July 15, 2025 Breaking News, Latest News, and Videos

New Era Looms For California Medicine:

As the new year approaches, a new era also looms for California medicine, and the changes are not due only to the Affordable Health Care Act, better known as Obamacare.

Other big changes will come as pharmacists expand their role in patient care and nurse practitioners, nurse midwives and physican assistants begin performing first-trimester abortions – unless a current attempt to qualify a referendum to stop the abortion expansion qualifies for next November’s ballot and delays it by a year.

Even larger changes may come in 2015, depending on how the newly expanded roles for non-physicians work out.

Although he did not carry the abortion-related bill, the effort to bestow new privileges on non-doctors is spearheaded by Democratic state Sen. Ed Hernandez of West Covina, who achieved only part of his goals this year. Hernandez, an optometrist, also sought wider privileges for both nurse practitioners and his own profession.

But most MDs opposed the changes, with the California Medical Association managing to stymie much of what Hernandez sought. He has said he’ll be back with similar measures next year.

How well they do will likely be tied closely to whether problems crop up in the expanded pharmacist roles and the abortion changes.

With the new law, pharmacists soon will be administering drugs and vaccinations directly to their customers (they already do some vaccinations), conducting patient assessments, ordering tests and overseeing drug regimens. The shift is meant partly to compensate for a shortage of primary care doctors to handle the increased patient load Obamacare will bring.

It represents a sea change. Not many years ago, pharmacists couldn’t even give flu shots. Now thousands of pharmacies across California post prominent signs inside and outside their stores offering those vaccinations almost year-‘round.

That’s worked out fine, relieving doctors of a routine chore, making vaccinations more convenient for patients and producing virtually no negative incidents. If pharmacists do as well with their new roles, it’s a virtual certainty optometrists and nurse practitioners will also see theirs expand.

And the odds are things will work out fine, although the occasional malpractice claim is to be expected.

Less certain is what might happen to women getting first-trimester vacuum aspiration abortions from non-physicians who have received special training.

Some liberal groups were delighted with the change because it essentially treats abortions like many other medical procedures. “The fact that abortion is singled out for special consideration (in other states) is a relic of the days when it was a felony. It’s a reflection of where this country is politically,” ACLU spokeswoman Margaret Crosby told a reporter.

Pro-life activists, however, see the change as a trivialization of pregnancy. From now on, California Pro-Life Council director Brian John complained, “animals will have more dignity under California law than human beings.”

One thing for sure: If medical complications crop up in a significant number of cases, early abortions will go back to being doctors-only affairs.

But that doesn’t seem likely, one reason this bill passed and won Gov. Jerry Brown’s signature. That guess is based on a UC San Francisco study of 11,000 procedures over the last five years, which found virtually no difference in the prevalence of complications between early abortions done by doctors and those carried out by skilled non-physicians.

Researchers conducted the study, which involved more than 5,000 non-physician abortions, using a little-known provision of California law allowing health care professionals other than MDs to take part in some pilot projects.

In a state where teenage pregnancies are rampant (even if reduced slightly from a decade ago), there is little doubt that, barring the possible referendum reversing it, the new law will make abortion more accessible.

Even so, it’s highly unlikely this will lead to change in other states, as many previous California laws have done. This state is far to the left of many others.

But the increased responsibility given pharmacists is something that could spread now that California has joined more than a dozen other states in granting it. More loosening up in health care will depend on how the druggists do next year.

in Opinion
<>Related Posts

SM.a.r.t.Column: Happy Fourth of July 

July 2, 2025

July 2, 2025

SMart (Santa Monica Architects for a Responsible Tomorrow) hopes you are enjoying a great 3-day weekend as part of your...

SM.a.r.t Column: Cities That Never Shut Up – The Roaring Cost of Urban Noise

June 26, 2025

June 26, 2025

In today’s cities, silence isn’t golden—it’s extinct. From sunrise to insomnia, we’re trapped in a nonstop symphony of shrieking car...

SM.a.r.t Column: Santa Monica Needs to See the Light

June 19, 2025

June 19, 2025

How Santa Monica’s Growing Light Pollution Is Eroding Human Health, Safety, and Sanity There was a time when our coastal...

SM.a.r.t Column: California’s Transit Death Spiral: How Housing Mandates Are Backfiring

June 15, 2025

June 15, 2025

California’s ambitious housing mandates were supposed to solve the affordability crisis. Instead, they’re creating a vicious cycle that’s killing public...

SM.a.r.t. Column: A City Dying by a Thousand Cuts

June 5, 2025

June 5, 2025

Santa Monica, once celebrated for its blend of coastal charm and progressive ideals, is slowly bleeding out — not from...

SM.a.r.t Column: Oops!! What Happened? And What Are You Going to Do About It?

May 29, 2025

May 29, 2025

Our Santa Monica Architects for a Responsible Tomorrow (SMa.r.t) articles have, over the past 12 years, collectively presented a critical...

SM.a.r.t Column: Why Santa Monica Might Need a Desalination Plant, and Maybe Even Nuclear Power

May 22, 2025

May 22, 2025

Santa Monica is known for its ocean views, sunny skies, and strong environmental values. But there’s a challenge on the...

SM.a.r.t Column: SMO (So Many Options) Part 3: “Pie in the Sky”

May 17, 2025

May 17, 2025

SMO: Fantasy, Fact, and the Fog of Wishful ThinkingBy someone who read the fine print Every few months, a headline...

SM.a.r.t. Column: Owner Occupancy Protects Against Corporate Over-Development

May 2, 2025

May 2, 2025

This week SMa.r.t. will have as guest columnist Mark Borenstein. Mark is a long-time Santa Monica resident, a retired attorney,...

Opinion: Declaration of Economic State of Emergency in Malibu & Pacific Palisades: A Direct Result of the Devastating Impact of the Palisades Fire

April 27, 2025

April 27, 2025

Malibu and Pacific Palisades Request Emergency Financial Measures By Ramis Sadrieh, Chairperson, Malibu Pacific Palisades Chamber of Commerce    On behalf...

SM.a.r.t Column: The World’s Happiest Cities

April 27, 2025

April 27, 2025

Almost every year, we see new cities, regions, and countries that make the list(s) of our planet’s happiest and healthiest...

SM.a.r.t Column: A City for Everyone

April 20, 2025

April 20, 2025

Santa Monica dazzles with its ocean views, sunshine, and laid-back charm. But beyond the postcard image lies a more complicated...

SM.a.r.t Column: Part II: Rebuilding Resilient Communities: Policy and Planning After the Fires

April 13, 2025

April 13, 2025

The January 2025 wildfires that devastated Pacific Palisades and Altadena left an indelible mark on Los Angeles County. Beyond the...

SM.a.r.t Column: Innovative Materials for Fire-Resistant Rebuilding After the LA Fires

April 6, 2025

April 6, 2025

In the aftermath of the devastating 2025 Los Angeles wildfires, homeowners face the daunting task of rebuilding their lives and...

Opinion: Supervisor Lindsey P. Horvath Community Column Regarding a More Accountable Homeless Services System

April 3, 2025

April 3, 2025

By Lindsay Horvath, Los Angeles Board of Supervisors This week marks a significant milestone in our fight to end homelessness...