Governor Little proudly proclaimed he had \u201ccut red tape\u201d right after his first inauguration four years ago when he restructured the state entity overlooking all the professions. Maybe he cut more than red tape.<\/p>\n\n\n\n
You need to understand this system a bit before I get into a full-blown rant.<\/p>\n\n\n\n
There are MANY professions in this state that get their sanction to perform their services from state statute. In my short time in the legislature, it seemed like every year another profession wanted to be \u201clicensed\u201d. The health care professions sector alone includes nurses, doctors, physical therapists, and indeed, ten more<\/a>. For some reason, midwives and genetic counsellors aren\u2019t included in the \u201chealth professions\u201d, but instead with the \u201coccupational licenses\u201d, along with another dozen professions, including Outfitters and Guides. This reorganization was supposed to streamline the licensing process.<\/p>\n\n\n\n You might find yourself questioning why the state even gets involved in this licensing process. I know the Freedom Foundation does. Libertarians think any restriction on \u201cfree trade\u201d just drives up costs. Does a license somehow ensure the professional you engage provides quality services? We have all followed how a licensed physician, trained to do laboratory tests provided telehealth<\/a> primary care during the pandemic. And we\u2019ve seen how the Idaho Board of Medicine dismissed complaints against this physician, seemingly without investigating<\/a> them. So, don\u2019t let my $200 annual Medical license fee convince you of the quality of my care.<\/p>\n\n\n\n Maybe Idaho could just go all cowboy and let the public beware. There\u2019d sure be less red tape.<\/p>\n\n\n\n But cutting red tape might also mean there\u2019s less folks to answer the phones when there\u2019s a problem.<\/p>\n\n\n\n Let’s look at a problem. The clinic I work in has tried to hire nurses. Let me tell you, nurses are getting hard to come by. Moreover, the interview process can be long, the background checks take time, but here\u2019s the final delay. Idaho licensure requires nurses to submit fingerprints.<\/p>\n\n\n\n I remember having to submit fingerprints when I got an Idaho medical license. I had to wipe off the embedded grease from cranking my Model T. For some reason back then I didn\u2019t question the need for such a hoop to jump through. Maybe I was numbed by all the premed hoops (physics, organic chem) and medical school hoops (short white coats and board exams) and residency hoops (no sleep).<\/p>\n\n\n\n National nursing organizations support the requirement for fingerprints. Only six states don\u2019t require them. A lot of people seem to think, including Idaho, I guess, it makes sense. Along with the requirement is an FBI background check for past crimes. I\u2019m sure you are comforted that the nurse putting in your urinary catheter has no armed robbery convictions. Maybe not.<\/p>\n\n\n\n Here\u2019s my gripe. Thanks for waiting this long. Both the nurses my clinic hired have had to postpone their start dates a month waiting for their fingerprints to be approved. They have had to submit multiple samples, all at added cost, and always a delay.<\/p>\n\n\n\n I tried to call the Idaho Board of Nursing to ask what the problem was. I got two phone numbers. Both went to voicemail. Neither called me back.<\/p>\n\n\n\n There, you\u2019ve listened to my rant. I apologize. Maybe it got you thinking if we really need this whole licensure thing. I have very strongly mixed feelings about it. If Idaho government is going to give a profession the ability to restrict practice in the marketplace, citizens deserve some confidence in the quality of that state sanctioned profession.<\/p>\n\n\n\n And if the state is going to continue expecting professionals to jump through these licensure hoops, they should be timely. I\u2019m not asking for more red tape. Just someone to answer the phone.<\/p>\n","protected":false},"excerpt":{"rendered":" Governor Little proudly proclaimed he had \u201ccut red tape\u201d right after his first inauguration four years ago when he restructured the state entity overlooking all the professions. Maybe he cut more than red tape. You need to understand this system … Continue reading