One recent trend in healthcare provision across the world has been the appearance of many paraprofessional positions. In basic terms, this can also be called deprofessionalization. What that means is that skill sets of medically qualified workers are cut so that more applicants can be assessed for available jobs. This has seen some jobs seriously reduced in status, and also pay. This paper will argue that such cuts and reclassifications of jobs can only do long-term harm to the provision of care, whatever their potential short-term benefits, most of which seem to be based on economics rather than originating from a position of providing the best care to all kinds of patients.