Abstract
The effective use of nurse practitioners (NPs) could help alleviate the current health care crisis by providing patients with access to excellent health care at reasonable rates. In order for NPs to be effectively used, barriers to independent practice must be eliminated. State supervisory and collaborative clauses hinder access to effective primary health care by restricting the autonomy of NPs; therefore, states should not implement such clauses in their nurse practice acts. NPs provide competent primary care that should expanded to digital settings via telemedicine and cybermedicine without being limited by the bounds of the physical geographic market.
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