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If nurse practitioners are to achieve their goal of serving as the principal providers of primary health care and having a major voice in health policy decisons, they must increase their political effectiveness. Of all the problems that nurse practitioners face today, this is one of the most serious. This article identifies some of the reasons why nurse practitioners have failed to achieve maximum political effectiveness, such as lack of national stancardization of the role, titling confusion, and the lack of research to demonstrate that the nurse practitioner is the most appropriate and cost effective primary health care provider. Next, the consequences of the above are explored. Finally, some solutions are proposed, the most important of which is the establishment of a strong national nurse practitioner organization to serve as the voice of all nurse practitioners.