supervision of a physician. According to their supporters, so-called "scope expansion" will address the state's physician shortage, especially in rural, underserved areas.
What the editorial failed to mention is that this legislation would allow nurse practitioners to provide lucrative cosmetic treatments -- like Botox injections -- without being supervised by a doctor. What's more, the president of the California Association for Nurse Practitioners owns an upscale spa that provides wealthy clientele - including a cast member of the "Real Housewives of Orange County" - with these exact treatments.
So who does scope expansion really benefit? The poor and underserved, or the "real housewives" and the people who are paid to make them look good?
-- John Boghossian, Sacramento