I have heard that nurses are not supposed to use doctor within the hospital so as not to confuse patients. So, nurses with doctorates should not use the title "doctor." Perhaps they can use another title that distinguishes themselves from nurses who do not have advanced specialties. They can inform patients that they are advanced practice nurses.
I absolutely agree with the educational mandate. The profession is suffering from a loss of caliber as schools are admitting low quality students. As a clinical preceptor who has been around many students, I am appalled to see the quality of students who are admitted to some of these programs. I would not want them to provide anesthesia to me or even my dog. Some of these students are immature, unprofessional, and not very intelligent or clinically competent. We need higher education to encourage only the best and brightest to enter the profession, not those who want the fastest way to make a buck. It is obvious some of these students don't care about patients or patient care, they just do this for the money.
Also, perhaps physicians would respect CRNAs more if the educational requirement was more stringent. I have seen many physicians look down on or mistreat CRNAs because they know that they only have master's degrees.