June 17, 2014

Dear Senator:

PAs are not assistants to physicians-we are much more than that. We are a sovereign profession. PAs are also extremely well trained medical professionals who practice medicine, have completed two years or more of rigorous postgraduate training while enrolled in a PA program and provide physician-level services to the citizens of New York State.

We are extremely concerned about two recently introduced bills (S-7585 and A-10077) that would allow graduates of foreign medical schools "deemed equivalent" to PA programs and to practice medicine as PAs. This has been tried before in New York and other states with horrendous outcomes. When the national certifying exam for PAs was challenged by foreign physicians, many who did full residencies abroad; they failed. This happened most notably in the states of New York and Florida. The result of these proposed bills passing would be a dilution of the PA profession and potential harm for patients.  The PA profession has its particular methods of successful training with similarities, but also differences when compared to physicians. While both professions are expected to practice medicine at the highest level, we are not the same profession and cannot be substituted for one another by neophytes knowing nothing about the other profession.

So we ask you: Why make them PAs? Why not osteopaths? Why not MDs? These are physicians trained abroad and should be required to take the necessary steps to continue down the physician path in the US, unless completing the tried and true training of a PA.  PAs are not "assistants" and we hope you understand that PAs are providing care as competent professionals throughout the United States,as officers in every military service and of course New York State.


Our profession is still evolving. We do not need people trained as physicians saying they are PAs. We have spent 41 years building our profession in NY State. We need you to work with our profession and help us remove the barriers that hold PA practice back and allow us to provide the spectrum of medical care that we are trained to provide to the citizens of NY State.

Please do not allow these two bills to move ahead.

Dave Mittman, PA, DFAAPA 


A National Advocacy Professional Association 
(New York State PA License Number 393)

PAs for Tomorrow is a  professional organization for all PAs of all specialties.  It represents the future interests of all PAs, providing a vocal core group of PAs committed to seeing the PA profession reach its deserved place among America's health care providers and advocating for their role as providers of high-quality, cost-effective, comprehensive and patient-centered health care. 

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