It seems that everywhere in the US is turning too NPs and PAs to provide 95+ percent of direct patient care, including “Hospitalist” care. It couldn’t be more obviously spurred by large corporate systems, wanting to save a buck. And heck, if those mid levels end up ordering more tests, that’s just a bonus for the hospital.

I could go on and on and on and on and on and on. See r/noctor

It would be laughably incomprehensible for the hospitals that I’ve seen in the US to have specialist physicians seeing hospital patients on a regular basis themselves. When you could just pay a mid-level, who’s had a fraction of the experience in training, to bill even more. It is a win-win for the hospital and a lose-lose for everybody else.