Primary care cost should be lowered due to the lack of primary care physicians currently available. If the advanced-practiced nurses do not provide basic primary care services to patients then who will at a reasonable cost. As stated in the textbook, by allowing advanced-practice nurses to perform routine duties often completed by physicians the United States could save billions of dollars in medical care cost. When someone goes to the doctor’s office nowadays they often see the nurse instead of the doctor unless the patient has a serious condition. Most APNs have either at least a master’s or doctoral degree, and recent studies show that the quality of care by nurse practitioners and physicians was equivalent. It seems the issue here is more