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Piper Will Be Paid

EDWARD W. HUGHES, M.D. Springfield, Mass.

With all the hand-wringing by psychiatrists that psychologists are getting prescribing privileges, perhaps no one has noticed that psychiatric nurses are moving in on us in solo private practice and state-run mental health clinics. The clinics prefer them to psychiatrists because they cost less.

In my neck of the woods, one state-run mental health clinic kicked out its psychiatrists and has only psychiatric nurses prescribing.

This again validates my theory of nonpsychiatrists prescribing, which is, "There's nothing to it; anybody can do it." That is, until it hits the fan.

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