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  • Duane Smith
    commented 2019-03-04 18:55:11 -0600
    As a long time Manhattan resident and in your voting district I want to state my strong OPPOSITION TO BILL 2295.


    This bill proposes that Kansas allow AA (anesthesiologist assistants) to administer anesthesia in Kansas. Passage of this bill would undoubtedly have a negative impact on healthcare availability, cost and safety in this great state.


    Over 80% of rural Kansas coverage of anesthesia services in Kansas have been delivered solely by CRNAs (Certified Registered Nurse Anesthetists) in a safe and very cost effective manner. CRNA’s are “home-grown” since many of them receive their primary as well as their entire anesthesia education and training right here in Kansas unlike AA’s who are trained only in a few other states.


    CRNA’s function completely independently in a safe, efficient and cost effective manner. AA’s can ONLY function under the direction of an anesthesiologist, one of the absolutely highest paid healthcare professionals out there. In this regard, the employment of an AA would also mandate the employment of an anesthesiologist which is fiscally unrealistic in nearly every rural Kansas setting, many of which are already facing fiscal challenges that threaten their very existence.


    Introduction of AA’s in this state would have a displacement effect on the CRNAs who have and continue to provide these services in the urban as well as the “less desirable” rural settings, shifting more CRNAs into other states and hence resulting in the only option eventually for the rural hospitals to be the extremely high cost of an anesthesiologist/AA team instead. Realistically many hospitals could not afford this, nor would many anesthesiologists likely want to provide services in these lower paying (usually higher Medicaid/Medicare) settings that lack all of the attractions offered in cities.


    There is currently no shortage in anesthesia coverage in Kansas so the addition of yet another type of provider would only create an increase in the cost of providing the same coverage that is currently being provided without any benefit. The training of AA’s is much shorter and has not withstood the test of time for the safety record that has been proven by CRNAs for over 100 years, which is one of the reasons they are only recognized in some states. The education and training of CRNA’s is vigorous, consistent and intense and has a proven safety record.


    I do NOT SUPPORT bill 2295 and would be happy to discuss this in more detail if needed. Please feel free to contact me.
  • doyle Doyle
    commented 2019-03-01 06:58:57 -0600
    Thank you Tom. Morris county legislators do not publish how they vote or the bills they vote for or against. So most of us are in the dark about legislation. I also belive it is to their advantage to keep us that way
  • Daniel Long
    commented 2019-02-11 04:02:47 -0600
  • Bethany Watkins
    commented 2018-11-23 12:44:28 -0600
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  • Leo Schell
    commented 2018-01-20 11:00:11 -0600
    Tom, please be careful about the proposed prison. Several states built multi-million dollar ones that are now way, way underutilized or even vacant. On the southeast side of Burlington, CO is a huge, new, absolutely vacant one. Why? Partly because the CO legalized marijuana and far, far fewer people (men?) sentenced to prison. Other states also.
  • Sandra Melton
    commented 2017-07-04 01:38:18 -0500
    Sandra Melton
  • Elizabeth "Betty" Stevens
    commented 2017-03-24 15:39:59 -0500
    Tom, thanks for sharing the budget updates. When I saw a photo of Dale Dennis advising a legislator, I told Sydney Carlin to just listen to what Dale Dennis says and do exactly what he tells you to do. He knows more about school funding (and school funding politics) than anyone else in the world and he will tell you the truth, the whole truth, and nothing but the truth.
  • Joan Strickler
    commented 2017-01-31 17:36:12 -0600
    Tom, while John gets your emails I seem to have fallen off your list. Would you add my address as well? Joan
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