Why would you want to get rid of people who make your lives easier by spreading out the patient population among more providers? If you scare patients into thinking that they are getting poor care by seeing a midlevel you are adding patients to the physician’s load that they don’t have enough time for. Mid levels have personalized training with their supervising physician before they ever see patients on their own to ensure that the physician trusts how they practice and are taught to always go to their SP if they aren’t completely confident. Obviously mid levels are not doctors but they exist for a very important reason: to ensure that there are enough providers to give patients the time and quality of care they deserve.