I read the article about the Cuban diplomat (Cabañas) by Miriam Silva-Warren (“Cuba: Is it time to turn the page?” Views, Feb. 16).
I was born in Cuba, still have some family there, and I hope that this country opens up relations with Cuba again.
Sun City Center
How quickly they forget
Regarding “Bill could set dangerous precedent in medicine” (Letter of the Day, Feb. 24):
I find it very ironic that Allen Finkelstein, an osteopathic physician (DO), is so adamantly opposed to allowing advanced-practice registered nurses to practice to the full extent of their education and skills.
It has not been many years since DOs were viewed as lesser-trained medical providers in the eyes of allopaths (MDs), and faced significant barriers to full and independent licensure.
Our society’s view of the hierarchy of medical providers is actually a very recent one. Assumptions persist despite the fact that graduate education programs for physicians (MD and DO) and nurse practitioners have all evolved very rapidly, and continue to do so.
In the case of nursing education, this includes the development of a practice doctorate (DNP) for clinicians. DNP programs have been tremendously successful as many nurses have sought out a terminal degree program in clinical care delivery.
A useful response to the age-old question “What is the gold standard of education for patient care?” is “which type of patient care?”
This inquiry would help anyone who is truly interested in evaluating the merits of each of these career pathways.
Dr. Finkelstein, stop playing the “your degree is second rate” game. Look at the evidence. It’s right there in the patient outcomes.
Kim Curry, Ph.D, ARNP
Both professions needed
Nurse practitioners are outstanding at clinical research and providing care in rural communities where physicians would never set foot. However, physician assistants are better at relating to patients based not only on my experience but sociological research.
We need both professions because medical schools are terrible at producing family practitioners, particularly for under-served areas.
We should encourage nurses to keep up the good work in research and moving out of the city but oppose giving them greater powers.
A third basic rule
On Feb. 22 you printed an excellent letter, “Gun control” (Your Views), by Walter Repak of Spring Hill. Repak explained two of the primary rules in handling any gun: Treat every gun as if it is loaded, and never point the muzzle at anything you are not prepared to destroy (kill).
But he failed to mention the third basic rule of controlling a gun, and that is: Never put your finger on the trigger of any gun until you have decided, for any reason, to fire that weapon.
There are other practices that also need to be followed when handling any weapon, but follow these three basic rules, and there will be no events when “the gun went off accidentally.”
Lester E. Scates
Let big boys do it
In 1996, Hillary Rodham Clinton published “It Takes a Village: And Other Lessons Children Teach Us.” And as for the recent Channelside ruling, it took a lone federal judge to negatively dictate the immediate growth of a key developing section of a rapidly growing downtown Tampa.
As Clinton presented her vision for the children of America, so does the Tampa Port Authority realize the much bigger picture in its quest to control not only the land but the facility as well. When the stakes are as high as they are for the ultimate success of Channelside and downtown, I believe wholeheartedly that a terrible decision was made. The two young local developers who have literally thrown a legal wrench into this project should be commended for their tenacity; however, they need to back off and let the big boys do this one.
The only logical way this now-beleaguered shopping and entertainment complex will ever survive and succeed in the future is to allow it to be completely rebuilt, remarketed and redeveloped by seasoned and very deep-pocketed professionals who have a world-class vision to create a downtown showpiece that will be utilized by all who reside in and visit our great city.
Regarding the possible legalization of marijuana for medical use in Florida, there are a few questions I have.
Will physicians need to take a course on the ordering of marijuana?
Is it three deep puffs once a day or one deep puff three times a day?
Are doctors aware of the strength of weed and know the appropriate amount to order? Will it be available in pharmacies, or will there be a drug domain somewhere?
Most importantly, will it be covered by the patient’s insurance?
Also, I wonder how it will be monitored.
Only those who are sick and in need of it supposedly will get it; but somehow I see many other people getting it as well.
Just wondering …
Peggy Ann Wright