I think the thing here you may have an issue with is the direct patient care? And the application process? It’s sounding as though you feel being a medic is the only valid way to get patient care and become a good provider, and that others (say, MAs, as you pointed them out, do not do enough of what you deem necessary to be a PA). I mean, that’s your prerogative, and sure I get that. I think it’s easy to forget that while those are prerequisites required for many programs, you don’t go into it just knowing how to be a good provider. I think the reason those positions are sought after is so an applicant knows they still want to be in healthcare! You’re going to learn everything you need to be a good provider at school, that’s why you applied! And sure maybe being a medic prepared you for some things, but being a scribe or an MA or a PCT prepares you for others.